阿根廷内格罗Río省包虫病控制:兽医保健活动评价。1]。

Revista de sanidad e higiene publica Pub Date : 1994-01-01
E Larrieu, M T Costa, G Cantoni, J Alvarez, A Aquino, N Giménez, A Pérez
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引用次数: 0

摘要

背景:在阿根廷里奥内格罗省,包虫病是一个严重的公共卫生问题。这种情况促进了1979年执行的一项控制方案。本研究以13年的工作经验为基础。方法:采用初级卫生保健战略;社区参与是该方案的基本组成部分,也是地方规划和资源分配中的风险处理办法的基本组成部分。这些活动包括由农村医院系统的卫生人员(健康促进员,而不是专业人员)系统地用吡喹酮使狗离开;通过使用氢溴化物或芳烃进行诊断性分离、在学校进行教育讲座、利用大众传播媒介以及在该地区屠宰场进行的研究中确定羊的寄生虫病来监测狗的感染率。结果:登记的资料显示,犬类携带吡喹酮出境186156次,消耗443533片;携带氢溴化物和槟榔碱出境11178次。在1979-1992年期间,比率持续下降。犬棘球蚴病由41.5%降至4.24%,羊包虫病由61%降至12.7%。因此,人类包虫病在0至10岁年龄组的发病率已从64.11 × 10万下降到4.46 × 10万。结论:最后,参照其他全球控制经验分析方案的结果;并分析了今后应采取的策略,以期最终限制人类传播率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Hydatidosis control in the province of Río Negro, Argentina: evaluation of the veterinary health care activities. 1].

Background: Hydatidosis constitutes a serious Public Health problem in the Province of Rio Negro, Argentine. This situation has promoted the implementation of a Control Programme, carried out in 1979. The accumulated experience of 13 years works is presented in this study.

Methods: The strategy used is that of the Primary Health Care; and community participation is a fundamental component of the programme as well as local planning and the approach of risk in the allocation of resources. The activities included the systematic dogs deparasitation with Praziquantel, carried out by health agents from the system rural hospitals (health promoters not professional staff); the surveillance of dogs rate of infection by means of diagnostic deparasitations made with hydrobromide or arecoline, educational talks at schools, the use of mass media, an the determination of ovine parasitism in studies carried out in the area abattoirs.

Results: The information registered indicates that 1,86,156 dog deparasitations with Praziquantel were carried out with a consumption of 443,533 tablets and 11,178 deparasitations with hydrobromide and Arecoline. A continuous decrease of rates appears during the Period 1979-1992. So, dog Echinococcosis was reduced from 41.5% to 4.24% and ovine Hydatidosis from 61% to 12.7%. Consequently, Human Hydatidosis has decreased from an incidence rate of 64.11 x 100,000 in the age group of 0 to 10 years to and incidence rate of 4.46 x 100,000.

Conclusions: Finally, the results of the Programme are analyzed in the light of other global experiences of control; and the strategies that should be put into practice in the future with a view to a final limitation of the rate of transmission to man are analyzed.

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