Optimal combined approaches of field intervention for schistosomiasis control in China
Optimal combined approaches of field intervention for schistosomiasis control in China
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DOI：
10.1016/j.actatropica.2005.07.018
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发表时间：
2005-11-01
期刊：
影响因子：
2.7
通讯作者：
Zhang, SJ
中科院分区：
文献类型：
--
作者：
Lin, DD;Hu, GH;Zhang, SJ
20世纪80年代中期以前，中国血吸虫病防治的重点是控制传播。因此，目的是通过环境管理，结合化疗，供水和卫生，以及卫生改善来消除中间宿主螺。然而，在过去的20年里，主要包括大规模吡喹酮为基础的化疗和健康教育的控制方法开始提倡，并越来越多地应用。在这里，我们回顾了过去50年来在中国实施的血吸虫病现场干预综合方法的文献。干预措施包括在不同历史时期进行的试点研究和大规模实施。结合当地经济条件和现有的科学技术专门知识，审查和分析了各种综合办法的可行性和有效性。最后，提出了一套建议，为当代血吸虫病控制容易适应不同的生态流行病学设置在中国。(c)2005 Elsevier B.V.保留所有权利。
Before the mid 1980s, the emphasis in schistosomiasis control in China was on transmission control. Thus, the aim was to eliminate the intermediate host snail by environmental management, combined with chemotherapy, water supply and sanitation, and hygiene improvement. During the last 20 years, however, control approaches mainly consisting of large-scale praziquantel- based chemotherapy and health education started to be advocated and also increasingly applied. Here, we review the literature with an emphasis on combined approaches of field interventions that have been implemented for schistosomiasis control in China over the past 50 years. The interventions consist of both pilot studies and large-scale implementation during different historical periods. The feasibility and effectiveness of the various combined approaches are examined and analysed in relation to local economic conditions and the prevailing scientific and technical expertise. Finally, a set of recommendations is put forward for contemporary schistosomiasis control readily adapted to different eco-epidemiological settings in China. (c) 2005 Elsevier B.V. All rights reserved.