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寄生虫病预防控制所对中国内脏利什曼病防治工作的贡献。

Contributions of the National Institute of Parasitic Diseases to the control of visceral leishmaniasis in China.

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, People's Republic of China; Chinese Center for Tropical Diseases Research, Shanghai, People's Republic of China; WHO Collaborating Centre for Tropical Diseases, Shanghai, People's Republic of China; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, People's Republic of China; Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, People's Republic of China; School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, People's Republic of China; Chinese Center for Tropical Diseases Research, Shanghai, People's Republic of China; WHO Collaborating Centre for Tropical Diseases, Shanghai, People's Republic of China; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, People's Republic of China; Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, People's Republic of China; School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.

出版信息

Adv Parasitol. 2020;110:185-216. doi: 10.1016/bs.apar.2020.04.003. Epub 2020 Jun 10.

Abstract

Visceral leishmaniasis (VL) caused by Leishmania spp. is an important vector-borne disease prevalent in China. VL was rampant in the vast area of China north of the Yangtze River before the founding of the People's Republic of China in 1949. As a result of strenuous interventions, the disease was basically eliminated in most of the former epidemic areas in 1958-60. At present, only sporadic cases occur in the western regions of China. In the process, National Institute of Parasitic Diseases at China CDC and the Chinese Center for Tropical Diseases Research (NIPD-CTDR) have achieved great impact in controlling the diseases as well as in research on Leishmania spp. This review summarized the contribution of experts from NIPD-CTDR to the control and elimination of VL in various aspects, such as understanding the epidemiological features of VL, confirmation of VL vectors and their distribution, development of control tools including diagnostics and insecticides, monitoring and evaluation supported by information management, technical supports to the control programmes, as well as analysis of the challenges faced. At the same time, it puts forward constructive suggestions for the ultimate interruption of VL transmission in China.

摘要

内脏利什曼病(VL)由利什曼原虫引起,是一种在中国流行的重要媒介传播疾病。VL 在 1949 年中华人民共和国成立之前在中国长江以北的广大地区猖獗流行。经过艰苦的干预,1958-60 年,该病在大多数以前的疫区基本得到消除。目前,仅在中国西部地区偶有病例发生。在此过程中,中国疾病预防控制中心寄生虫病预防控制所(NIPD-CTDR)和中国热带病研究中心在控制疾病以及利什曼原虫研究方面取得了巨大成就。本综述总结了 NIPD-CTDR 专家在了解 VL 的流行病学特征、确认 VL 媒介及其分布、开发诊断和杀虫剂等控制工具、信息管理支持的监测和评估、对控制计划的技术支持以及分析所面临的挑战等方面为 VL 的控制和消除所做的贡献。同时,针对中国最终阻断 VL 传播提出了建设性建议。

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