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加强中非血吸虫病防治合作。

Enhancing collaboration between China and African countries for schistosomiasis control.

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Center for Tropical Diseases, Shanghai, China.

WHO African Region, Intercountry Support Team for Central Africa, Libreville, Gabon.

出版信息

Lancet Infect Dis. 2016 Mar;16(3):376-83. doi: 10.1016/S1473-3099(15)00360-6. Epub 2016 Feb 4.

Abstract

Schistosomiasis remains an important public health issue, with a large number of cases reported across sub-Saharan Africa, and parts of Asia and Latin America. China was once highly endemic, but has made substantial progress and is moving towards elimination of schistosomiasis. Meanwhile, despite long-term, repeated, school-based chemotherapy in many African countries, more than 90% of all schistosomiasis cases are concentrated in Africa, and hence, this continent constitutes the key challenge for schistosomiasis control. Opportunities and issues for international collaboration in the fight against schistosomiasis are outlined with a focus on China's experiences, including the role of public health authorities and intersectoral collaboration, use of new and effective snail control approaches and diagnostic tools adapted to the specific stage of control, as well as the strengthening of risk mapping and surveillance-response mechanisms. Training courses targeting African governmental officials and professionals, coupled with field visits of African scientists and control programme managers to China, and vice versa, are considered important for improved schistosomiasis control and elimination. The crucial question remains whether the Chinese experience can be translated and applied in African countries to improve the effectiveness of health interventions and scale-up.

摘要

血吸虫病仍然是一个重要的公共卫生问题,在撒哈拉以南非洲、亚洲部分地区和拉丁美洲的许多国家都有大量病例报告。中国曾经是血吸虫病的高度流行区,但已经取得了重大进展,正在向消除血吸虫病迈进。与此同时,尽管许多非洲国家长期以来一直在学校开展基于化疗的防治工作,但超过 90%的血吸虫病病例仍集中在非洲,因此,非洲是血吸虫病控制的关键挑战。本文概述了在防治血吸虫病方面开展国际合作的机遇和问题,重点介绍了中国的经验,包括公共卫生部门和部门间合作的作用、采用新的和有效的钉螺控制方法以及适合控制特定阶段的诊断工具,以及加强风险绘图和监测-应对机制。针对非洲政府官员和专业人员的培训课程,以及让非洲科学家和控制规划管理人员到中国实地考察,反之亦然,被认为对改善血吸虫病控制和消除工作非常重要。关键问题仍然是,中国的经验能否在非洲国家得到转化和应用,以提高卫生干预措施的效果和扩大规模。

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