巴拉圭查科地区传染病综合血清学监测,2019年
Patricia Galeano1, Claudia Huber1, Violeta Ortiz1
1Ministry of Public Health and Social Welfare Asunción Paraguay Ministry of Public Health and Social Welfare, Asunción, Paraguay.
概括
在巴拉圭查科的农村和土著人口中发现了土壤,水和食物传播疾病的高暴露率. 抗麻疹和红疹血清保护的下降凸显了疾病消除目标的风险.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 巴拉圭的查科面临着监测特有病和已消除疾病的挑战.
- 了解血清流行对于公共卫生干预至关重要.
研究的目的:
- 确定巴拉圭查科的土壤,水和食物传播疾病的基线血清流行率.
- 监测疫苗可以预防的疾病,并评估消除目标的进展情况.
主要方法:
- 一项对1,100名城市和农村巴拉圭查科地区的学龄儿童进行的横截面调查.
- 通过过纸血液样本的多重珠子试验检测IgG抗体.
- 评估基本的卫生设施和获得水的机会,以及血清学数据.
主要成果:
- 观察到较低的抗麻疹 (62.9%) 和红疹 (78.2%) 血清保护,随着年龄的增长而下降.
- 在农村和土著人口中, *Cryptosporidium parvum*, *Giardia lamblia*, *Strongyloides stercoralis* 和 *Taenia solium* 的血清发病率显著更高.
- 农村和城市地区在基本卫生设施和安全饮用水的获取方面存在明显的差异.
结论:
- 在巴拉圭查科的农村和土著社区中暴露于特有病原体的高暴露率.
- 抗麻疹和红疹血清保护的下降表明潜在的免疫缺口危害了消除努力.
- 迫切需要公共卫生战略来解决疾病暴露和疫苗接种覆盖率的差异.
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