Ready for malaria elimination: zero indigenous case reported in the People's Republic of China.
Ready for malaria elimination: zero indigenous case reported in the People's Republic of China.
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为消除疟疾做好准备：中华民国零本土病例报告
DOI：
10.1186/s12936-018-2444-9
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发表时间：
2018-08-29
期刊：
影响因子：
3
通讯作者：
Zhou XN
中科院分区：
文献类型：
--
作者：
Feng J;Zhang L;Huang F;Yin JH;Tu H;Xia ZG;Zhou SS;Xiao N;Zhou XN
疟疾曾经是中国最严重的公共卫生问题之一。然而，在实施综合控制和消除疟疾战略后，特别是自2000年以来，疾病负担急剧下降，流行区缩小。在这次审查中，总结了中国国家消除疟疾规划的经验教训，并讨论了减轻疟疾死灰复燃挑战的进一步努力。进行了回顾性评价，以评估1950年至2017年国家一级疟疾流行模式的变化。2004年以前的疟疾数据来自纸质年度报告。2004年以后，对传染病信息报告管理系统（IDIRMS）中的每一个不同病例都进行了仔细检查和审查。此外，还审查了另一个记录系统，即2012年建立的记录三种寄生虫病干预措施的国家疟疾信息管理系统，以补充IDIRMS缺失的数据。从1950年到2017年，本土疟疾的发生率急剧下降，疟疾流行地区大幅缩小，特别是在国家消除疟疾计划启动后。1949年以前，每年约有3000万疟疾病例，死亡率为1%。从2010年到2016年，共记录了5999例土著病例，6年内大幅减少了99%（2010年，n = 4262; 2016年，n = 3）。2010年有18个省的303个县报告了土著病例，但2016年全国只有2个省报告了3例土著病例。而在2017年，中国首次报告了零本土病例，只有7例输入性病例是死于恶性疟原虫感染的个体。在中国消除疟疾是一项由国家主导和自主的努力。国家自身的努力是一项明确的国家消除战略，得到两个系统的支持，即基于病例的监测和应对系统以及参考实验室系统。国家主导的努力是区域和部门间合作以及持续的监测和评价。但是，仍然存在一些挑战，例如通过区域合作维持非传播状态，实施合格的核查和评估制度，以及管理边境地区的输入性病例。本综述的发现可能有助于改善中国以及其他消灭疟疾国家的疟疾监测系统。本文的在线版本（10.1186/s12936-018-2444-9）包含补充材料，可供授权用户使用。
Malaria was once one of the most serious public health problems in China. However, the disease burden has sharply declined and epidemic areas have shrunk after the implementation of an integrated malaria control and elimination strategy, especially since 2000. In this review, the lessons were distilled from the Chinese national malaria elimination programme and further efforts to mitigate the challenges of malaria resurgence are being discussed. A retrospective evaluation was performed to assess the changes in malaria epidemic patterns from 1950 to 2017 at national level. The malaria data before 2004 were collected from paper-based annual reports. After 2004, each of the different cases from the Infectious Diseases Information Reporting Management System (IDIRMS) was closely examined and scrutinized. An additional documenting system, the National Information Management System for Malaria, established in 2012 to document the interventions of three parasitic diseases, was also examined to complete the missing data from IDIRMS. From 1950 to 2017, the occurrence of indigenous malaria has been steeply reduced, and malaria-epidemic regions have substantially shrunk, especially after the launch of the national malaria elimination programme. There were approximately 30 million malaria cases annually before 1949 with a mortality rate of 1%. A total of 5999 indigenous cases were documented from 2010 to 2016, with a drastic reduction of 99% over the 6 years (2010, n = 4262; 2016, n = 3). There were indigenous cases reported in 303 counties from 18 provinces in 2010, but only 3 indigenous cases were reported in 2 provinces nationwide in 2016. While in 2017, for the first time, zero indigenous case was reported in China, and only 7 of imported cases were in individuals who died of Plasmodium falciparum infection. Malaria elimination in China is a country-led and country-owned endeavour. The country-own efforts were a clear national elimination strategy, supported by two systems, namely a case-based surveillance and response system and reference laboratory system. The country-led efforts were regional and inter-sectoral collaboration as well as sustained monitoring and evaluation. However, there are still some challenges, such as the maintenance of non-transmission status, the implementation of a qualified verification and assessment system, and the management of imported cases in border areas, through regional cooperation. The findings from this review can probably help improving malaria surveillance systems in China, but also in other elimination countries. The online version of this article (10.1186/s12936-018-2444-9) contains supplementary material, which is available to authorized users.
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影响因子：
8.1
作者：
Shi B;Zheng J;Qiu H;Yang GJ;Xia S;Zhou XN
通讯作者：
Zhou XN
影响因子：
4.9
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通讯作者：
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影响因子：
8.1
作者：
Hu T;Liu YB;Zhang SS;Xia ZG;Zhou SS;Yan J;Cao J;Feng ZC
通讯作者：
Feng ZC
影响因子：
11.1
作者：
Lai S;Li Z;Wardrop NA;Sun J;Head MG;Huang Z;Zhou S;Yu J;Zhang Z;Zhou SS;Xia Z;Wang R;Zheng B;Ruan Y;Zhang L;Zhou XN;Tatem AJ;Yu H
通讯作者：
Yu H