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7 results on '"MESH: Echinococcosis, Pulmonary"'

1. Epidemiology of alveolar echinococcosis in Xinjiang Uygur autonomous region, China: a preliminary analysis

Author

Philip S. Craig, Dominique-Angèle Vuitton, Francis Raoul, Hao Wen, Jean-Pierre Quéré, H. X. Zhou, Pierre Delattre, Patrick Giraudoux, S. X. Chai, Xinjiang Medical University, Biomedical Sciences Research Institute, University of Salford, Centre de Biologie pour la Gestion des Populations (UMR CBGP), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut National de la Recherche Agronomique (INRA)-Centre international d'études supérieures en sciences agronomiques (Montpellier SupAgro)-Université de Montpellier (UM)-Institut de Recherche pour le Développement (IRD [France-Sud])-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro), Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté (UFC), Laboratoire Chrono-environnement - UFC (UMR 6249) (LCE), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Raoul, Francis, Centre de Biologie pour la Gestion des Populations ( CBGP ), Centre de Coopération Internationale en Recherche Agronomique pour le Développement ( CIRAD ) -Centre international d'études supérieures en sciences agronomiques ( Montpellier SupAgro ) -Institut national de la recherche agronomique [Montpellier] ( INRA Montpellier ) -Université de Montpellier ( UM ) -Institut de Recherche pour le Développement ( IRD [France-Sud] ) -Institut national d’études supérieures agronomiques de Montpellier ( Montpellier SupAgro ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), and Université de Franche-Comté ( UFC )

Subjects
Male, Veterinary medicine, MESH : Retrospective Studies, MESH : Prevalence, MESH : Age Distribution, Prevalence, Kazakh, 0302 clinical medicine, MESH : Child, MESH: Child, Epidemiology, MESH : Female, Child, MESH: Echinococcosis, Pulmonary, MESH : Sex Distribution, [SDV.EE]Life Sciences [q-bio]/Ecology, environment, MESH: Middle Aged, biology, Transmission (medicine), MESH: Sex Distribution, Pulmonary, MESH : Adult, Middle Aged, Echinococcosis, MESH: China, 3. Good health, [SDV.EE] Life Sciences [q-bio]/Ecology, environment, Infectious Diseases, Geography, language, Female, MESH : Echinococcosis, Pulmonary, Adult, China, medicine.medical_specialty, Echinococcosis, Pulmonary, Adolescent, MESH : Male, 030231 tropical medicine, Helminthiasis, Zoology, Echinococcus multilocularis, [ SDV.EE ] Life Sciences [q-bio]/Ecology, environment, 03 medical and health sciences, Age Distribution, MESH : Adolescent, 030225 pediatrics, medicine, MESH : China, Humans, Helminths, MESH : Middle Aged, Sex Distribution, MESH: Age Distribution, MESH: Prevalence, Retrospective Studies, MESH: Adolescent, MESH: Humans, MESH : Humans, MESH: Adult, MESH: Retrospective Studies, medicine.disease, biology.organism_classification, MESH: Male, language.human_language, Parasitology, MESH: Female
Abstract

International audience; The Xinjiang Uygur autonomous region (XUAR) in north-western China is known to be endemic for Echinococcosis multilocularis, the causative agent of human alveolar echinococcosis (HAE). Despite regular reports of HAE cases in their region, very little is known about the local epidemiology of the disease or the transmission of E. multilocularis. The epidemiology of HAE in Xinjiang has now been investigated by the analysis of data collected from the medical records of 157 clinical cases who had attended the four main hospitals in the region. These data indicate that the disease is relatively common in the Altai, western Junggar, and Tianshan mountain ranges, whereas the Tarim and Junggar basins are likely to be of low endemicity. The prevalence of the disease in the Kunlun mountains is not clear. Semi-nomadic groups, especially those of Kazakh or Mongol origin, have a higher risk of infection than other ethnic groups. Prevalence of the disease in humans appears to be correlated with aspects of the local climate, such as annual precipitation and temperature. Red foxes, Microtinae, Ochotona spp. and Marmota spp. may be important hosts of E. multilocularis in the XUAR, sustaining the transmission cycles of the parasite.

Published
2000
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2. A correlative study of ultrasound with serology in an area in China co-endemic for human alveolar and cystic echinococcosis

Author

Yang, Y. R., Craig, P. S., Ito, A., Vuitton, D. A., Giraudoux, P., Sun, T., Williams, G. M., Huang, Z., Li, Zhenyu, Wang, Y., Teng, J., Li, Y., Huang, L., Wen, H., Jones, M. K., Mcmanus, D. P., Ningxia Medical College, Biomedical Sciences Research Institute, University of Salford, Department of Parasitology, Asahikawa Medical College, WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté ( UFC ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ) -Centre National de la Recherche Scientifique ( CNRS ), Molecular Parasitology Unit, University of Queensland [Brisbane]-The Queensland Institute of Medical Research-Australian Centre for International and Tropical Health and Nutrition ( ACITH ), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), and Queensland Institute of Medical Research-University of Queensland [Brisbane]-Australian Centre for International and Tropical Health and Nutrition (ACITH)

Subjects
Male, MESH: Pulmonary Alveoli, Endemic Diseases, MESH : Aged, MESH: Comorbidity, Comorbidity, MESH : Child, Preschool, MESH : Echinococcosis, MESH: Cross Reactions, MESH : Child, MESH: Child, MESH : Population Surveillance, MESH : Female, Child, MESH: Echinococcosis, Pulmonary, MESH : Immunoblotting, Ultrasonography, MESH: Aged, MESH: Middle Aged, MESH: Immunoblotting, MESH : Cross Reactions, MESH: Echinococcosis, Hepatic, MESH: Enzyme-Linked Immunosorbent Assay, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, Middle Aged, MESH : Adult, MESH : Enzyme-Linked Immunosorbent Assay, MESH: China, Child, Preschool, Population Surveillance, MESH: Endemic Diseases, MESH : Comorbidity, Female, MESH : Endemic Diseases, Adult, MESH : Echinococcosis, Pulmonary, China, Echinococcosis, Hepatic, Echinococcosis, Pulmonary, MESH : Male, Immunoblotting, Enzyme-Linked Immunosorbent Assay, Cross Reactions, MESH: Population Surveillance, MESH: Echinococcosis, Echinococcosis, Humans, MESH : China, MESH : Middle Aged, Aged, MESH: Humans, MESH: Child, Preschool, MESH : Humans, MESH: Adult, MESH: Male, Pulmonary Alveoli, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, MESH : Pulmonary Alveoli, MESH : Echinococcosis, Hepatic, MESH: Female
Abstract

International audience; We correlated ultrasound (US) imaging classifications for human alveolar echinococcosis (AE) and cystic echinococcosis (CE) with serology (ELISA and immunoblotting (IB) incorporating native and recombinant/purified echinococcal antigens) in community surveys (2001-2003) and follow-up (2002 and 2003) of US-confirmed cases in Ningxia, China. One hundred and seventy-one cases (96 with AE, 75 with CE) were identified; of these, US classification and serological data were obtained for 142 and 112 cases, respectively. Seropositive-rates increased in CE patients with highly viable unilocular cyst lesions (Types CL, CE 1 or CE 2) to degenerating primary lesions (CE 3), but then decreased in subjects with inactive (CE 4) or dead (CE 5) cysts. In contrast, there was a constant increase in seropositivity from the early (P1, P2) to the advanced stages (P3, P4) with AE cases. For US-confirmed cases, follow-up by US combined with serology is invaluable for studying the clinical progression of echinococcosis and for detecting recurrent cysts or reinfection post-treatment.

Published
2007
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3. Community surveys and risk factor analysis of human alveolar and cystic echinococcosis in Ningxia Hui Autonomous Region, China

Author

Belchis Boufana, Donald P. McManus, Dominique A. Vuitton, Gail M. Williams, Hao Wen, Tao Sun, Yumin Zhao, Xongzhou Liu, Ruiqi Liu, Jing Teng, Malcolm K. Jones, Patrick Giraudoux, Dazhong Shi, Brigitte Bartholomot, Jianzhong Zhang, Mark F. Danson, Xiaohui Feng, Yu Rong Yang, Akira Ito, Zhengzhi Li, Philip S. Craig, Qin Zhao, David Pleydell, Yunhai Wang, Rui Zhao, Ningxia Medical College, Molecular Parasitology Unit, Queensland Institute of Medical Research-University of Queensland [Brisbane]-Australian Centre for International and Tropical Health and Nutrition (ACITH), WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Department of Parasitology, Asahikawa Medical College, Biomedical Sciences Research Institute, University of Salford, University of Queensland [Brisbane]-The Queensland Institute of Medical Research-Australian Centre for International and Tropical Health and Nutrition ( ACITH ), Université de Franche-Comté ( UFC ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Ningxia Medical University, Medical College, Queensland Institute of Medical Research, Xinjiang Medical University, Lanzhou Medical University, Université Bourgogne Franche-Comté [COMUE] (UBFC), Unité sous contrat biologie environnementale, and Institut National de la Recherche Agronomique (INRA)-Université de Franche-Comté (UFC)

Subjects
Male, Health Knowledge, Attitudes, Practice, Veterinary medicine, MESH : Prevalence, MESH: Health Knowledge, Attitudes, Practice, MESH: Risk Assessment, 0302 clinical medicine, MESH : Child, Surveys and Questionnaires, MESH: Child, MESH: Animals, Child, 0303 health sciences, MESH: Middle Aged, MESH : Infant, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, Echinococcosis, MESH: Infant, MESH: China, 3. Good health, Child, Preschool, MESH : Residence Characteristics, surveillance, China, medicine.medical_specialty, Echinococcus multilocularis, Risk Assessment, 03 medical and health sciences, MESH : Adolescent, Humans, MESH : Middle Aged, Risk factor, MESH: Prevalence, chine, MESH: Adolescent, MESH: Echinococcus multilocularis, MESH: Humans, Echinococcus granulosus, MESH : Echinococcus granulosus, MESH: Questionnaires, MESH : Humans, MESH: Child, Preschool, Public Health, Environmental and Occupational Health, Infant, MESH: Adult, MESH: Rural Health, medicine.disease, MESH: Female, Demography, ECHINOCOCCUS MULTILOCULARIS, ECHINOCOCCUS GRANULOSUS, FACTEUR RISQUE, MESH : Health Knowledge, Attitudes, Practice, [SDV]Life Sciences [q-bio], Rural Health, MESH : Child, Preschool, MESH : Echinococcus multilocularis, MESH: Echinococcus granulosus, communauté, 030308 mycology & parasitology, Serology, MESH: Health Surveys, Residence Characteristics, Risk Factors, MESH: Risk Factors, MESH : Rural Health, Epidemiology, Prevalence, MESH : Female, MESH: Residence Characteristics, MESH : Risk Assessment, MESH: Echinococcosis, Pulmonary, biology, MESH: Infant, Newborn, asie, MESH : Questionnaires, santé humaine, Middle Aged, MESH : Adult, MESH : Risk Factors, Female, Risk assessment, Research Article, Adult, MESH : Echinococcosis, Pulmonary, Echinococcosis, Pulmonary, Adolescent, échinococcose kystique, MESH : Male, 030231 tropical medicine, MESH : Health Surveys, enquête, MESH : Infant, Newborn, medicine, Animals, MESH : China, business.industry, Infant, Newborn, biology.organism_classification, Health Surveys, MESH: Male, échinococcose alvéolaire, Tropical medicine, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, MESH : Animals, business
Abstract

International audience; OBJECTIVE: To determine the true community prevalence of human cystic (CE) and alveolar (AE) echinococcosis (hydatid disease) in a highly endemic region in Ningxia Hui, China, by detecting asymptomatic cases. METHODS: Using hospital records and "AE-risk" landscape patterns we selected study communities predicted to be at risk of human echinococcosis in Guyuan, Longde and Xiji counties. We conducted community surveys of 4773 individuals from 26 villages in 2002 and 2003 using questionnaire analysis, ultrasound examination and serology. FINDINGS: Ultrasound and serology showed a range of prevalences for AE (0-8.1%; mean 2%) and CE (0-7.4%; mean 1.6%), with the highest prevalence in Xiji (2% for CE, 2.5% for AE). There were significant differences in the prevalence of CE, AE and total echinococcosis between the three counties and villages (with multiple degrees of freedom). While hospital records showed 96% of echinococcosis cases attributable to CE, our survey showed a higher prevalence of human AE (56%) compared to CE (44%). Questionnaire analysis revealed that key risk factors for infection were age and dog ownership for both CE and AE, and Hui ethnicity and being female for AE. Drinking well-water decreased the risk for both AE and CE. CONCLUSION: Echinococcosis continues to be a severe public health problem in this part of China because of unhygienic practices/habits and poor knowledge among the communities regarding this disease.

Published
2006
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4. Hospital and community surveys reveal the severe public health problem and socio-economic impact of human echinococcosis in Ningxia Hui Autonomous Region, China

Author

Donald P. McManus, X. Pan, S. K. Yang, Yu Rong Yang, Tao Sun, S. Hu, Patrick Giraudoux, Gail M. Williams, X. P. Li, Philip S. Craig, Dominique-Angèle Vuitton, L. Cheng, X. Liu, Ningxia Medical College, Biomedical Sciences Research Institute, University of Salford, WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté (UFC), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire [Besançon] (CHRU Besançon)-Université de Franche-Comté (UFC), Laboratoire Chrono-environnement - UFC (UMR 6249) (LCE), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Brain imaging (LIAMA), Laboratoire Franco-Chinois d'Informatique, d'Automatique et de Mathématiques Appliquées (LIAMA), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut National de la Recherche Agronomique (INRA)-Chinese Academy of Sciences [Changchun Branch] (CAS)-Institut National de Recherche en Informatique et en Automatique (Inria)-Institute of Automation - Chinese Academy of Sciences-Centre National de la Recherche Scientifique (CNRS)-Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut National de la Recherche Agronomique (INRA)-Chinese Academy of Sciences [Changchun Branch] (CAS)-Institut National de Recherche en Informatique et en Automatique (Inria)-Institute of Automation - Chinese Academy of Sciences-Centre National de la Recherche Scientifique (CNRS), Molecular Parasitology, University of Queensland [Brisbane]-Queensland Institute of Medical Research-Australian Centre for International and Tropical Health and Nutrition (ACITH), Université de Franche-Comté ( UFC ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ) -Centre National de la Recherche Scientifique ( CNRS ), Brain imaging ( LIAMA ), Laboratoire Franco-Chinois d'Informatique, d'Automatique et de Mathématiques Appliquées ( LIAMA ), Centre de Coopération Internationale en Recherche Agronomique pour le Développement ( CIRAD ) -Institut National de la Recherche Agronomique ( INRA ) -Chinese Academy of Sciences [Changchun Branch] ( CAS ) -Institut National de Recherche en Informatique et en Automatique ( Inria ) -Institute of Automation - Chinese Academy of Sciences-Centre National de la Recherche Scientifique ( CNRS ) -Centre de Coopération Internationale en Recherche Agronomique pour le Développement ( CIRAD ) -Institut National de la Recherche Agronomique ( INRA ) -Chinese Academy of Sciences [Changchun Branch] ( CAS ) -Institut National de Recherche en Informatique et en Automatique ( Inria ) -Institute of Automation - Chinese Academy of Sciences-Centre National de la Recherche Scientifique ( CNRS ), Queensland Institute of Medical Research-University of Queensland [Brisbane]-Australian Centre for International and Tropical Health and Nutrition ( ACITH ), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Institute of Automation - Chinese Academy of Sciences-Institut National de Recherche en Informatique et en Automatique (Inria)-Chinese Academy of Sciences [Changchun Branch] (CAS)-Institut National de la Recherche Agronomique (INRA)-Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Centre National de la Recherche Scientifique (CNRS)-Institute of Automation - Chinese Academy of Sciences-Institut National de Recherche en Informatique et en Automatique (Inria)-Chinese Academy of Sciences [Changchun Branch] (CAS)-Institut National de la Recherche Agronomique (INRA)-Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Centre National de la Recherche Scientifique (CNRS), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (UR 3181) (CEF2P / CARCINO), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Laboratoire Chrono-environnement (UMR 6249) (LCE), and Queensland Institute of Medical Research-University of Queensland [Brisbane]-Australian Centre for International and Tropical Health and Nutrition (ACITH)

Subjects
Male, Cost effectiveness, MESH : Aged, MESH: Hospitalization, MESH : Child, Preschool, MESH : Echinococcosis, MESH: Epidemiologic Methods, MESH: Length of Stay, 030308 mycology & parasitology, 0302 clinical medicine, MESH: Aged, 80 and over, MESH : Child, MESH: Child, Epidemiology, 80 and over, MESH : Population Surveillance, MESH : Socioeconomic Factors, MESH : Female, Child, Echinococcus granulosus, MESH: Echinococcosis, Pulmonary, MESH: Treatment Outcome, Aged, 80 and over, MESH: Aged, 0303 health sciences, MESH: Middle Aged, biology, Mortality rate, MESH : Infant, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, Pulmonary, Health Care Costs, Middle Aged, MESH : Adult, Echinococcosis, MESH: Infant, MESH: China, 3. Good health, Hospitalization, MESH : Length of Stay, Treatment Outcome, Infectious Diseases, Child, Preschool, Population Surveillance, MESH : Hospitalization, Female, Public Health, MESH: Public Health, MESH : Health Care Costs, Adult, MESH : Echinococcosis, Pulmonary, China, medicine.medical_specialty, MESH: Socioeconomic Factors, Echinococcosis, Pulmonary, Adolescent, MESH : Male, 030231 tropical medicine, MESH : Public Health, MESH: Health Care Costs, MESH : Treatment Outcome, Echinococcus multilocularis, MESH : Epidemiologic Methods, MESH: Population Surveillance, 03 medical and health sciences, MESH: Echinococcosis, MESH : Adolescent, medicine, Humans, MESH : China, MESH : Middle Aged, Preschool, MESH : Aged, 80 and over, Disease burden, Aged, MESH: Adolescent, MESH: Humans, business.industry, Public health, MESH : Humans, MESH: Child, Preschool, Public Health, Environmental and Occupational Health, Infant, MESH: Adult, Length of Stay, biology.organism_classification, medicine.disease, MESH: Male, Surgery, Socioeconomic Factors, Parasitology, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Epidemiologic Methods, business, MESH: Female, Demography
Abstract

International audience; A comprehensive study of human echinococcosis (caused by Echinococcus granulosus or E. multilocularis), including assessment of hospital records, community surveys and patient follow-up, was conducted in Ningxia Hui Autonomous Region (NHAR), China. In contrast to hospital records that showed 96% of echinococcosis cases were caused by cystic echinococcosis (CE), 56% of cases detected in active community surveys were caused by alveolar echinococcosis (AE). The AE and CE cases co-existed frequently in the same village, even occurring in the same patient. A serious public health problem caused by echinococcosis was evident in southern NHAR, typified by: a long diagnostic history for both AE and CE (7.5 years) compared with a shorter treatment history (4.7 years); a significant mortality rate (39%) caused by AE in one surveyed village, where patients had no previous access to treatment; family aggregation of CE and AE cases; a high proportion of both AE (62.5%) and CE (58%) in females; a high rate of recurrent surgery (30%) for CE demonstrated by surgical records; and frequent symptomatic recurrences (51%) because of discontinuous or sporadic access to chemotherapy for AE. The disease burden for both human AE and CE is thus very severe among these rural communities in NHAR, and this study provides the first attempt to determine the costs of morbidity and surgical intervention of human CE and AE cases both at the hospital and community level in this setting. This information may be useful for assessing the cost effectiveness of designing effective public health programs to control echinococcosis in this and other endemic areas in China and elsewhere.

Published
2006
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5. Socioeconomic and behavior risk factors of human alveolar echinococcosis in Tibetan communities in Sichuan, People's Republic of China

Author

Jiamin Qiu, Peter M. Schantz, Wen Yang, Qian Wang, Dominique A. Vuitton, Philip S. Craig, Francis Raoul, Patrick Giraudoux, Sichuan Provincial Center for Diseases Control and Prevention, Sichuan Government, Division of Parasitic Diseases, Centres for Disease Control and Prevention, Centres for Disease Control and Prevention, Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Biomedical Sciences Research Institute, University of Salford, WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté (UFC), Sichuan Provincial Center for Disease Control and Prevention, Partenaires INRAE, Centers for Disease Control and Prevention, Unité sous contrat biologie environnementale, Institut National de la Recherche Agronomique (INRA)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement - UFC (UMR 6249) (LCE), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), and ProdInra, Migration

Subjects
Male, Veterinary medicine, Disease reservoir, [SDV]Life Sciences [q-bio], Foxes, Tibet, 030308 mycology & parasitology, MESH: Dogs, 0302 clinical medicine, MESH : Dogs, Risk Factors, MESH: Risk Factors, Epidemiology, MESH : Socioeconomic Factors, MESH : Disease Reservoirs, MESH : Female, MESH: Animals, MESH: Echinococcosis, Pulmonary, 2. Zero hunger, [SDV.EE]Life Sciences [q-bio]/Ecology, environment, 0303 health sciences, biology, MESH : Risk-Taking, MESH : Adult, Echinococcosis, MESH : Risk Factors, [SDV] Life Sciences [q-bio], Infectious Diseases, Geography, MESH: Risk-Taking, Female, MESH : Echinococcosis, Pulmonary, Adult, medicine.medical_specialty, MESH: Socioeconomic Factors, Echinococcosis, Pulmonary, Adolescent, MESH : Sex Factors, MESH : Male, 030231 tropical medicine, Helminthiasis, Echinococcus multilocularis, [ SDV.EE ] Life Sciences [q-bio]/Ecology, environment, Chine, 03 medical and health sciences, Dogs, Risk-Taking, Sex Factors, MESH: Sex Factors, Virology, MESH : Adolescent, medicine, Animals, Humans, Risk factor, Socioeconomic status, Disease Reservoirs, MESH : Foxes, MESH: Adolescent, MESH: Disease Reservoirs, MESH: Foxes, MESH: Humans, MESH : Tibet, MESH: Tibet, MESH : Humans, MESH: Adult, medicine.disease, biology.organism_classification, MESH: Male, Socioeconomic Factors, Parasitology, MESH : Animals, ECHINOCOCCUS MULTILOCULARIS, MESH: Female, Demography
Abstract

International audience; Data from two cross-sectional investigations on 7,138 subjects were used to explore risk factors of human alveolar echinococcosis (AE) in Tibetan communities. The overall human AE prevalence was 3.1% (223 of 7,138), females had a higher prevalence (3.6%, 132 of 3,713) than males (2.7%, 91 of 3,425; P = 0.011), and herdsmen had a higher prevalence (5.2%, 154 of 2,955) than farmers (1.8%, 12 of 661; P < 0.001) and urban populations (2.1%, 49 of 2,360; P < 0.001). Age in all populations, number of dogs kept, fox skin ownership in farmers, not preventing flies from landing on food in herdsmen, using open streams as drinking water sources, and playing with dogs in urban populations were statistically significant risk factors. The results suggest that AE is highly endemic in the eastern Tibetan plateau, in Sichuan Province, the role of the dog is important for human infection, and other factors associated with environmental contamination may vary according to structure and practices of communities.

Published
2006

6. [Human alveolar echinococcosis. Epidemiologic hazard or immunologic incident?]

Author

Vuitton, D. A., Bresson-Hadni, S., Liance, M., Meyer, J. P., Giraudoux, P., Lenys, D., WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Laboratoire de chrono-écologie - CNRS (UMR6565) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Giraudoux, Patrick, Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement ( LCE ), and Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC )

Subjects
MESH : Echinococcosis, Pulmonary, Male, [ SDV.MP.PAR ] Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, MESH: Pulmonary Alveoli, Echinococcosis, Pulmonary, MESH : Male, MESH : Host-Parasite Interactions, MESH: Host-Parasite Interactions, MESH : Zoonoses, Host-Parasite Interactions, MESH: Dogs, Dogs, MESH : Dogs, MESH: Risk Factors, Risk Factors, Zoonoses, Animals, Humans, MESH : Female, MESH: Animals, [SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, MESH : France, MESH: Echinococcosis, Pulmonary, ComputingMilieux_MISCELLANEOUS, MESH: Humans, MESH : Humans, MESH : Risk Factors, MESH: Male, MESH: France, Pulmonary Alveoli, Female, MESH : Animals, France, MESH : Pulmonary Alveoli, MESH: Zoonoses, MESH: Female, [SDV.MP.PAR] Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
Abstract

International audience

Published
1990

7. [Current epidemiologic and immunologic aspects of alveolar echinococcosis]

Author

Vuitton, D., Bresson-Hadni, S., Meyer, J. P., Giraudoux, P., Liance, M., Lenys, D., WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis, SERF Unit, Université de Franche-Comté ( UFC ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ) -Centre National de la Recherche Scientifique ( CNRS ), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), and Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC)

Subjects
Adult, Male, MESH : Echinococcosis, Pulmonary, [ SDV.MP.PAR ] Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, Echinococcosis, Pulmonary, MESH : Male, Mice, Inbred Strains, MESH: Mice, Inbred Strains, MESH: Immunity, Cellular, Mice, MESH : Mice, Animals, Humans, MESH: Animals, [SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, MESH : Middle Aged, MESH : Female, MESH: Echinococcosis, Pulmonary, MESH : France, MESH: Mice, ComputingMilieux_MISCELLANEOUS, Immunity, Cellular, MESH : Mice, Inbred Strains, MESH: Middle Aged, MESH: Humans, MESH : Humans, MESH : Immunity, Cellular, MESH: Adult, Middle Aged, MESH : Adult, MESH: Male, MESH: France, Female, France, MESH : Animals, MESH: Female
Abstract

International audience

Published
1989

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