Comparison and Analysis of Incidence Rate of Bacillary Dysentery in Selected Countries

Abstract

Bacillary dysentery is a waterborne and foodborne disease, which results in substantial morbidity all over the world. However, the changes in morbidity over time and the cause of bacillary dysentery varies in countries with different level of development. The study aims to compare the characteristics and changes of bacillary dysentery incidence and proper interventions in selected countries. From 2010 to 2019, the morbidity and mortality of it in underdeveloped countries are higher, indicating that the disease burden of bacillary dysentery in a specific country is associated with the level of development. The species of Shigella also show a difference. The outbreaks of bacillary dysentery in under-developed and developing countries are mainly caused by S.flexneri, while S.sonnei account for most infections in developed countries. The risk factors in underdeveloped countries are uneven health conditions and funding, inadequate health education, and poor hygiene and sanitation. As for developing countries, the risk factors are related to regional economic conditions, meteorological conditions, health conditions, and living habits. However, for developed countries, the emerging drug resistance of the pathogenic Shigella and the transmission between the men sex with men (MSM). Individual, household and government should be carried out with cooperation in countries with varying levels of development to reduce the burden of bacillary dysentery. The pathogen of bacillary dysentery has advanced quickly in recent years, bringing much disease burden globally. All nations must address the socioeconomic causes of bacillary dysentery. Scientific interventions need to be carried out according to the actual situations and specific risk factors to meet the demand of reducing Shigella morbidity and mortality.