Survey of human alveolar and cystic echinococcosis rates based on ELISA and portable ultrasound in Moghan, northwestern Iran

摘要

Background: Alveolar echinococcosis and cystic echinococcosis are severe helminthic zoonoses. Echinococcus multilocularis (causative agent of alveolar echinococcosis) is widely distributed in the northern hemisphere where it is typically maintained in a wild animal cycle including canids as definitive hosts and rodents as intermediate hosts. Methods: This study was conducted to determine the spread of human alveolar echinococcosis and cystic echinococcosis disease among tribes, livestock breeders and farmers inthe Moghan plain. Knowledge gains were compared at the sixth and 12th months after study, elementary and guidance courses, and higher education with a basic level of education Prevalence of infection. Results: The most important risk factors were excessive consumption of wild vegetables and the use of spring water. Keeping the dog in the yard was the third risk factor. Results were analyzed using logistic regression and SPSS 21 software. From 2453 serum samples, 21 samples were positive for alveolar echinococcosis 0.79% with Em2+ Ag. The prevalence was higher in men than women (1.24 vs. 0.6%). People within the age range of 40-59 years had the highest infection rates. About cystic echinococcosis, for Ag-5 and Ag-B, 172 (6.4%) and 178 (6.7%) serum samples were positive, respectively. Cystic echinococcosis was higher in women than men (8.52 vs. 5.6%). The age range 40-59 years presented the highest infection rates. Conclusion: Due to the high prevalence of echinococcosis in these areas, it is necessary to control, prevent, and combat these diseases.