1. Echinococcosis in Ningxia Hui Autonomous Region, northwest China
- Author
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Philip S. Craig, Malcolm K. Jones, Donald P. McManus, Tao Sun, Gail M. Williams, Patrick Giraudoux, Dominique A. Vuitton, Yu Rong Yang, 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 ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), 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), 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
Veterinary medicine ,MESH: Chlamydia Infections ,MESH : Echinococcus multilocularis ,MESH: Epidemiologic Methods ,MESH : Echinococcosis ,MESH: Echinococcus granulosus ,030308 mycology & parasitology ,0302 clinical medicine ,MESH : Specimen Handling ,Epidemiology ,MESH : Socioeconomic Factors ,MESH: Animals ,MESH : Female ,Echinococcus granulosus ,MESH: Echinococcosis, Pulmonary ,Ultrasonography ,0303 health sciences ,biology ,MESH : Antigens, Bacterial ,[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie ,General Medicine ,MESH: Cervix Uteri ,Echinococcosis ,MESH: China ,MESH: Predictive Value of Tests ,3. Good health ,Infectious Diseases ,MESH : Time Factors ,MESH : Echinococcosis, Pulmonary ,China ,medicine.medical_specialty ,MESH: Socioeconomic Factors ,Echinococcosis, Pulmonary ,MESH: Polyethylene Terephthalates ,030231 tropical medicine ,MESH: Chlamydia trachomatis ,Echinococcus multilocularis ,MESH : Family Health ,MESH : Epidemiologic Methods ,03 medical and health sciences ,MESH: Echinococcosis ,MESH : Immunoenzyme Techniques ,Environmental health ,medicine ,Animals ,Humans ,MESH : China ,MESH : Predictive Value of Tests ,MESH: Specimen Handling ,MESH: Immunoenzyme Techniques ,Family Health ,MESH: Echinococcus multilocularis ,MESH: Humans ,business.industry ,Cystic echinococcosis ,MESH : Echinococcus granulosus ,Public health ,MESH : Chlamydia trachomatis ,MESH: Time Factors ,MESH : Humans ,Public Health, Environmental and Occupational Health ,medicine.disease ,biology.organism_classification ,Socioeconomic Factors ,MESH : Chlamydia Infections ,MESH : Cervix Uteri ,MESH: Family Health ,MESH : Polyethylene Terephthalates ,Parasitology ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,MESH : Animals ,Rural area ,Epidemiologic Methods ,business ,MESH: Female ,MESH: Antigens, Bacterial - Abstract
International audience; Cystic echinococcosis (CE), caused by Echinococcus granulosus, and alveolar echinococcosis (AE), due to E. multilocularis, are endemic to large areas of north and northwest China. Here we review features of a severe focus of AE and CE in Ningxia Hui Autonomous Region (NHAR), northwest China. We describe for NHAR the results of surveys of hospital surgical and clinical records, including treatment of AE and CE, and active community detection of asymptomatic/early-stage cases and patient follow-up using questionnaire analysis, ultrasound examinations and serology. We compare the key risk factors for both AE and CE in this setting with those reported from other areas. In addition, we document the socio-economic factors impacting on treatment and control of AE and CE. This update indicates that echinococcosis continues to be highly endemic in NHAR and exemplifies the serious public health problem that the disease presents, particularly in poor rural areas. Extensive community surveys of echinococcosis are required throughout northwest China, especially in rural communities. These will enable earlier detection of echinococcosis cases, thereby improving treatment outcomes, and reveal the true epidemiological picture regarding the disease in this region, with a view to developing and implementing new strategies for future control.
- Published
- 2008
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