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Elimination of urogenital schistosomiasis in Iran: past history and the current situation

机译：消除伊朗的泌尿生殖道血吸虫病：过去的历史和现状

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In recent years, through a national programme for schistosomiasis control, this infection has been eliminated from Iran. The aim of this study was to report the process of significant decrease of urogenital schistosomiasis in southwestern Iran. During national programme surveillance for urogenital schistosomiasis control which was implemented by Centres for Disease Control and Prevention (CDC) of Khuzestan province from 1975 to 2013, more than 1.3 million urine samples were taken from inhabitants of high risk foci. All urine samples were gathered between 10: 00 a.m and 02:00 p.m and, after centrifuging, specimens were tested under optical microscope in order to detect Schistosoma haematobium eggs. Data analysis was performed using SPSS 18 software. In this retrospective study significant reduction was seen in number of infections between 1975 and 2013. During the years 1975-1980, 1981-1990 and 1991-2000 there were 1582, 761 and 79 cases of S. haematobium, respectively. In 2001 only one case was reported from Ahvaz and indeed this was the last case of urogenital schistosomiasis in Khuzestan and of course, in Iran. Prevalence from 1.064% between 1975 and 1980 slumped to 0% in 2012-2013. During several projects for surveillance of urogenital schistosomiasis, selective population chemotherapy, snail control, population education, environmental improvement, etc were carried out throughout the surveillance period. According to elimination of S. haematobium in Khuzestan province, the only endemic region of Iran, control of disease, especially the campaign with intermediate host snails should be continued. Iran can be a successful model for countries suffering from this disease.
机译：近年来，通过一项国家血吸虫病控制计划，这种感染已从伊朗消除。这项研究的目的是报告伊朗西南部的泌尿生殖道血吸虫病显着减少的过程。 1975年至2013年，由胡泽斯坦省疾病控制与预防中心（CDC）实施了国家控制的泌尿生殖道血吸虫病控制国家计划，从高危人群中抽取了130万尿液样本。在上午10：00至下午22：00之间收集所有尿液样本，离心后，在光学显微镜下对样本进行测试，以检测血吸虫血卵。使用SPSS 18软件进行数据分析。在这项回顾性研究中，发现1975年至2013年之间的感染数量显着减少。在1975-1980年，1981-1990年和1991-2000年期间，分别有1582、761和79例血红球菌感染病例。 2001年，只有阿瓦士（Ahvaz）报告了一例，实际上这是在胡兹斯坦（Khuzestan）和伊朗的最后一次泌尿生殖道血吸虫病病例。患病率从1975年至1980年的1.064％下降至2012-2013年的0％。在几个监测泌尿生殖道血吸虫病的项目中，在整个监测期间进行了选择性人群化疗，蜗牛控制，人群教育，环境改善等工作。根据消除伊朗唯一的流行地区胡兹斯坦省的血红球菌，应该继续控制疾病，特别是中间宿主蜗牛的运动。伊朗可以成为遭受这种疾病困扰的国家的成功典范。

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