Reduction patterns of acute schistosomiasis in the People's Republic of China.

Reduction patterns of acute schistosomiasis in the People's Republic of China.
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中华人民共和国急性血吸虫病的减少模式。

DOI:
10.1371/journal.pntd.0002849
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发表时间:
2014-05
影响因子:
3.8
通讯作者:
Zhou XN
Zhou XN
中科院分区:
医学2区
文献类型:
--
作者:
Li SZ;Zheng H;Abe EM;Yang K;Bergquist R;Qian YJ;Zhang LJ;Xu ZM;Xu J;Guo JG;Xiao N;Zhou XN

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尽管在过去50年中,中华人民共和国在血吸虫病控制方面取得了显著、稳步的进展,但现有数据表明,在新世纪初,该疾病再次出现,并发生了几次急性感染。为此,采取了一项新的综合战略。本回顾性研究于2005年1月至2012年12月进行,旨在探讨自2004年以来国家控制计划实施的新综合控制策略的有效性。2005年至2012年期间共记录了1,047例急性病例,患病率每年下降97.7%。2011年和2012年输入性血吸虫病病例比例较高。6 ~ 11月共发现9个急性感染聚集性病例,高风险区集中在湖沼地区。本研究表明,新的综合战略在降低中华人民共和国血吸虫病发病率方面发挥了关键作用。中华人民共和国急性血吸虫病发病情况回顾性研究中国),以评估2005年至2012年通过国家控制计划实施的新的综合控制策略。湖泊和沼泽地区已被确定为高风险地区,如我们在每年6月至11月的传播期间发现的9个时空集群所示。对报告的1,047例急性血吸虫病病例进行分析后发现,2005年至2012年,急性血吸虫病的患病率下降了97.7%。这些结果支持了新的综合战略在降低血吸虫病发病率方面的方法和有效性。
Despite significant, steady progress in schistosomiasis control in the People's Republic of China over the past 50 years, available data suggest that the disease has re-emerged with several outbreaks of acute infections in the early new century. In response, a new integrated strategy was introduced. This retrospective study was conducted between Jan 2005 and Dec 2012, to explore the effectiveness of a new integrated control strategy that was implemented by the national control program since 2004. A total of 1,047 acute cases were recorded between 2005 and 2012, with an annual reduction in prevalence of 97.7%. The proportion of imported cases of schistosomiasis was higher in 2011 and 2012. Nine clusters of acute infections were detected by spatio-temporal analysis between June and November, indicating that the high risk areas located in the lake and marshland regions. This study shows that the new integrated strategy has played a key role in reducing the morbidity of schistosomiasis in the People's Republic of China. A retrospective study on the incidence of acute schistosomiasis in the People's Republic of China (P.R. China) was performed, in order to assess the new integrated control strategy that was implemented through the national control program from 2005 to 2012. The lake and marshland regions have been identified as high risk areas as shown by the nine spatio-temporal clusters that we found in the transmission period between June and November each year. When a total of 1,047 reported cases of acute schistosomiasis were analyzed, a reduction in prevalence of 97.7% between 2005 and 2012 was found. In contrast, imported cases of acute schistosomiasis increased between 2011 and 2012. These findings support the approach and effectiveness of the new integrated strategy in the reduction of schistosomiasis morbidity.
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