[Epidemiological Studies on Echinococcosis in Kizilsu Kirgiz Autonomous Prefecture of Xinjiang].

Objective: To understand the prevalence and characteristics of echinococcosis in Kizilsu Kirgiz Autonomous Prefecture (abbreviated as Kizilsu) of Xinjiang, in the aim of providing evidence for prevention and treatment of echinococcosis.

Methods: Sixty-two villages were selected as investigation spots from 19 towns in agricultural and pasturing areas of Ulugqat County, Artux City, Akto County, and Akqi County during 2011-2012. Ultrasound abdominal scan was performed in all residents in these spots to examine the occurance of echinococcosis. ELISA was performed to detect the echinococcosis-specific antibody in sera from children of 6-12 years and the antigen of Echinococcus granulosus in freshly-collected dog feces. Hydatid cysts in viscera of at slaughterhouses in the four spots were examined by touching and visual observation.

Results: Ultrasound was conducted in 12 000 residents, among whom 60 were found to be positive for echinococcosis (echinococcosis granulosa), with a morbidity of 0.5%（60/12 000）. The morbidity in Ulugqat County was 1.1%（35/3 200）, significantly higher than that in Artux City（0.5%, 13/2 400）, Akto County（0.2%, 8/3 200）, and Akqi County（0.1%, 4/3 200）（χ2=4.92-24.79, P<0.05）. The morbidity was highest in residents ≥71 years（1.2%, 4/323）, followed by the age group of 0-10 years（0.9%, 3/350）, but with no significant difference among age groups（χ2=0.39-3.31, P＞0.05）. The serum antibody positive rate in children was 3.1%（230/7 338）, highest in Artux City（4.9%, 89/1 828） with significant difference in comparison to Akto County（2.9%, 56/1 927）, and Akqi County（0.7%, 11/1 639）（χ2=9.71, 54.34, P<0.05）. The hydatid cyst rate in livestock was 7.7%（291/3 769）, of which 97.3%（283/291） were in sheep. The antigen positive rate in dog feces was 3.3%（74/2 219）.

Conclusion: The morbidity（1.1%） was highest in Ulugqat County and the antibody positive rate（4.9%） in children was highest in Artux City. Infection was found in livestock and dogs.