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2016 - 2023年中国血吸虫病流行特征

Epidemic Characteristics of Schistosomiasis - China, 2016-2023.

作者信息

Zhang Lijuan, Li Shizhen, Xu Jing, Cao Chunli, Li Shizhu

机构信息

National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Key Laboratory on Parasite and Vector Biology, Ministry of Health, WHO Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, China.

School of Global Health, Chinese Center for Tropical Diseases Research-Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

China CDC Wkly. 2025 Apr 4;7(14):467-472. doi: 10.46234/ccdcw2025.077.

DOI:10.46234/ccdcw2025.077
PMID:40376446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12075456/
Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Schistosomiasis is a water-borne parasitic disease that significantly threatens human health and socioeconomic development. In China, is the predominant pathogenic species, and transmission control criteria were successfully achieved nationwide in 2015.

WHAT IS ADDED BY THIS REPORT?: This report comprehensively documents schistosomiasis epidemiology in China from 2016 to 2023, presenting provincial and county-level data on human infections, cattle reservoirs, and snail vector distribution. Serological findings at both provincial and county levels demonstrate persistently elevated seropositive rates in specific regions despite overall progress.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Development of highly sensitive diagnostic tools for low-intensity infections is essential, while intelligent early warning systems and multi-channel surveillance mechanisms must be strengthened to achieve the goal of schistosomiasis elimination in China.

摘要

关于该主题已知的信息有哪些？：血吸虫病是一种水源性寄生虫病，对人类健康和社会经济发展构成重大威胁。在中国， 是主要的致病种类，并且在2015年全国成功实现了传播控制标准。

本报告新增了哪些内容？：本报告全面记录了2016年至2023年中国血吸虫病的流行病学情况，呈现了关于人类感染、牛宿主以及 钉螺媒介分布的省级和县级数据。省级和县级的血清学调查结果表明，尽管总体上取得了进展，但特定地区的血清阳性率持续居高不下。

对公共卫生实践有哪些启示？：开发针对低强度感染的高灵敏度诊断工具至关重要，同时必须加强智能预警系统和多渠道监测机制，以实现中国消除血吸虫病的目标。

需注意，原文中“ ”处有缺失信息，翻译时保留了原文的不完整性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f20/12075456/94b8121544e2/ccdcw-7-14-467-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f20/12075456/4146a1f5113b/ccdcw-7-14-467-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f20/12075456/94b8121544e2/ccdcw-7-14-467-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f20/12075456/4146a1f5113b/ccdcw-7-14-467-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f20/12075456/94b8121544e2/ccdcw-7-14-467-2.jpg

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本文引用的文献

1
Defining elimination as a public health problem for schistosomiasis control programmes: beyond prevalence of heavy-intensity infections.将消除定义为血吸虫病控制规划中的公共卫生问题：超越重度感染的流行率。
Lancet Glob Health. 2022 Sep;10(9):e1355-e1359. doi: 10.1016/S2214-109X(22)00287-X.
2
Rapid Assessment on Potential Risks of Schistosomiasis Transmission - 7 PLADs, China, 2019 and 2021.2019年和2021年中国7个流行区血吸虫病传播潜在风险快速评估
China CDC Wkly. 2021 Dec 17;3(51):1089-1092. doi: 10.46234/ccdcw2021.263.
3
Potential impact of flooding on schistosomiasis in Poyang Lake regions based on multi-source remote sensing images.
基于多源遥感图像的鄱阳湖地区洪水对血吸虫病的潜在影响。
Parasit Vectors. 2021 Feb 22;14(1):116. doi: 10.1186/s13071-021-04576-x.
4
Gene drives for schistosomiasis transmission control.基因驱动技术用于血吸虫病传播控制。
PLoS Negl Trop Dis. 2019 Dec 19;13(12):e0007833. doi: 10.1371/journal.pntd.0007833. eCollection 2019 Dec.
5
[Survey of infections in wild animals in hilly transmission-controlled areas of Jiangxi Province].[江西省丘陵地区传播控制区野生动物感染情况调查]
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2019 Sep 27;31(5):463-467. doi: 10.16250/j.32.1374.2019040.
6
[Endemic status and control of animal schistosomiasis in China].[中国动物血吸虫病的流行现状与防控]
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2019 Apr 8;31(1):40-46. doi: 10.16250/j.32.1374.2018313.
7
Underestimation of the global burden of schistosomiasis.对血吸虫病全球负担的低估。
Lancet. 2018 Jan 27;391(10118):307-308. doi: 10.1016/S0140-6736(18)30098-9. Epub 2018 Jan 31.
8
Real-time PCR diagnosis of Schistosoma japonicum in low transmission areas of China.实时聚合酶链反应诊断中国低传播地区的日本血吸虫病。
Infect Dis Poverty. 2018 Jan 31;7(1):8. doi: 10.1186/s40249-018-0390-y.
9
Immune responses result in misdiagnosis of Schistosoma japonicum by immunodiagnosis kits in egg-positive patients living in a low schistosomiasis transmission area of China.免疫反应导致在中国血吸虫病低传播区的卵阳性患者中，免疫诊断试剂盒误诊日本血吸虫病。
Parasit Vectors. 2014 Mar 6;7:95. doi: 10.1186/1756-3305-7-95.