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中华人民共和国国家血吸虫病防治规划的演变

Evolution of the National Schistosomiasis Control Programmes in The People's Republic of China.

作者信息

Xu J, Steinman P, Maybe D, Zhou X-N, Lv S, Li S-Z, Peeling R

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, The People's Republic of China; Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, The People's Republic of China; WHO Collaborating Center for Tropical Diseases, Shanghai, The People's Republic of China.

Swiss Tropical and Public Health Institute, Basel, Switzerland; Basel Universities, Basel, Switzerland.

出版信息

Adv Parasitol. 2016;92:1-38. doi: 10.1016/bs.apar.2016.02.001. Epub 2016 Apr 13.

Abstract

Schistosomiasis japonica is caused by the parasitic trematode Schistosoma japonicum. It is endemic in The People's Republic of China and has significant impact on human health and socioeconomic development in certain regions. Over the last six decades, the national control programmes evolved in remarkable ways and brought schistosomiasis japonica largely under control. We describe the history and evolution of schistosomiasis control in The People's Republic of China, with an emphasis on shifts in control strategies that evolved with new insights into the biology of the parasite and its intermediate hosts, and the epidemiology of the disease in the country. We also highlight the achievements in controlling the disease in different socioecological settings, and identify persisting challenges to fully eliminate schistosomiasis japonica from the country. To reach the goal of schistosomiasis elimination, further integration of interventions, multisector collaboration, sensitive and effective surveillance are needed to strengthen.

摘要

日本血吸虫病由寄生吸虫日本血吸虫引起。它在中国流行,对某些地区的人类健康和社会经济发展产生重大影响。在过去的六十年里,国家防治规划有了显著发展,并在很大程度上控制了日本血吸虫病。我们描述了中国血吸虫病防治的历史和演变,重点介绍了随着对寄生虫及其中间宿主生物学以及该国疾病流行病学的新认识而演变的控制策略的转变。我们还强调了在不同社会生态环境中控制该疾病所取得的成就,并确定了在中国完全消除日本血吸虫病仍面临的挑战。为实现消除血吸虫病的目标,需要进一步加强干预措施的整合、多部门协作以及灵敏有效的监测。

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