[Survey of Toxoplasma gondii infection among pregnant women in Jiangsu Province, China].

OBJECTIVE: To understand the situation of Toxoplasma gondii infection among pregnant women in Jiangsu Province. METHODS: The pregnant women from 7 cities in Jiangsu Province were involved in this survey and the information was recorded according to the request of unified admission information of the case questionnaire of toxoplasmosis in Jiangsu Province. The specific antibodies IgM and IgG to Toxoplasma gondii in sera of these pregnant women were tested by ELISA. RESULTS: The specific antibody IgM to Toxoplasma gondii of all the respondents was negative. The positive rate of IgG was 3.98% (43/1 081), which was little different from the control group's 2.27% (4/176), and every city shared a similar positive rate. The positive rate of IgG of early pregnant women was 3.78%, which was also not obviously different from the 4.17% appearing in mid and late pregnant women. The respondents who previously had pathological abortions did not show positive IgG. Only 1.84% (8/435) of pregnant women had had the examinations related to Toxoplasma gondii before this survey. CONCLUSIONS: The rate of Toxoplasma gondii infection is low among pregnant women in Jiangsu Province. The situations in different areas are not far from each other. We should enhance the peri-conception tests of Toxoplasma gondii and take prevention and treatment countermeasures based on corresponding objects, and also further strengthen the healthy education.

[Study on surveillance and early-warning system of schistosomiasis in first phase of east route of South-to-North Water Diversion Project. III. Indexes of surveillance and early-warning and risk assessment].

OBJECTIVE: To establish the index system of surveillance and early-warning on schistosomiasis and to provide the scientific basis for risk assessment and emergency plan in first phase of east route of South-to-North Water Diversion Project. METHODS: The Delphi method and the multidimensional synthetic evaluation were used in the evaluation of indexes of surveillance and early-warning on schistosomiasis in the east route of the project. RESULTS: There were 53 indexes evaluated in the index system, and among them, there were 3 first grade indexes, 10 second grade indexes and 40 third grade indexes. The indexes on Oncomelania snails were the most important. According to the habitation position of snails, the four grades on surveillance and early-warning of schistosomiasis were established in the east route. The grade I of the early-warning meant that snails crossed the first level of the pumping station. The grade II meant that snails crossed N 32 degrees 54'. The grade III meant that snails crossed N 33 degrees 03' or Jinhu pumping station. The grade IV meant that snails crossed N 33 degrees 15' or Hongze Station. Other 4 indexes on schistosome infection in people and livestock were confirmed as indicative indexes. According to the relationship among the indexes, the evaluation methods were determined on the risk of schistosomiasis transmission. CONCLUSIONS: The index system of surveillance and early-warning and the methods of risk assessment of schistosomiasis have been confirmed in first phase of east route of South-to-North Water Diversion Project. The primary index is related to snails and the supplementary is related to schistosome infection in people and livestock in the system.