Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2006-6-14
pubmed:abstractText
A comprehensive study of human echinococcosis (caused by Echinococcus granulosus or E. multilocularis), including assessment of hospital records, community surveys and patient follow-up, was conducted in Ningxia Hui Autonomous Region (NHAR), China. In contrast to hospital records that showed 96% of echinococcosis cases were caused by cystic echinococcosis (CE), 56% of cases detected in active community surveys were caused by alveolar echinococcosis (AE). The AE and CE cases co-existed frequently in the same village, even occurring in the same patient. A serious public health problem caused by echinococcosis was evident in southern NHAR, typified by: a long diagnostic history for both AE and CE (7.5 years) compared with a shorter treatment history (4.7 years); a significant mortality rate (39%) caused by AE in one surveyed village, where patients had no previous access to treatment; family aggregation of CE and AE cases; a high proportion of both AE (62.5%) and CE (58%) in females; a high rate of recurrent surgery (30%) for CE demonstrated by surgical records; and frequent symptomatic recurrences (51%) because of discontinuous or sporadic access to chemotherapy for AE. The disease burden for both human AE and CE is thus very severe among these rural communities in NHAR, and this study provides the first attempt to determine the costs of morbidity and surgical intervention of human CE and AE cases both at the hospital and community level in this setting. This information may be useful for assessing the cost effectiveness of designing effective public health programs to control echinococcosis in this and other endemic areas in China and elsewhere.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1360-2276
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
880-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16772010-Adolescent, pubmed-meshheading:16772010-Adult, pubmed-meshheading:16772010-Aged, pubmed-meshheading:16772010-Aged, 80 and over, pubmed-meshheading:16772010-Child, pubmed-meshheading:16772010-Child, Preschool, pubmed-meshheading:16772010-China, pubmed-meshheading:16772010-Echinococcosis, pubmed-meshheading:16772010-Echinococcosis, Pulmonary, pubmed-meshheading:16772010-Epidemiologic Methods, pubmed-meshheading:16772010-Female, pubmed-meshheading:16772010-Health Care Costs, pubmed-meshheading:16772010-Hospitalization, pubmed-meshheading:16772010-Humans, pubmed-meshheading:16772010-Infant, pubmed-meshheading:16772010-Length of Stay, pubmed-meshheading:16772010-Male, pubmed-meshheading:16772010-Middle Aged, pubmed-meshheading:16772010-Population Surveillance, pubmed-meshheading:16772010-Public Health, pubmed-meshheading:16772010-Socioeconomic Factors, pubmed-meshheading:16772010-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Hospital and community surveys reveal the severe public health problem and socio-economic impact of human echinococcosis in Ningxia Hui Autonomous Region, China.
pubmed:affiliation
Molecular Parasitology Laboratory, Queensland Institute of Medical Research and School of Population Health, Brisbane, Australia.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't