[Retrospective investigation and analysis of endemic situation of schistosomiasis in hilly regions of Sichuan Province]. 2012

Yi Zhang, and Xu-Dong Zhang, and Hong-Ying Tang, and Yu-Ling Ye, and Quan-Fu Chen, and Zhi-Ming Li, and Bo Zhong
Sichuan Center for Disease Prevention and Control, Chengdu, 610041, China.

OBJECTIVE To explore the rules of the changes of schistosomiasis infection and Oncomelania snails in areas where schistosomiasis transmission was controlled or interrupted or rebounded after interruption. METHODS Qingbaijiang District, Longquanyi District and Xide County were selected and investigated retrospectively to collect schistosomiasis epidemiological information 10 years before they reached the criterion of transmission control and the subsequent years until 2008. The database of retrospective investigation was established for analyzing the trends and rules of changes of snail status and human infection status. RESULTS In Qingbaijiang District, there was a positive correlation between density of living snails and snail area (r = 0.74, P < 0.01), and the infection rate of population was declining. In Longquanyi District, the snail area presented a declining trend. In Xide County, the human infection rate was positively correlated with snail area (R = 0.53, P < 0.01) and the density of living snails (r = 0.42, P < 0.05) respectively. CONCLUSIONS The rebound of snail situation is always prior to the emerging of human infection, and it prompts that the rebound of snail situation can be considered one of the important indicators of early warning of the rebound of human infection situation in those places where schistosomiasis transmission was controlled or interrupted. Implementing comprehensive control of the snail habitat, as well as eliminating the potential infectious source is an important measure to consolidate the achievement of schistosomiasis control.

UI MeSH Term Description Entries
D002681 China A country spanning from central Asia to the Pacific Ocean. Inner Mongolia,Manchuria,People's Republic of China,Sinkiang,Mainland China
D004197 Disease Reservoirs Animate or inanimate sources which normally harbor disease-causing organisms and thus serve as potential sources of disease outbreaks. Reservoirs are distinguished from vectors (DISEASE VECTORS) and carriers, which are agents of disease transmission rather than continuing sources of potential disease outbreaks. Humans may serve both as disease reservoirs and carriers. Disease Reservoir,Human Disease Reservoirs,Infectious Disease Reservoir,Reservoirs of Infection,Infectious Disease Reservoirs,Disease Reservoir, Human,Disease Reservoir, Infectious,Disease Reservoirs, Human,Human Disease Reservoir,Infection Reservoir,Infection Reservoirs,Reservoir, Disease,Reservoir, Infectious Disease,Reservoirs, Human Disease
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012552 Schistosomiasis Infection with flukes (trematodes) of the genus SCHISTOSOMA. Three species produce the most frequent clinical diseases: SCHISTOSOMA HAEMATOBIUM (endemic in Africa and the Middle East), SCHISTOSOMA MANSONI (in Egypt, northern and southern Africa, some West Indies islands, northern 2/3 of South America), and SCHISTOSOMA JAPONICUM (in Japan, China, the Philippines, Celebes, Thailand, Laos). S. mansoni is often seen in Puerto Ricans living in the United States. Bilharziasis,Katayama Fever,Schistoma Infection,Bilharziases,Fever, Katayama,Infection, Schistoma,Infections, Schistoma,Schistoma Infections,Schistosomiases
D012908 Snails Marine, freshwater, or terrestrial mollusks of the class Gastropoda. Most have an enclosing spiral shell, and several genera harbor parasites pathogenic to man. Snail

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