Opisthorchiasis control in Thailand
Opisthorchiasis control in Thailand
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DOI：
10.1016/j.actatropica.2003.01.002
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发表时间：
2003-11-01
期刊：
影响因子：
2.7
通讯作者：
Imsomboon, T
中科院分区：
文献类型：
--
作者：
Jongsuksuntigul, P;Imsomboon, T
后睾吸虫病控制的历史始于1950年，当时在一些高风险地区进行了小规模的蠕虫病控制计划。在玛希隆大学热带医学系进行了一系列研究和试验项目之后，根据几项国家公共卫生发展计划制定并实施了国家肝吸虫控制方案。目前，该方案正在泰国中部的一些省份以及东北部和北部的所有省份实施，控制肝吸虫的主要战略包括三个相互关联的方法，即粪便检查和用吡喹酮治疗阳性病例以消除人体宿主;健康教育，鼓励市民进食经烹煮的鱼类，以预防感染，1984 ~ 1987年肝吸虫感染率为63.6%。1988年，阳性率下降到35.6%。在1989年开始的区域范围控制方案之后，年阳性率随后在2001年下降到9.4%。北部的发病率非常高，东北部的发病率中等偏高，而中部地区的发病率相当低，南部没有疾病传播的证据。(C)2003 Elsevier B. V.保留所有权利。
History of opisthorchiasis control started in 1950 as a small scale helminthiasis control program in some high risk areas. Following a number of studies and trial projects of the Faculty of Tropical Medicine, Mahidol University, the national liver fluke control program has been developed and operated under several National Public Health Development Plans. Presently, the program is being operated in some provinces of the Central, and all provinces of the Northeast and North of Thailand.The main strategies for liver fluke control comprise of three interrelated approaches, namely stool examinations and treatment of positive cases with praziquantel for eliminating human host reservoir; health education for a promotion of cooked fish consumption to prevent infection, and the improvement of hygienic defecation for the interruption of disease transmission.Between 1984 and 1987, the positive rate of liver fluke infection was 63.6%. In 1988, the positive rate went down to 35.6%. Following the region wide control program started in 1989, the annual positive rates had subsequently decreased to 9.4% in the year 2001. The prevalence rate was remarkably high in the North and moderately high in the Northeast, while the prevalence in the Central region was considerably low and there was no evidence of disease transmission in the South. (C) 2003 Elsevier B.V. All rights reserved.