The current status of opisthorchiasis and clonorchiasis in the Mekong Basin.

The current status of opisthorchiasis and clonorchiasis in the Mekong Basin.
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DOI:
10.1016/j.parint.2011.08.014
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发表时间:
2012-03
影响因子:
1.9
通讯作者:
Sripa B
Sripa B
中科院分区:
医学3区
文献类型:
--
作者:
Sithithaworn P;Andrews RH;Nguyen VD;Wongsaroj T;Sinuon M;Odermatt P;Nawa Y;Liang S;Brindley PJ;Sripa B

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本综述强调了湄公河流域国家肝吸虫感染的现状和控制,其中后睾吸虫和克隆吸虫是高度流行的。关于流行率和分布的最新数据已从“96年后睾吸虫病”中总结。国际肝吸虫大会”。令人不安的是,尽管治疗和控制计划已经实施了几十年,湄公河下游盆地的所有国家仍然是O。viverrini和/或C.以及惊人的高水平CCA发病率。每个国家出现的一个共同模式是O型血吸虫病传播的差异。流行率高的低地与流行率低的高地之间的灵猫病。这似乎与湿地、洪水模式以及人类移动和定居有关。需要所有社区、教育、公共卫生和政府部门更加协调一致的努力,才能成功地防治这种穷人的致命肝病。
This review highlights the current status and control of liver fluke infections in the Mekong Basin countries where Opisthorchis and Clonorchis are highly endemic. Updated data on prevalence and distribution have been summarized from presentations in the “96 Years of Opisthorchiasis. International Congress of Liver Flukes”. It is disturbing that despite treatment and control programs have been in place for decades, all countries of the Lower Mekong Basin are still highly endemic with O. viverrini and/or C. sinensis as well as alarmingly high levels of CCA incidence. A common pattern that is emerging in each country is the difference in transmission of O. viverrini between lowlands which have high prevalence versus highlands which have low prevalence. This seems to be associated with wetlands, flooding patterns and human movement and settlement. A more concerted effort from all community, educational, public health and government sectors is necessary to successfully combat this fatal liver disease of the poor.
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