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城市环境中媒介传播疾病的有效监测系统及将数据转化为行动:范围综述。

Effective surveillance systems for vector-borne diseases in urban settings and translation of the data into action: a scoping review.

机构信息

Infectious Diseases and Vectors Ecology, Genetics, Evolution and Control (MIVEGEC), French National Research Institute for Sustainable Development, 911 Avenue Agropolis, BP 64501, 34394, Montpellier Cedex 5, France.

Résiliences, French National Research Institute for Sustainable Development, 32 Avenue Henri Varagnat, 93140, Bondy, France.

出版信息

Infect Dis Poverty. 2018 Sep 3;7(1):99. doi: 10.1186/s40249-018-0473-9.

DOI:10.1186/s40249-018-0473-9
PMID:30217142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6137924/
Abstract

BACKGROUND

Vector-borne diseases (VBDs) continue to represent a global threat, with "old" diseases like malaria, and "emergent" or "re-emergent" ones like Zika, because of an increase in international trade, demographic growth, and rapid urbanization. In this era of globalization, surveillance is a key element in controlling VBDs in urban settings, but surveillance alone cannot solve the problem. A review of experiences is of interest to examine other solution elements. The objectives were to assess the different means of VBD surveillance in urban environments, to evaluate their potential for supporting public health actions, and to describe the tools used for public health actions, the constraints they face, and the research and health action gaps to be filled.

MAIN BODY

For this scoping review we searched peer-reviewed articles and grey literature published between 2000 and 2016. Various tools were used for data coding and extraction. A quality assessment was done for each study reviewed, and descriptive characteristics and data on implementation process and transferability were analyzed in all studies. After screening 414 full-text articles, we retained a total of 79 articles for review. The main targets of the articles were arboviral diseases (65.8%) and malaria (16.5%). The positive aspects of many studies fit within the framework of integrated vector management. Public awareness is considered a key to successful vector control programs. Advocacy and legislation can reinforce both empowerment and capacity building. These can be achieved by collaboration within the health sector and with other sectors. Research is needed to develop well designed studies and new tools for surveillance and control.

CONCLUSIONS

The need for surveillance systems in urban settings in both developing and developed countries was highlighted. Countries face the same challenges relating to human, financial, and structural resources. These findings also constitute a wake-up call for governments, academia, funders, and World Health Organization to strengthen control programs and enhance VBD research in urban environments.

摘要

背景

由于国际贸易的增加、人口增长和快速城市化,虫媒病(VBD)继续对全球构成威胁,其中包括疟疾等“旧”疾病和寨卡等“新兴”或“再现”疾病。在全球化时代,监测是控制城市环境中 VBD 的关键要素,但仅监测本身并不能解决问题。审查经验对于研究其他解决方案要素很有意义。目的是评估城市环境中 VBD 监测的不同手段,评估其支持公共卫生行动的潜力,并描述用于公共卫生行动的工具、它们面临的限制以及需要填补的研究和卫生行动空白。

主体

为了进行本次范围界定审查,我们检索了 2000 年至 2016 年期间发表的同行评议文章和灰色文献。我们使用了各种工具对数据进行编码和提取。对每一篇综述的研究进行了质量评估,并对所有研究的实施过程和可转移性的描述特征和数据进行了分析。在筛选了 414 篇全文文章后,我们共保留了 79 篇文章进行综述。文章的主要目标是虫媒病毒病(65.8%)和疟疾(16.5%)。许多研究的积极方面符合综合病媒管理框架。公众意识被认为是成功的病媒控制计划的关键。宣传和立法可以加强赋权和能力建设。这可以通过在卫生部门内部以及与其他部门合作来实现。需要研究开发用于监测和控制的精心设计的研究和新工具。

结论

强调了在发展中国家和发达国家的城市环境中建立监测系统的必要性。各国面临着与人力、财力和结构资源有关的相同挑战。这些发现也敲响了警钟,提醒各国政府、学术界、资助者和世界卫生组织加强控制计划,并加强城市环境中的 VBD 研究。

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