[Data Integration and Information Sharing of Parasite Resources in Fujian Province].

Objective: To establish parasite library and database in Fujian Province by integrating information on human-animal coinfecting parasites, vectors and　intermediates, in the aim of resource sharing. Methods: According to the Standards and Technical Regulation for Preservation of Parasitic Germplasm Resources set by the Resource Sharing Platform for Parasitic and Tropical Diseases(referred to as Germplasm Resource Sharing Platform), the preserved and newly discovered parasitic germplasm resources in Fujian Center for Disease Control and Prevention were categorized, information described, preserved and displayed, and the information sharing was made through the Germplasm Resource Sharing Platform. Results: The library and database on parasites, medical vectors, and hosts were established. The library was comprised of 1 020 parasite specimens, vectors and hosts, including 100 （9.8%） adult worm specimens, 120（11.7%） eggs and larvae, and 800（78.4%） vectors and hosts. Information digitalization was achieved for 61 resources, including 9 species of nematodes, 16 species of trematodes, 7 species of tapeworms, 16 different medical mollusks, and 13 different medical arthropods, resulting in 3 150 pieces of information and 6 300 images. The database was integrated into the Germplasm Resource Sharing Platform for resource sharing. Conclusion: The library and database on parasite gemplasm resources in Fujian Province has been established. Information sharing is made available through the Germplasm Resource Sharing Platform.

[Surveillance on the prevalence of soil-transmitted nematode infection in Fujian in 2006-2010].

OBJECTIVE: To analyze the prevalent trend of soil-transmitted nematode infection in Fujian Province during the past 5 year surveillance and evaluate the control effect. METHODS: From 2006 to 2010, fecal samples of the inhabitants of 3 years old and above were collected every November and examined for intestinal helminth eggs by the modified Kato s thick smear technique at the 2 surveillance sites: Punan village of Zhangzhou and Gushan village of Shaowu. Cellophane tapes were used to detect pinworm eggs for children aged 3-12. Soil samples were also collected from vegetable field, lavatory, courtyard and kitchen of 20 randomly selected families (in 2 villages) each with stool egg-positive findings and examined for ascaris eggs by a modified saturated sodium nitrate floatation method. RESULTS: The prevalence of soil-transmitted nematode infection at the surveillance sites decreased from 45.3% (946/2087) in 2006 to 15.1% (226/1494) in 2010, with a reduction of 66.6%. Among the infected subjects, hookworm infection occupied 75%-85%, while ascaris or trichuris infections each accounted for less than 10%. In terms of infection intensity, 65.2%-85.5% of the hookworm infection was light, and majority of the infected subjects were farmers. The pinworm prevalence in children were still high although it had dropped down from 46.1% (140/304) in 2006 to 29.8% (36/121) in 2010, declined by 35.4%. In the 5 years, totally 400 soil samples from 100 families were examined and 21 samples were found ascaris egg positive with viable eggs in only one sample. CONCLUSION: The 5 year surveillance reveals a decreasing trend of the soil-transmitted nematode prevalence but shows a relatively high hookworm infection rate in the population and pinworm infection in children.

[Prevalent trend of the infection of soil-transmitted nematodes in Fujian Province].

OBJECTIVE: To understand the endemic situation of soil-transmitted nematodes in Fujian Province. METHODS: According to the national guidelines, the survey spots were determined by clustered random sampling in nine prefectures (cities) of Fujian Province from 2007 to 2009. Residents of 3 years old and above were investigated. The eggs of roundworm, hookworm and whipworm in feces were checked by Kato-Katz method. Eggs per gram (EPG) in feces were calculated. The gender, age and education status of the investigated subjects were recorded. The results were evaluated in comparison to those in 1992 and 2003. RESULTS: Altogether 93 833 residents in 610 villages of 184 towns from 49 counties were investigated. The overall infection rate of soil-transmitted nematodes was 10.14% (9 511/93 833), decreased by 86.88% and 71.84% compared to that in 1992 and 2003, respectively. The prevalence of roundworm, hookworm and whipworm was 1.32%(1 234/93 833), 7.31% (6 863/93 833) and 1.73% (1 622/93 833), respectively. The average EPG of roundworm, hookworm and whipworm was 9 556, 526 and 156, respectively. The prevalence in males and females was 9.48% (4 385/46 246) and 10.77% (5 126/47 587), respectively, with a statistical difference (chi2 = 42.84, P < 0.01). There was also a statistical difference among the age groups (chi2 = 1 626, P < 0.01). The higher education level of the people, the lower prevalence (chi2 = 1 107, P < 0.01). CONCLUSION: The prevalence of soil-transmitted nematodes is on a downward trend in Fujian Province, but remained high in the underdeveloped areas. The hookworm infection rate is higher than the average of the nation.

[Survey on the current status of important human parasitic infections in Fujian province].

OBJECTIVE: To understand the prevalence of important human parasitic diseases in Fujian province. METHODS: According to the national guidelines, clustered random sampling was made for the survey. Modified Kato-Katz thick smear was applied to examine helminth eggs for soil-transmitted nematodes and Clonorchis sinensis. Cellophane and swab technique was applied for detecting Enterobius vermicularis eggs in children under 12. Questionnairing, skin test, serological test and eosinophil examination were carried out for Paragonimus infection. Questionnairing and serological test were used for Taenia infection and cysticercosis. Retrospective investigation was conducted with the data on outpatient and hospitalized cases with parasitic diseases. RESULTS: 45,736 people at 73 spots of 24 counties were investigated and 14 species of parasites were found. The overall infection rate of intestinal helminth infections was 36.15%. The prevalence of Ascaris lumbricoides, hookworms and Trichuris trichiura was 9.55%, 19.73% and 11.48% respectively. The infection rate of Enterobius vermicularis and Clonorchis sinensis was 22.06% and 0.60% respectively. The positive rate of skin test and serological test among skin test positives for Paragonimus infection was 7.07% and 9.23% respectively. The serology positive rate for cysticercosis was 2.28%, only 3 cases of taenia infection were found from 16371 persons investigated. Human infections with Angiostrongylus cantonensis, Diphyllobothrium latus, Taenia saginata, and Gnathostoma spinigerum were found for the first time in the Province. Metorchis orientalis and Echinostoma aegyptiaca infections in human were first recorded. CONCLUSION: The overall prevalence of soil-transmitted nematodes has decreased significantly in the province, although still highly prevalent in social-economically less developed areas. Meanwhile, attention should be paid to the food-borne parasitic infections in human population.

[Epidemiological study on group infection of Angiostrongylus cantonensis in Changle City].

OBJECTIVE: To make etiological and epidemiological investigation on the infection of Angiostrongylus cantonensis in 8 pupils in Changle City. METHODS: 1. CSF of patients was examined with the conventional method to detect pathogens and eosinophiles. 2. The fecal samples of wild rodents were collected from the spot and examined microscopically to discover the first stage larvae of A. cantonensis. 3. Snails (Pila gigas) were collected in the spot. The smashed head tissue was examined for the third stage larvae of A. cantonensis. 4. The patient's clinical symptoms and physical signs were recorded with an emphasis on central nervous system. RESULTS: 1. Two larvae of the third stage of A. cantonensis were found in CSF of one patient. Eosinophiles occupied 68% of the cell number in average (ranged from 47% to 83%) in CSF of the 8 patients. 2. The infection rate of the first stage larvae of A. cantonensis was 39.3% (44/112) in feces of the rodents. 3. The infection rate of the third stage larvae of A. cantonensis was 40.0% (82/205) in the snails. 4. Major clinical manifestations in the 8 patients included: severe headache(8/8), dizziness(8/8), nausea(8/8), vomiting(8/8), lethargy(7/8), lower limb hypodynamia(7/8). CONCLUSION: The confirmation of severe infection of A. cantonensis in 8 child patients demonstrated that a natural nidus of angiostrongyliasis is present in Chengle City.

[Morphological observation of Haplorchis pumilio].

OBJECTIVE: To provide the basis for the differentiation with similar species of intestinal flukes through observing the figure of Haplorchis pumilio. METHODS: Adults of H. pumilio were collected from the intestine of the cat which was infected with the encysted cercariae of H. pumilio for 45 days. The worms were observed after staining. Eggs and metacercariae of H. pumilio were collected and examined for their shape, size and morphological characteristics. Pseudorasbora parva, the fish host, was examined for the parasitized sites of metacercariae. RESULTS: The principal characteristics of the adults is the acetabulum degradation. There are only the genital sucker with 44-48 hamuli. The average measurement of eggs is 31.2 x 16.7 microns with a smooth shell. Its aceromion is not evident. The average diameter of metacercariae is 168.5 microns. There are squamous spines on metacercaria. The metacercariae only parasitize in the muscle between the basis of the fin and the fish body. The average measurement of metacercaria cyst is 445 x 95 microns, with squamous spines on the body surface. Hamuli are found on the genital sucker of metacercaria cyst. CONCLUSION: The morphological figures and parasitic sites of metacercaria, the genital sucker of the adult, and the number and form of the hamulus on the genital sucker provide basis for distinguishing H. pumilio from other intestinal flukes.

[Surveillance of schistosomiasis in national surveillance sites of Fuqing City and Xiapu County, 2006 -2009].

OBJECTIVE: To understand the status of national surveillance sites of schistosomiasis in Fuqing City and Xiapu County. METHODS: According to the National Scheme of Shistosomiasis Surveillance, the data of the surveillance and field survey in the national surveillance sites of schistosomiasis of Fuqing City and Xiapu County were collected and analyzed statistically from 2006 to 2009. RESULTS: Twenty residual Oncomelania snail points and 8 villages with snails were found in 36 surveillance sites. The snail areas were 35 900 m2. Serological examinations were conducted in 3 109 residents, and 17 persons were positive, 280 mobile persons from schistosomiasis endemic areas were examined serologically, and 10 persons were positive, among whom 2 had eggs and miracidia in their stools. A total of 122 appendix samples were examined, and no schistosome eggs were found. Totally 527 head of farm cattle in the region with snails were examined by stool tests, and no schistosome eggs were found. CONCLUSION: The areas of residual snails are large and wide spread, and the imported patients are found frequently, so the long-term surveillance and control are necessary.