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Review of risk factors for human echinococcosis prevalence on the Qinghai-Tibet Plateau, China: a prospective for control options

引用

Infectious Diseases of Poverty 2014年第1期3卷 18-25页

作者： Qian Wang Yan Huang Liang Huang Wenjie Yu Wei He Bo Zhong Wei Li Xiangman Zeng Dominique A Vuitton Patrick Giraudoux Philip S Craig Weiping Wu Sichuan Provincial Center for Diseases control and Prevention ChengduSichuanChina Ganzi Prefecture Center for Diseases control and Prevention KangdingSichuanChina Institute of Parasitic Diseases China Center for Diseases Control and PreventionShanghaiChina WHO Collaborating Center for Prevention and Treatment of Human Echinococcosis University Hospital and University of Franche-Comté25030 BesançonFrance Department of Chrono-Environment UMR UFC/CNRS 6249 aff.INRAUniversity of Franche-ComtéBesançonFrance Cestode Zoonoses Research Group Bioscience Research Institute and School of Environment and Life SciencesUniversity of SalfordGreat Manchester M54WTUK

Objective: Echinococcosis is a major parasitic zoonosis of public health importance in western China. In 2004, the Chinese Ministry of Health estimated that 380,000 people had the disease in the region. The Qinghai-Tibet Plateau is highly co-endemic with both alveolar echinococcosis (AE) and cystic echinococcosis (CE). In the past years, the Chinese government has been increasing the financial support to control the diseases in this region. Therefore, it is very important to identify the significant risk factors of the diseases by reviewing studies done in the region in the past decade to help policymakers design appropriate control strategies. Review: Selection criteria for which literature to review were firstly defined. Medline, CNKI (China National Knowledge Infrastructure), and Google Scholar were systematically searched for literature published between January 2000 and July 2011. Significant risk factors found by single factor and/or multiple factors analysis were listed, counted, and summarized. Literature was examined to check the comparability of the data;age and sex specific prevalence with same data structures were merged and used for further analysis. A variety of assumed social, economical, behavioral, and ecological risk factors were studied on the Plateau. Those most at risk were Tibetan herdsmen, the old and female in particular. By analyzing merged comparable data, it was found that females had a significant higher prevalence, and a positive linearity relationship existed between echinococcosis prevalence and increasing age. In terms of behavioral risk factors, playing with dogs was mostly correlated with CE and/or AE prevalence. In terms of hygiene, employing ground water as the drinking water source was significantly correlated with CE and AE prevalence. For definitive hosts, dog related factors were most frequently identified with prevalence of CE or/and AE;fox was a potential risk factor for AE prevalence only. Overgrazing and deforestation were

关键词： control options Echinococcosis Qinghai-Tibet Plateau Risk factors

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