NHC Key Laboratory of Parasite and Vector Biology, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Chinese Center for Tropical Diseases Research, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, People's Republic of China.
The School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai JiaoTong University School of Medicine, Shanghai, 200011, People's Republic of China.
Infect Dis Poverty. 2021 Apr 20;10(1):51. doi: 10.1186/s40249-021-00839-y.
Malaria was once one of the most serious public health problems in China, with more than 30 million malaria cases annually before 1949. However, the disease burden has sharply declined and the epidemic areas has shrunken after the implementation of an integrated malaria control and elimination strategy, especially since 2000. Till now, China has successfully scaled up its efforts to become malaria-free and is currently being evaluated for malaria-free certification by the WHO. In the battle against malaria, China's efforts have spanned generations, reducing from an incidence high of 122.9/10 000 (6.97 million cases) in 1954 to 0.06/10 000 (7855 cases) in 2010. In 2017, for the first time, China reached zero indigenous case of malaria, putting the country on track to record three consecutive years of zero transmission by 2020, accoding to the National Malaria Elimination Action Plan (2010-2020). China's efforts to eliminate malaria is impressive, and the country is dedicated to sharing its lessons learned in malaria elimination-including, but not limited to, the application of novel genetics-based approaches-with other nations through new initiatives. China will promote international relationships and establish collaborative platforms on a wide range of topics in roughly 65 countries, including 20 African nations. China's experience in applying innovative genetics-based approaches and tools to characterize malaria parasite populations, including surveillance of markers related to drug resistance, categorization of cases as indigenous or imported, and objective identification of the likely sources of infections to inform efforts towards malaria control and elimination in Africa could offer game-changing results when applied to settings with ongoing transmission.
疟疾曾经是中国最严重的公共卫生问题之一,1949 年以前每年有超过 3000 万疟疾病例。然而,自 2000 年以来,特别是实施了综合疟疾控制和消除战略后,疾病负担急剧下降,疫区缩小。截至目前,中国已成功加大力度实现无疟疾,并正在接受世界卫生组织的无疟疾认证评估。在抗击疟疾的过程中,中国几代人不懈努力,使疟疾发病率从 1954 年的 122.9/10000(697 万例)降至 2010 年的 0.06/10000(7855 例)。2017 年,中国首次实现本土疟疾病例零报告,有望在 2020 年实现连续三年无本地传播的目标。根据《国家消除疟疾行动计划(2010-2020 年)》,中国消除疟疾的努力令人印象深刻,中国致力于通过新举措,与其他国家分享其消除疟疾的经验教训,包括但不限于应用新型基于遗传学的方法。中国将在包括 20 个非洲国家在内的约 65 个国家,就广泛的主题促进国际关系并建立合作平台。中国将应用创新的基于遗传学的方法和工具来描述疟原虫种群的经验,包括对与药物抗性相关的标记物的监测、对本地或输入性病例的分类,以及客观确定感染的可能来源,以指导非洲的疟疾控制和消除工作,这可能会为正在传播地区带来改变游戏规则的结果。