Shrinking the malaria map in China: measuring the progress of the National Malaria Elimination Programme.
Shrinking the malaria map in China: measuring the progress of the National Malaria Elimination Programme.
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DOI：
10.1186/s40249-016-0146-5
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发表时间：
2016-05-19
影响因子：
8.1
通讯作者：
Feng ZC
中科院分区：
文献类型：
--
作者：
Hu T;Liu YB;Zhang SS;Xia ZG;Zhou SS;Yan J;Cao J;Feng ZC
自2010年启动实施国家消除疟疾规划以来，中国在消除疟疾方面取得了显著进展。当地获得性疟疾病例的发病率迅速下降，流行地区也大大缩小。2014年共报告了3 078例疟疾病例，但只有56例是本地病例。为了进一步推进消除疟疾规划，我们回顾了中国消除疟疾的进展和经验，并确定了下一阶段规划的挑战和重点。数据来自基于网络的中国疾病预防控制信息系统和中国消除疟疾年度报告。对2010年至2014年消除疟疾方面取得的进展进行了衡量。截至2015年底，全国有75.6%（1 636/2 163）的疟疾流行县通过地方消除评估。主要挑战是边境疟疾病例和从其他国家输入的疟疾病例。政府的可持续支持和投资、建立有效的监测和应对系统以及对疟疾可能再次传入的风险进行评估是消除规划下一阶段的优先事项。到目前为止，新环境计划在中国已经成功实施，疟疾分布图已经大幅缩小。消除疟疾的优先事项是在边境地区阻止传播的干预措施、管理输入性疟疾病例、防止疟疾再次传入、能力建设以及疟疾监测和应对的可持续性。本文的在线版本（doi:10.1186/s40249-016-0146-5）包含补充材料，可供授权用户使用。
Remarkable progress has been made towards the elimination of malaria in China since the National Malaria Elimination Programme (NMEP) was launched in 2010. The incidence of locally-acquired malaria cases has declined rapidly and endemic areas have also dramatically shrunk. In total, 3 078 malaria cases were reported in 2014, but only 56 cases were indigenous. In order to further promote the elimination programme, we reviewed the progress of and experiences associated with malaria elimination in China, and identified the challenges and priorities for the next stage of the programme. Data were collected from the web-based China Information System for Disease Control and Prevention, and the China Annual Report of Malaria Elimination. The progress towards the elimination of malaria from 2010 to 2014 was measured. During the implementation of the NMEP from 2010 to 2014, local malaria incidence has declined continuously, only remaining in the Yunnan Province and Tibet Autonomous Region in 2014. By the end of 2015, 75.6 % (1 636/2 163) of the malaria-endemic counties passed the sub-national elimination assessment. The main challenges are cases of border malaria and imported malaria from other countries. Sustainable support and investment from the government, the establishment of an effective surveillance and response system, and risk assessments for the potential reintroduction of malaria are priorities for the next stage of the elimination programme. The NMEP in China has been successfully implemented thus far and the malaria map has shrunk dramatically. The priorities for malaria elimination are interventions to block transmission at border areas, management of imported malaria cases, preventing malaria reintroduction, capacity building, and sustainability of malaria surveillance and response. The online version of this article (doi:10.1186/s40249-016-0146-5) contains supplementary material, which is available to authorized users.