School of Public Health, The University of Adelaide, Adelaide, South Australia, 5005, Australia.
State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
J Infect Public Health. 2019 May-Jun;12(3):388-394. doi: 10.1016/j.jiph.2018.12.010. Epub 2018 Dec 31.
Dengue is a significant climate-sensitive disease. Public health professionals play an important role in prevention and control of the disease. This study aimed to explore dengue control and prevention in the context of climate change in China.
A cross-sectional survey was conducted among 630 public health professionals in 2015. Descriptive analysis and logistic regression were performed.
More than 80% of participants from southwest and central China believed climate change would affect dengue. However, participants from northeast China were less likely to believe so (65%). Sixty-nine percent of participants in Yunnan perceived that dengue had emerged/re-emerged in recent years, compared with 40.6% in Henan and 23.8% in Liaoning. Less than 60% of participants thought current prevention and control programs had been effective. Participants believed mosquitoes in high abundance, imported cases and climate change were main risk factors for dengue in China.
There were varying views of dengue in China. Professionals in areas susceptible to dengue were more likely to be concerned about climate change and dengue. Current prevention and control strategies need to be improved. Providing more information for staff in lower levels of Centers for Disease Control and Prevention may help in containing a possible increase of dengue.
登革热是一种对气候敏感的重大疾病。公共卫生专业人员在疾病的预防和控制方面发挥着重要作用。本研究旨在探讨中国气候变化背景下的登革热控制与预防。
2015 年对 630 名公共卫生专业人员进行了横断面调查。采用描述性分析和逻辑回归进行分析。
来自中国西南和中部地区的 80%以上的参与者认为气候变化会影响登革热。然而,来自中国东北地区的参与者则不太相信这一点(65%)。69%的云南参与者认为近年来登革热已经出现/再次出现,而河南和辽宁的这一比例分别为 40.6%和 23.8%。不到 60%的参与者认为当前的预防和控制计划是有效的。参与者认为蚊虫大量滋生、输入性病例和气候变化是中国登革热的主要危险因素。
中国对登革热的看法存在差异。易受登革热影响地区的专业人员更有可能关注气候变化和登革热。当前的预防和控制策略需要改进。为疾病预防控制中心较低级别的工作人员提供更多信息,可能有助于遏制登革热的可能增加。