RESUMO
Objective To understand the pathogen spectrum and epidemic status of major human parasites in Chenzhou City,Hunan Province,so as to provide the evidence for parasitic diseases control. Methods The survey sites were selected by the stratified cluster sampling method. The intestinal helminthic eggs were detected by Kato?Katz technique. The trophozoites or cysts of intestinal protozoa were detected by saline smear and iodine staining methods. The eggs of Enterubius vermicularis of chil?dren from 3 to 6 years old were detected by the cellophane anal swab method. The species of hookworm were identified by the fil?ter paper strip culture method. Results A total of 7 031 people were detected with the intestinal helminthic infective rate of 1.83%(129 cases). The major parasite was hookworm and there was a statistically significant difference of the infection rates among various parasites(c2=107.77,P<0.01). All the hookworm larvae were Necator americanus. No intestinal protozoon was detected. There were statistically significant differences of the infection rates among the counties(c2=25.77,P<0.01). The age of the patients was mainly focused on 30 and above years old and the infection rate was increased with the growth of age(c2=26.21,P<0.01). Farmers were the main population of the patients and there was a statistically significant difference of the in?fection rates between farmer and others(c2=29.67,P<0.01). Conclusions The infection rates of parasites are low and hook?worm is the main parasite in the pathogen spectrum in Chenzhou City. However,the infection factors still exist,therefore,effec?tive and scientific measures should be taken to consolidate the achievement.
RESUMO
Objective To study the iodine nutritional status among the key population in Chenzhou City of Hunan Province,and to provide scientific basis for prevention and control of iodine deficiency disorders (IDD).Methods According to the "Hunan Iodized Salt Monitoring Pilot Scheme",total of 11 counties (cities,districts) were selected in Chenzhou City in 2015.One township was selected by east,west,south,north and center in each county (city,district).Four villages were drawn from each township,and 15 households were selected from each village to collect salt samples.Forty children aged 8 to 10 years old (half male half female) were selected from each primary school in each township.Urine samples were taken and the goiter was examined.Totally 20 pregnant women were selected from each township and urine samples were collected.The content of iodine in salt samples and urine samples were detected by the method of direct titration and As-Ce catalytic spectrophotometry,respectively.The status of goiter was detected using palpation.Results Totally 3 300 salt samples were detected in 2015,the median of salt iodine content was 25.2 mg/kg.The coverage and qualified iodized salt consumption rates were 99.61％ (3 287/3 300) and 95.30％ (3 145/3 300),respectively,which achieved the standard for the elimination of IDD.Totally 2 200 urine samples of children aged 8 to 10 years old were tested,the median of urinary iodine was 238.98 μg/L.There was variations of urinary iodine in children aged 8 to 10 years old in each county (H =32.25,P ＜ 0.01).Totally 2 200 children aged 8 to 10 years old were checked,and no goiter was found.Totally 1 100 urine samples of pregnant women were detected,the median of urinary iodine was 204.25 μg/L.There was variations of urinary iodine in pregnant women in each county (H =117.47,P ＜ 0.01).Conclusions Totally,the iodine nutritional status among the key population is appropriate in Chenzhou City.However,surveillance and health education should be continuously strengthened in the future.
RESUMO
Objective To study the iodine nutritional status among the key population in Chenzhou City of Hunan Province,and to provide scientific basis for prevention and control of iodine deficiency disorders (IDD).Methods According to the "Hunan Iodized Salt Monitoring Pilot Scheme",total of 11 counties (cities,districts) were selected in Chenzhou City in 2015.One township was selected by east,west,south,north and center in each county (city,district).Four villages were drawn from each township,and 15 households were selected from each village to collect salt samples.Forty children aged 8 to 10 years old (half male half female) were selected from each primary school in each township.Urine samples were taken and the goiter was examined.Totally 20 pregnant women were selected from each township and urine samples were collected.The content of iodine in salt samples and urine samples were detected by the method of direct titration and As-Ce catalytic spectrophotometry,respectively.The status of goiter was detected using palpation.Results Totally 3 300 salt samples were detected in 2015,the median of salt iodine content was 25.2 mg/kg.The coverage and qualified iodized salt consumption rates were 99.61％ (3 287/3 300) and 95.30％ (3 145/3 300),respectively,which achieved the standard for the elimination of IDD.Totally 2 200 urine samples of children aged 8 to 10 years old were tested,the median of urinary iodine was 238.98 μg/L.There was variations of urinary iodine in children aged 8 to 10 years old in each county (H =32.25,P ＜ 0.01).Totally 2 200 children aged 8 to 10 years old were checked,and no goiter was found.Totally 1 100 urine samples of pregnant women were detected,the median of urinary iodine was 204.25 μg/L.There was variations of urinary iodine in pregnant women in each county (H =117.47,P ＜ 0.01).Conclusions Totally,the iodine nutritional status among the key population is appropriate in Chenzhou City.However,surveillance and health education should be continuously strengthened in the future.
