Seven decades towards malaria elimination in Yunnan, China.
Seven decades towards malaria elimination in Yunnan, China.
复制标题
中国云南消灭疟疾七十年。
DOI：
10.1186/s12936-021-03672-8
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发表时间：
2021-03-12
期刊：
影响因子：
3
通讯作者：
Yang HL
中科院分区：
文献类型：
--
作者：
Li XH;Zhou HN;Xu JW;Lin ZR;Sun XD;Li JY;Lin XX;Xie Y;Alonso P;Yang HL
云南省被认为是中国消除疟疾最困难的地区，因为其疟疾流行病学复杂，生态特征多样，经济发展相对缓慢，与三个疟疾流行国家（老挝人民民主共和国、缅甸和越南）的边界漫长而松懈。对1950~2020年云南省消灭疟疾的相关学术文献和灰色文献进行了分析。检索中国科技期刊数据库、中国知网数据库、MEDLINE等文献检索系统。灰色文献主要来源于中国寄生虫病研究所、中国疾病预防控制中心和云南省寄生虫病研究所。1950 - 1960年代开展的消灭疟疾运动，主要是大规模施用抗疟药物和大规模病媒控制，降低了疟疾的发病率和死亡率，并在一些地区阻断了传播，但没有实现消灭疟疾的目标。在1970年代停止提供疟疾服务时，也采用了类似的战略来控制疾病的爆发和死灰复燃。自1980年代以来，尽管面临着大量移动的和移徙人口的挑战以及经济转型后农村地区初级保健系统不稳定的挑战，但疟疾发病率有所下降。2010年启动的国家消除疟疾方案导致通过了"1 - 3 - 7"监测和应对战略，具体规定及时发现和应对每一个病例，并在农村地区建立了一个实时网络疾病监测系统和一个新的初级保健系统。云南省通过加强监测系统，将监测系统降至最低水平，与邻国和非政府组织开展跨境合作，并让其他部门参与进来，解决了边境疟疾问题。云南省70年来消除疟疾的工作表明，政治承诺、高质量实施的技术合理的战略、各级强有力的监测和应对系统、社区参与和有效管理边境疟疾至关重要。消灭疟疾的经验和教训对预防该省疟疾传播的重新建立仍然很重要。在线版本包含补充材料，可通过10.1186/s12936 - 021 - 03672 - 8获得。
Yunnan Province was considered the most difficult place in China for malaria elimination because of its complex malaria epidemiology, heterogeneous ecological features, relatively modest economic development, and long, porous border with three malaria endemic countries: Lao People’s Democratic Republic, Myanmar, and Viet Nam. Academic publications and grey literature relevant to malaria elimination in Yunnan covering the period from 1950 until 2020 inclusive were considered. The following academic indexes were searched: China Science Periodical Database, China National Knowledge Infrastructure Database, and MEDLINE. Grey literature sources were mainly available from the National Institute of Parasitic Diseases (NIPD), the Chinese Center for Diseases Control and Prevention, and the Yunnan Institute of Parasitic Diseases (YIPD). A malaria elimination campaign in the 1950–1960s, based mainly on mass administration of antimalarial drugs and large-scale vector control, reduced morbidity and mortality from malaria and interrupted transmission in some areas, although elimination was not achieved. Similar strategies were used to contain outbreaks and a resurgence of disease during the 1970s, when malaria services were discontinued. From the 1980s, malaria incidence declined, despite the challenges of large numbers of mobile and migrant populations and an unstable primary health care system in rural areas following economic transformation. Launch of the national malaria elimination programme in 2010 led to adoption of the ‘1–3-7′ surveillance and response strategy specifying timely detection of and response for every case, supported by the establishment of a real-time web-based disease surveillance system and a new primary health care system in rural areas. Border malaria was addressed in Yunnan by strengthening the surveillance system down to the lowest level, cross-border collaboration with neighbouring countries and non-governmental organizations, and the involvement of other sectors. Seven decades of work to eliminate malaria in Yunnan have shown the importance of political commitment, technically sound strategies with high quality implementation, a robust surveillance and response system at all levels, community participation and effective management of border malaria. The experiences and lessons learned from elimination remain important for prevention re-establishment of malaria transmission in the Province. The online version contains supplementary material available at 10.1186/s12936-021-03672-8.
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影响因子：
15.8
作者：
Cao J;Sturrock HJ;Cotter C;Zhou S;Zhou H;Liu Y;Tang L;Gosling RD;Feachem RG;Gao Q
通讯作者：
Gao Q
影响因子：
8.1
作者：
Bi Y;Tong S
通讯作者：
Tong S
影响因子：
3
作者：
Chen T;Zhang S;Zhou SS;Wang X;Luo C;Zeng X;Guo X;Lin Z;Tu H;Sun X;Zhou H
通讯作者：
Zhou H
影响因子：
2.9
作者：
He R;Liu J;Zhang WH;Zhu B;Zhang N;Mao Y
通讯作者：
Mao Y
影响因子：
8.1
作者：
Chen C
通讯作者：
Chen C