Subject(s)
Parasitic Diseases/epidemiology , Parasitic Diseases/prevention & control , Animals , Government Programs , Health Knowledge, Attitudes, Practice , Health Surveys , Helminthiasis/epidemiology , Helminthiasis/prevention & control , Humans , Malaria/epidemiology , Malaria/prevention & control , Program Development , Risk Factors , Travel , Ukraine/epidemiology , Water Supply/standardsABSTRACT
The authors assess the epidemiologic efficacy of wide-scale antiopisthorchiasis measures taken in the basin of the Dnepr River in 1984-1990. The structure of the population morbidity and the time course of this morbidity under the effect of a complex of measures taken were analyzed in low-, medium, and highly-endemic foci of the disease. Hygienic education and adequate detection and treatment of the invaded subjects were found to be the principal factors contributing to sanitation of the population. These measures are the most effective in subjects aged under 40, in whom the share of cured subjects is the highest and reinvasions are the least frequent. Health education detection and chloxyl treatment of the patients helped reduce more than twofold the disease incidence over 5 years even in highly endemic foci and permitted complete sanitation of the children.
Subject(s)
Disease Reservoirs , Opisthorchiasis/prevention & control , Adolescent , Adult , Age Distribution , Antiplatyhelmintic Agents/therapeutic use , Child , Disease Reservoirs/statistics & numerical data , Fresh Water , Humans , Middle Aged , Opisthorchiasis/drug therapy , Opisthorchiasis/epidemiology , Rural Population/statistics & numerical data , Ukraine/epidemiology , Xylenes/therapeutic useABSTRACT
The situation with helminthiases has been studied on the right tributaries of the Dnieper, the upper reaches of Kremenchug storage pond and in the storage ponds of the South Bug basin. The existence of genuine opisthorchiasis foci in Kremenchug storage pond is at present impossible due to the absence of Codiella mollusks. Fish of the carp family is infected in the right tributaries of the Dnieper. No diphyllobothriasis foci have been identified in the upper reaches of Kremenchug storage pond. Opisthorchiasis and diphyllobothriasis foci have not been identified in storage ponds of the South Bug basin and the formation of such foci in this area is not expected in the future. The population infectivity with geohelminthiases in these storage pond areas remained unchanged.
