[Hydatidosis Prevalence in 6- to 12-year-old Children in Southern Xinjiang].

2016 
Objective: To understand the hydatidosis prevalence in 6- to 12-year-old children in southern Xinjiang Uygur Autonomous Region and provide scientific basis for formulation of control measures. Methods: One primary school was selected from each of the pastoral area, pastoral-agricultural area, agricultural area, and township area in 42 counties (cities) of southern Xinjiang, using the stratified sampling method. With the consent of their parents, B ultrasonic abdominal scan and venous blood collection were performed on all the children (6-12 years) in the selected schools. Serum level of echinococcus antibody IgG was determined by ELISA. Hydatidosis prevalence and the serum level of IgG in these children were analyzed. Results: A total of 80 429 children were examined from 168 primary schools. B ultrasonic scan revealed hydatidosis in 9 children (0.01%), comprising 3 cases in Kezhou, 2 in Aksu, 2 in Bazhou, and 2 in Kashi. ELISA results showed that 4 189 children were positive for serum IgG, with a positive rate of 5.21%. The positive rate was highest in Kashi (8.41%, 2 143/25 495), followed by Aksu (5.69%, 913/16 051), with significant difference between different areas (χ2=977.303, P 0.05). Among the children of residents, children with a nomadic lifestyle, and children settled in winter and living in a nomadic lifestyle in summer, hydatidosis occurred in 7 residents and 2 children who settled in winter and living in a nomadic lifestyle in summer; and the positive rate of serum antibody was 5.45% (184/77 512), 2.97% (3/101), 0.07% (2/2 816), respectively(χ2=148.609, P<0.01). Conclusion: There is a low hydatidosis prevalence in 6- to 12-year-old children in southern Xinjiang, but the positive rate of serum echinococcus IgG in kashgar region, Uighur ethnicity, and children of the resident group are relatively high.
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