[Risk analysis of imported schistosomiasis in Shanghai City from 2005 to 2015]

OBJECTIVE

To understand the risk situation of imported schistosomiasis and its main influencing factors in Shanghai City from 2005 to 2015.

METHODS

A retrospective survey was performed, and the database was established based on the data collection of imported schistosomiasis, Oncomelania hupensis snail situation and mobile population in Shanghai City from 2005 to 2015.

RESULTS

From 2005 to 2015, the mobile population in Shanghai City increased by 123.92%, which reached about 9 816 500, and 54.70% of them were located in the inner suburban districts. The accumulated areas with snails of 7.13 hm² were found in 16 towns of 4 outer suburbs (excluding Chongming District). A total of 23 cases of imported schistosomiasis were found in Shanghai City, and the number of the imported schistosomiasis cases was on the downward trend (rs = -0.782, P = 0.004). From 2005 to 2009, 11 out of 13 imported schistosomiasis cases (84.62%) were distributed in the inner suburban districts where no O. hupensis snails were found at the same time. From 2010 to 2015, 9 out of 10 imported schistosomiasis cases (90%) were distributed in the outer suburban districts where O. hupensis snails were found at the same time.

CONCLUSIONS

The number of imported schistosomiasis cases in Shanghai is on the downward trend. However, the threat of imported schistosomiasis to the prevention and control of schistosomiasis in Shanghai City should not be ignored.

[Comparative analysis of malaria detection ability of laboratories in Shanghai City from 2012 to 2015]

OBJECTIVE

To compare the application effects of three methods, namely microscopic examination, antigen detection (RDT) and nucleic acid test (PCR) in malaria detection between municipal and districts/counties centers for disease control and prevention in Shanghai, and analyze the malaria detection ability of the laboratories in Shanghai.

METHODS

The blood smears, whole blood samples, case review confirmation records and case data of malaria cases and suspected cases in Shanghai from 2012 to 2015 were collected by Shanghai Municipal Center for Disease Control and Prevention, and the detection results were analyzed and compared.

RESULTS

A total of 212 samples with complete data were submitted by all districts (counties) in Shanghai from 2012 to 2015, the samples submitted by Jinshan Districts were the most (41.98%), and among the first diagnosis hospitals, those submitted by the tertiary hospitals were the most (82.07%). The submitted samples in the whole year were increased gradually from January to October. All the 212 samples were detected by three methods (the microscopic examination, RDT and PCR) in the laboratory of Shanghai Municipal Center for Disease Control and Prevention, and 167 were tested and confirmed comprehensively as positives, accounting for 78.77%, and 45 were confirmed as negatives, accounting for 21.23%. The samples were detected by the method of microscopy and domestic RDT in the laboratories of the centers for disease control and prevention at district/county level, totally 153 were tested as positives, accounting for 72.17%, 41 were unclassified, accounting for 19.34%, 53 were negative, accounting for 25.00%, and 6 were undetected, accounting for 2.83%. The coincidence of microscopic examination between the report hospitals and the centers for disease control and prevention at district/county level was 78.16%, and the coincidence between centers for disease control and prevention at district/county level and municipal level was 93.20%. The utilization rate of RDT in the laboratory of district/county level was 73.58%. The coincidence of RDT tests between those domestic and imported was 93.59%. Compared with the detection results by municipal center for disease control and prevention, 37 samples were misjudged by the laboratories of district/county level. Almost all (99.37%) of the confirmed malaria cases were imported overseas, including Africa (85.44%), Asia (13.92%) and America (0.63%).

CONCLUSIONS

The surveillance after malaria elimination in Shanghai should be carried out by combining with different detection methods and resource integration.

[Colonization of Porphyromonas endodontalis in primary and secondary endodontic infections]

OBJECTIVE

This study aims to assess and compare the prevalence of Porphyromonas endodontalis (P. endodontalis) in root canals associated with primary and secondary endodontic infections by using 16s rDNA PCR and real-time fluorescence quantitative polymerase chain reaction (RTFQ-PCR).

METHODS

A total of 120 adult patients with one radiographically documented periapical lesion were included. Sixty teeth presented with primary endodontic infections and 60 with secondary endodontic infections requiring retreatment. P. endodontalis was identified by using 16s rDNA PCR techniques. The positive DNA expression of P. endodontalis in two types of infected root canals were quantitatively compared by using SYBR GREEN I RTFQ-PCR.

RESULTS

The prevalence of P. endodontalis in the root canals with primary endodontic infections was significantly higher than that in root canals with secondary endodontic infections (P = 0.001). However, RTFQ-PCR results showed no significant difference in DNA expression quantities between the primary and secondary endodontic infections root canals (P = 0.303).

CONCLUSION

P. endodontalis is more highly associated with root canals having primary endodontic infections, although P. endodontalis colonize in both root canals with primary and secondary chronic apical periodontitis.