流行病学回顾:绘制2020-2022年印度尼西亚蠕虫病病例和流行情况

Reqgi First Trasia
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摘要

背景:在印度尼西亚,蠕虫病与社会密不可分。2020年,世界卫生组织(WHO)将蠕虫感染列为需要大规模控制的被忽视的热带病(NTD),因为世界上23%以上的人口感染了蠕虫病。在印度尼西亚,仍然很少有文章全面审查最新寄生虫病病例的流行病学地图。撰写这篇文章的目的是绘制2020-2022年印度尼西亚蠕虫病的流行情况。本文是2023年1 - 4月进行的系统研究。文献检索是通过电子数据库进行的。结果:本研究结果表明,在过去三年中,蠕虫病在印度尼西亚没有被消灭。在印度尼西亚几个省的群落中发现的寄生虫种类包括蚓蛔虫、毛滴虫、钩虫、小膜膜绦虫、牛带绦虫、猪带绦虫、蛭状Oxyuris、日本血吸虫、粪线虫和班氏乌氏绦虫。通过显微镜检查,可以发现虫卵、幼虫、原形虫,甚至通过排便自然排出的成虫,从而确诊寄生虫感染。此外,被虫卵污染的食物也可传播蠕虫。政府试图通过2017年第15号关于蠕虫管理的法令来控制蠕虫病。然而,在每个摄政/城市实现将肠道蠕虫流行率降低到10%以下的指标尚未完全实现。结论:从本研究可以看出,我国仍有不少省份未达到虫防目标。儿童、矿工、种植园工人、农民、牲畜工人、屠宰场工作人员和废物收集者等高危人群尤其容易出现这种情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological Review: Mapping Cases and Prevalence of Helminthiasis in Indonesia on 2020-2022
Background: Helminthiasis cannot be separated from society in Indonesia. In 2020, the World Health Organization (WHO) classified helminth infections as neglected tropical diseases (NTD) that require large-scale control, because more than 23% of the world's population is infected with helminthiasis. In Indonesia, there are still few articles that comprehensively review the epidemiological mapping of the latest helminthiasis cases. The purpose of writing this article is to map the prevalence of helminthiasis in Indonesia in 2020-2022. This article is a systematic study  conducted from January-April 2023. The literature search was carried out through an electronic database. Result: The  findings of this study indicate that in the last three years, helminthiasis has not been eliminated in Indonesia. The  results of helminth species found to infest communities in several provinces in Indonesia include Ascaris lumbricoides, Trichuris trichiura, Hookworm, Hymenolepis nana, Taenia saginata, Taenia solium, Oxyuris vermicularis, Schistosoma japonicum, Strongiloides stercoralis, and Wuchereria bancrofti. The diagnosis of helminth infestation and infection is confirmed through microscopic examination by finding eggs, larvae, proglottids, and even adult worms that come out spontaneously through defecation. In addition, helminth transmission can occur through food contaminated with worm eggs. The government has tried to control helminthiasis through Permenkes number 15 of 2017 concerning Helminthiasis Management. However, the indicators of achieving the target of reducing the prevalence of intestinal worms to below 10% in each Regency/City as stated in Pasal 3 ayat 2 of the Permenkes have not been fully met. Conclusion: It can be seen in this study that there are still many provinces that have not reached the helminth control target. This condition is especially experienced by high-risk groups, such as children, mining workers, plantation workers, farmers, livestock workers, staff at slaughterhouses, and waste collectors.
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