Let sleeping dogs lie: a surprising chest X-ray in the paediatric emergency department

Shah, Tejshri; Geyt, Jacqueline Le; Atkins, J. A.

doi:10.1136/bcr-2014-203973

Cited by 2 publications

(3 citation statements)

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“…Human epidemiological surveys may be carried out by serology, and ultrasonography is regarded as a simple, safe and reliable diagnostic tool for screening for internal cysts. Importantly, relatively safe and effective chemotherapy is available [20][21][22][23][24][25][26][27][28][29]. The data in this study demonstrate that the grand total person-hours spent on surgical interventions and treatment (including postoperative treatment) was 76.6% of the corresponding grand total proportion for the year of 2014, which was 1.2-fold compared to 2005.…”

Section: Discussionmentioning

confidence: 93%

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Progress on the national echinococcosis control programme in China: analysis of humans and dogs population intervention during 2004–2014

Xiao

Han

et al. 2020

Infect Dis Poverty

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Background A national control program for echinococcosis has been in effect since 2005 in China. This program has applied a comprehensive strategy, and good control results have been achieved. Human echinococcosis prevalence rate decrease from 1.08% in 2004 to 0.24% in 2012. The objective of this study is focusing on assessment of the programme with two indices, including patient treatment and registered dogs deworming, in endemic areas of echincoccosis control over the period of 10 years (2004–2014) in China. Methods We established the database including demography at county and township levels with coverage for ten provinces and autonomous regions of China in this study. We using methods of epidemiological descriptive, instead the expectation-maximization for missing value filling for grouping available patients into those subjected to surgery and those receiving drug treatment after population screening and the dogs population after registered by deworming. We performed Microsoft Excel software and SPSS software on the results as percentages with the corresponding 95% confidence intervals (95% CIs). We also statistically analyzed the economics data on patient treatment and dogs deworming after the corresponding discount with annual bank interest rates (USD 1 = CNY 6.5, bank discount average changes of 2.3–3.3%). Results During 2004–2014, the grant total average rate of surgical patient (after surgical operation) treatment had increased with 32.4% and with 81.3% for medical treatment with albendazole. Meanwhile, it increased by 58.6% for the deworming of registered dog since 2007. The accumulated costs amounted to USD 27.03 million after discount for patients and registered dog treatment, which is 1/4 of the total accumulated financial inputs (USD 110.67 million from the Chinese Government). Since the implementation of the national program, it has increased 57 times with respect to the annual financial inputs (costs) and 368 times with respect to all accumulated financial inputs (costs). Conclusions This study showed that in endemic areas, patient diagnosis and management, dog management and treatment over this period helped reduce the parasite load to control the disease. More attention should be paid to controlling wild canines during the ongoing program period and sustainable follow-up evaluations are crucial for success and continued implementation of the national program.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Progress on the national echinococcosis control programme in China: analysis of humans and dogs population intervention during 2004–2014

Xiao

Han

et al. 2020

Infect Dis Poverty

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“…Echinococcosis transmission mainly occurs in the pastoral and farming-pastoral regions of western China due to the complex animal populations and Echinococcus spp., which involve a wide range of intermediate and de nitive hosts, Human epidemiological surveys may be carried out by serology, and ultrasonography is regarded as a simple, safe and reliable diagnostic tool for screening for internal cysts. Importantly, relatively safe and effective chemotherapy is available [24][25][34][35][36][37][38][39][40][41].…”

Section: Discussionmentioning

confidence: 99%

Echinococcosis control in China: Progress on humans and dogs population intervention

Yu¹,

Xiao²,

Han³

et al. 2020

Preprint

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Abstract Background A national control program for echinococcosis has been in effect since 2005 in China. This program has applied a comprehensive strategy, and good control results have been achieved. The objective of this study is focusing on the effectiveness of the programme with two indices, including patients treatment and registered dogs deworming, in endemic areas of echincoccosis control over the period of 10 years (2004-2014) in China. Methods 10 provinces and autonomous regions of China were chosen for this study and a database was established that included demography at county and township levels, grouping available patients into those subjected to surgery and those receiving drug treatment after population screening. All statistical analyses were performed using Microsoft Excel software and SPSS software and the results are shown as percentages with the corresponding 95% confidence intervals (95% CIs). Results The study showed that over this period, the coverage rate (the grant total average rate) of surgical patient (after surgical operation) treatment had increased with 32.4% and with 81.3% for medical treatment with albendazole. Meanwhile, it increased by 58.6% for the deworming of registered dog since 2007. The accumulated costs amounted to US$ 27.03 million after discount for patients and registered dog treatment, which is 1/4 (27.03/110.67) of the total accumulated financial inputs (US$ 110.67 million from the Chinese Government. Since the implementation of the national program, it has increased 57 times (1705.9/30.1=57) with respect to the annual financial inputs (costs) and 368 times (11,067.9/30.1=368) with respect to all accumulated financial inputs (costs). Conclusions As found through this study, it is suggested that more attention should be paid to controlling wild canines during the ongoing program period and sustainable follow-up evaluations are crucial for success and continued implementation of the national program, which will be necessary until the disease is under control and has been eliminated in all endemic areas of China.

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Let sleeping dogs lie: a surprising chest X-ray in the paediatric emergency department

Cited by 2 publications

References 3 publications

Progress on the national echinococcosis control programme in China: analysis of humans and dogs population intervention during 2004–2014

Progress on the national echinococcosis control programme in China: analysis of humans and dogs population intervention during 2004–2014

Echinococcosis control in China: Progress on humans and dogs population intervention

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