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Evaluation of national surveillance for echinococcosis in Japan, 1999 to 2002

机译：日本海螺腺癌国家监测的评价，1999至2002年

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National echinococcosis surveillance has been performed since April 1999 when it was stipulated as a Category IV Disease under the Infectious Diseases Prevention Law. During the last 4 years of surveillance, 7 cases of unilocular hydatid disease (age range 27-81 years; median age 56 years) and 43 cases of alveolar hydatid disease (age range 24-83 years; median age 64 years) have been reported. There was an increase in the number of reported cases of alveolar hydatid with age, and the greatest number of reported cases occurred in the age group > or = 70 years. Thirty-three of the reported echinococcosis cases had clinical symptoms. The greatest number of echinococcosis was reported from health centers in Hokkaido; 94% of all reported cases (47/50) were from this island. After classifying Hokkaido into six regional districts and analyzing cases by district, we found the greatest number of reported cases to be from the Nemuro-Abashiri-Kushiro region (16 cases) and the Ishikari-Shiribeshi-Iburi region (15 cases). However, the greatest number of reported cases per 100,000 residents was found to be from the Souya-Rumoi region (2.05/100,000) and the Nemuro-Abashiri-Kushiro region (2.00/100,000). As the incubation period of echinococcosis is thought to be several years or more, the current data shows the infection rate from several years ago. In order to better understand the current infection rate of echinococcosis, we recommended implementing a seroepidemiological surveillance in addition to the present surveillance.
机译：自1999年4月以来，在传染病预防法下规定了IV类疾病，全国海腹能病症监测。在过去4年的监测期间，7例单数据卫生疾病（27-81岁;中位年龄56岁）和43例肺泡纳米湿疾病（24-83岁; 64岁的中位年龄64岁） 。报告的肺泡裂腰病例的数量有所增加，年龄组出现最多的报告病例>或= 70年。报告的echInocccosis病例中有33例具有临床症状。从北海道的健康中心报告了最多数量的echinococciss; 94％的报告案件（47/50）来自这岛。在将北海道分类为六个区域地区并由区分析案件后，我们发现了来自Nemuro-Abashiri-Kushiro Region（16例）和Ishikari-Shiribehi-iburi地区（15例）的最多报告案件。然而，发现每10万名居民的最多报告的案例来自斯绍拉 - 罗马里地区（2.05 / 100,000）和Nemuro-Abashiri-Kushiro地区（2.00 / 100,000）。随着呼吸功能亢进的潜伏期被认为是几年或更长时间，目前的数据显示了几年前的感染率。为了更好地了解目前的超声波病症的感染率，除了目前的监视外，我们推荐实施血液化监测。

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