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Objective To evaluate the effect of chronic filariasis patients with lymphedema after comprehensive cared. Meth?ods A total of 386 chronic filariasis patients with lymphedema received the comprehensive care including soaking feet by TCM washing feet by single Chinese medicine or clear water preventing and eliminating invasive wound physical training raising the limb and wearing suitable shoes. The attack frequency of inflammation of lymphatic vessels the stage of lymphedema dis?ease and leg circumference were observed before and after the care. Results After the comprehensive care the attack rates of inflammation of lymphatic vessels decreased from 9.65%to 4.67% and there was a significant difference χ 2=7.34 P=0.006 7 . The proportion of the patients with high stage of lymphedema disease decreased significantly all P 0.01 and the average leg circumference decreased of 1.06 cm. The skin appearance improved significantly. Other signs such as pitting edema ulcer and skin folds also improved significantly all P 0.01 . Conclusion The comprehensive care for chronic filariasis patients with lymphedema has a remarkable effect and is worthy of further application.
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Objective To evaluate non-hazardous treatment efficiency of night soil in the three-grille mode septic tanks so as to give the evidence to government for policy-making. Methods One hundred and thirty normally runningthree-grille mode septic tanks were surveyed in five cities of Jiangsu Province in 2009. The fecal samples from first chamber and wastewater samples from third chamber were collected and examined for fecal coliform (FC) , parasite eggs including Schistosoma japonicum eggs, As-caris eggs and hookworm eggs, chemical oxygen demand ( COD), five-day chemical oxygen demand (BOD_5) and ammonia nitrogen (NH,-N) in lab. The data were analyzed by statistical software SPSS 13.0. Results The mean qualified rates of FC in the first chamber and third chamber of septic tanks were 3.1% and 100% respectively, showing significant difference (P <0.001). Hookworm eggs and Ascaris eggs were found in the first chamber of one and four septic tanks respectively and the density was one or two eggs in one hundred milliliter. The mean removal rates of FC, COD, BOD_5 and NH_3 -N were (99.96 ± 0.03) % , (60.69 ± 21.77) % , (60.13 ± 23. 20 ) % and (44. 14 ± 24.61) % , respectively. For the value of FC, COD, BOD, and NH_3 -N, there were significant difference between the first chamber and the third chamber (P_(FC) =0.000 1, P_(COD) =0.000 1, P_(BOD5) =0.000 1, P_(NH3-N) = 0.000 1, P < 0.001). Conclusion The treatment efficiency of septic tank could meet the sanitary standard for non-hazardous treatment of night soil, and it could use as a useful primary facility for human feces and urine treatment in rural areas.
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Objective To investigate and analyze the changes of Ascaris lumbricoides infection in rural residents of Jiangsu Province during 13 years and its influencing factors in order to provide the basis of making practical policies for ascariasis control in future. Methods The data were analyzed about the rates of Ascaris infection and mass chemotherapy, per capita income, and the rates of the use of running water and hygienic toilets in the southern part, the middle part and the northern part of Jiangsu Province from 1990 to 2002, and the main influencing factors for Ascaris infection were explored. Results The prevalence rate of Ascaris infection decreased continuously during 13 years, from 39.51% to 2.14%, and the decrease rate was 94.58%. In 2002, the infection rate was the lowest, only 0.41%, decreased by 98.92% in the middle part of Jiangsu Province, and the infection rate was the highest, 5.09%, decreased by 89.97% in the northern part of Jiangsu Province. The accumulated rates of mass chemotherapy were 159.00% in middle part of Jiangsu Province,103.00% in the southern part of Jiangsu Province and 105.00% in the northern part of Jiangsu Prvince.The per capita income, the use of running water and hygienic latrines increased gradually from the northern part to the southern part and there were significant differences in the 3 survey regions. Conclusion The Ascaris infection rate is influenced by mass chemotherapy, economics and health conditions in rural residents, especially the mass chemotherapy.
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Objective To understand and analyse the epidemic status of human intestinal nematode infection in Jiangsu Province, so as to provide basis for making control measures. Methods The typical thirty-nine spots in thirteen counties among the sampling spots of National Investigation on Distribution of Human Parasites in 1990 were selected and investigated according to the Methods of National Investigation Scheme on Human Principal Parasites in 2004. Results The total prevalence was 3.88%, which decreased by 46.92% compared with the investigation in 2002 (7.31%). The infection rates of hookworm, Ascaris and Trichuris were 1.14%, 1.06% and 1.73%, respectively, and the proportion of light infection was 91.75%. The rate of multiple infections was 9.40%. The proportion of hookworm infection was 78.06% in Southern Jiangsu and the proportion of Ascaris or Trichuris was 89.03% in Northern Jiangsu. The infection rate of Enterobius was 3.72% among children aged less than 12 years. Conclusions The prevalence of intestinal nematodes has decreased to lower level in Jiangsu Province. The difference of prevalence in different regions has a relationship with the disease control and social-economic, culture and health levels. The principal control work should be still put in the northern part of Jiangsu Province. The preschool children and the middle and old age peasants are high-risk population. The different control measures should be taken in accordance with the situation of different regions in the future.
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Objective To understand the status and characteristics of principal human parasitic infections in rural areas of Jiangsu Province in order to provide basis for decision-making of practical control measures. Methods The survey data of principal human parasites in 58 sample sites of 19 counties (cities or areas) in Jiangsu Province were analysed on family clustering by G test, according to the methods of National Investigation Scheme on Principal Human Parasites. Results The infection of Ascaris lumbricoides, hookworm, Trichuris trichinra and Clonorchis sinensis in the province had obvious family clustering, while those in each county (city or district) appeared different states in some-points with the changing of parasitic infection rates and infection degrees. Conclusions The infection rates and infection degrees of principal human parasites decrease obviously in Jiangsu Province. The family clustering is disappearing with the dropping of them. Chemotherapy in family and health education should be strengthened to consolidate the control results in future.
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Objective To understand the present status of human parasitic infections and their characteristics in rural areas of the southern part of Jiangsu Province, to provide basis of making practical control measures.Methods Four thousand and eighty-two people were examined with stool tests and those people were distributed in 8 slected spots in the southern part of Jiangsu Province,according to the methods of national investigation scheme on human principal parasites. Results The avarage infection rate of parasites was 6.71%. The male and female infection rates of parasites were 4.77% and 8.42%,respectively. There were significant differences (P