Sichuan Provincial Center for Disease Control and Prevention, No. 6 Zhongxue Road, Chengdu 610041, Sichuan Province, China.
Sichuan Provincial Center for Disease Control and Prevention, No. 6 Zhongxue Road, Chengdu 610041, Sichuan Province, China.
Acta Trop. 2019 Nov;199:105132. doi: 10.1016/j.actatropica.2019.105132. Epub 2019 Aug 9.
A literature review was performed to define the history of transmission of human parasitic diseases and the evolution of control measures adopted in Sichuan Province during the past several decades. In particular, monitoring data related to soil-transmitted helminth (STH) infections collected since 2006 were analyzed to determine prevalence based on the current control measures and strategies. It was observed that high STH infections, existing mostly in hilly and mountain areas where cultural and economic development has been slower than that in the plain areas, present a continuing challenge to the prevention and control of STHs. For example, it was found that health knowledge, awareness and preventive behavior rates are low in residents over 50 years old, contributing to positive correlations between high infection and low efficacy of control in rural areas. Financial resources of the government at various levels have not been adequate to provide sufficient budget support and personnel dedicated to prevention and control including human deworming in endemic areas. Recent initiatives of the central government have been directed at addressing both parasitic diseases and poverty and, together, present opportunities for the implementation of more effective and integrated control activities.
进行了文献回顾，以确定人类寄生虫病传播的历史，以及过去几十年间四川省采取的控制措施的演变。特别是，对自 2006 年以来收集的与土壤传播性蠕虫（STH）感染相关的监测数据进行了分析，以根据当前的控制措施和策略确定流行率。观察到，高 STH 感染主要存在于丘陵和山区，这些地区的文化和经济发展比平原地区缓慢，这对 STH 的预防和控制构成了持续的挑战。例如，发现 50 岁以上居民的健康知识、意识和预防行为率较低，这导致农村地区感染率高而控制效果低。各级政府的财政资源不足，无法为包括流行地区的人群驱虫在内的预防和控制工作提供足够的预算支持和人员配备。中央政府最近的举措旨在解决寄生虫病和贫困问题，这为实施更有效和综合的控制活动提供了机会。
