Zhou Xiao-nong
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Feb;28(1):1-4.
The integrated strategy for schistosomiasis control with focus on infectious source control, which has been implemented since 2004, accelerated the progress towards schistosomiasis control in China, and achieved transmission control of the disease across the country by the end of 2015, which achieved the overall objective of the Mid- and Long-term National Plan for Prevention and Control of Schistosomiasis (2004-2015) on schedule. Then, the goal of schistosomiasis elimination by 2025 was proposed in China in 2014. To achieve this new goal on schedule, we have to address the key issues, and implement precision control measures with more precise identification of control targets, so that we are able to completely eradicate the potential factors leading to resurgence of schistosomiasis transmission and enable the achievement of schistosomiasis elimination on schedule. Precision schistosomiasis control, a theoretical innovation of precision medicine in schistosomiasis control, will provide new insights into schistosomiasis control based on the conception of precision medicine. This paper describes the definition, interventions and the role of precision schistosomiasis control in the elimination of schistosomiasis in China, and demonstrates that sustainable improvement of professionals and integrated control capability at grass-root level is a prerequisite to the implementation of schistosomiasis control, precision schistosomiasis control is a key to the further implementation of the integrated strategy for schistosomiasis control with focus on infectious source control, and precision schistosomiasis control is a guarantee of curing schistosomiasis patients and implementing schistosomiasis control program and interventions.
自2004年实施以来的以传染源控制为重点的血吸虫病综合防治策略,加快了中国血吸虫病防治进程,到2015年底实现了全国血吸虫病传播控制,如期实现了《全国血吸虫病防治中长期规划纲要(2004—2015年)》的总体目标。2014年中国提出到2025年消除血吸虫病的目标。为如期实现这一新目标,必须找准关键问题,实施精准防治措施,更加精准地识别防治对象,全面消除血吸虫病传播复燃的隐患,才能如期实现血吸虫病消除目标。精准血吸虫病防治作为精准医学在血吸虫病防治领域的理论创新,将基于精准医学理念为血吸虫病防治提供新的思路。本文阐述了精准血吸虫病防治的定义、干预措施及其在中国血吸虫病消除中的作用,论证了专业人员和基层综合防治能力的持续提升是实施血吸虫病防治的前提,精准血吸虫病防治是进一步实施以传染源控制为重点的血吸虫病综合防治策略的关键,精准血吸虫病防治是治愈血吸虫病患者、实施血吸虫病防治规划及干预措施的保障。