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| Comparison of the effectiveness before and after the adjustment of schistosomiasis control strategies in Nanjing City |
| HE Yisha, WANG Yu, YANG Peicai, YIN Weigang, XIE Chaoyong
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| Department of Schistosomiasis, Endemic Diseases and Parasitic Diseases Control, Nanjing Center for Disease Control and Prevention, Nanjing, Jiangsu 210003, China |
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Abstract Objective To compare the effectiveness before and after the adjustment of schistosomiasis control strategies in Nanjing City, so as to provide the evidence for improving schistosomiasis control interventions. Methods The prevalence of Schistosomasis japonicum infections in humans, livestock, Oncomelania hupensis and sentinel mice was collected in Nanjing City from 1993 to 2018, and the prevalence of S. japonicum infections in humans, livestock, sentinel mice and O. hupensis, and the areas of snail habitats, areas of infected snail habitats and snail control areas were compared before (1993-2004) and after (2005-2018) the adjustment of schistosomiasis control strategies to evaluate the effectiveness. Results The prevalence of S. japonicum infections in humans, livestock, O. hupensis and sentinel mice was 0.77% and 0.02% (χ2=6 430.634, P<0.001), 0.46% and 0.01% (χ2=344.401, P<0.001), 0.19% and 0.11% (χ2=239.685, P<0.001), and 34.35% and 1.56% (χ2=1 856.286, P<0.001) in Nanjing City before and after the adjustment of schistosomiasis control strategies, respectively. The median areas (interquartile range) of snail habitats, infected snail habitats and snail control were 4 175.37 (1 301.65) and 2 366.44 (885.27) hm2 (Z=-3.755, P<0.001), 870.49 (1 001.75) and 0 (158.89) hm2 (Z=-3.654, P<0.001) and 1 383.23 (793.57) and 5 031.94 (629.11) hm2 (Z=-4.320, P<0.001) in Nanjing City before and after the adjustment of schistosomiasis control strategies, respectively. Conclusions After the adjustment of schistosomiasis control strategies, remarkable effects on schistosomiasis control has achieved in Nanjing City, where the transmission of schistosomiasis was interrupted. Nevertheless, the strategy requires to be continued and improved to move towards elimination of schistosomiasis in Nanjing City.
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Received: 23 February 2022
Revised: 26 April 2022
Published: 19 July 2022
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[1] 汪恭富,吕宗德.南京市家畜血吸虫病防治工作创新实践[J].中国畜牧业,2018(18):64-65.
WANG G F,LÜ Z D.Innovative practice of livestock schistosomiasis prevention and control in Nanjing[J].China Anim Ind,2018,(18):64-65.
[2] 殷位刚,高原,裘玲,等.2004—2015年南京市血吸虫病疫情分析[J].热带病与寄生虫学,2016,14(3):149-151.
YIN W G,GAO Y,QIU L,et al.Analysis on the epidemic status of schistosomiasis in Nanjing City from 2004 to 2015[J].J Trop Dis Parasitol,2016,14(3):149-151.
[3] 汪天平. 迈向消除血吸虫病阶段的防控策略与思考[J].中国血吸虫病防治杂志,2019,31(4):358-361.
WANG T P.Thinking on the control strategy at schistosomiasis elimination stage in China[J].Chin J Schisto Control,2019,31(4):358-361.
[4] 王小莉,王鹏.以传染源控制为主的血吸虫病综合防治策略长期实施效果[J].中国病原生物学杂志,2016,11(9):829-832,824.
WANG X L,WANG P.Long-term effectiveness of an integrated schistosomiasis control strategy with an emphasis on controlling sources of infection[J].J Pathog Biol,2016,11(9):829-832,824.
[5] WANG L D,CHEN H G,GUO J G,et al.A strategy to control transmission of Schistosoma japonicum in China[J].N Engl J Med,2009,360(2):121-128.
[6] 中华人民共和国卫生部.血吸虫病防治手册[M].3版.上海:上海科学技术出版社,2000:145-167.
Ministry of Health of the People's Republic of China.Schistosomiasis control manual[M].3rd ed.Shanghai:Shanghai Scientific & Technical Publishers,2000:145-167.
[7] 徐国余,杨惠敏,杨佩才,等.1993—1995年南京市哨鼠疫水测定报告[J].实用寄生虫病杂志,1996,4(2):66-68.
XU G Y,YANG H M,YANG P C,et al.Detecting running schistosome-infested water with sentry mice in Nanjing region during 1993-1995[J].J Pract Parasit Dis,1996,4(2):66-68.
[8] 李伟,张键锋,吴锋,等.江苏省血吸虫病传播阻断历程[J].中国血吸虫病防治杂志,2019,31(6):583-590.
LI W,ZHANG J F,WU F,et al.Progress of interruption of schistosomiasis transmission in Jiangsu Province[J].Chin J Schisto Control,2019,31(6):583-590.
[9] 汪伟,杨坤.开展精准防控,推动我国消除血吸虫病进程[J].中国热带医学,2020,20(7):595-598.
WANG W,YANG K.Implementation of precision control to facilitate the progress towards schistosomiasis elimination in China[J].China Trop Med,2020,20(7):595-598.
[10] 吕超,周理源,幸小英,等.山丘型血吸虫病传播阻断示范区血吸虫病传播高危风险因素分析[J].中国寄生虫学与寄生虫病杂志,2018,36(4):333-339.
LÜ C,ZHOU L Y,XING X Y,et al.Analysis of transmission risk factors of schistosomiasis in a hilly demonstration plot of transmission interruption[J].Chin J Parasitol Parasit Dis,2018,36(4):333-339.
[11] VAN DORSSEN C F,GORDON C A,LI Y,et al.Rodents,goats and dogs-their potential roles in the transmission of schistosomiasis in China[J].Parasitology,2017,144(12):1633-1642.
[12] 张世清. 我国血吸虫病传播阻断后流行特征及防控策略思考[J].热带病与寄生虫学,2020,18(2):70-74.
ZHANG S Q.Thinking on endemic characteristics and control strategy at the stage of post-interruption of schistosomiasis in China[J].J Trop Dis Parasitol,2020,18(2):70-74.
[13] 朱素娟,王衡,徐卫民,等.浙江省首例境外输入性埃及血吸虫病病例报告[J].预防医学,2016,28(10):1021-1022.
ZHU S J,WANG H,XU W M,et al.A report on the first imported case of Schistosomiasis haematobia in Zhejiang Province[J].Prev Med,2016,28(10):1021-1022.
[14] 吴忠道,宋兰桂,刘超,等.我国寄生虫病防控面临的新挑战与新要求[J].热带医学杂志,2019,19(1):1-3,8.
WU Z D,SONG L G,LIU C,et al.New challenges and requirements for parasitic diseases control in China[J].J Trop Med,2019,19(1):1-3,8.
[15] WANG J L,LI T T,HUANG S Y,et al.Major parasitic diseases of poverty in mainland China:perspectives for better control[J/OL].Infect Dis Poverty,2016[2022-04-26].http://doi.org/10.1186/s40249-016-0159-0.
[16] 王毓,谢朝勇.南京市血吸虫病传播控制后钉螺控制效果分析及对策探讨[J].中国热带医学,2019,19(8):743-746,775.
WANG Y,XIE C Y.Analysis and countermeasures of control effect of Oncomelania snails after schistosomiasis transmission controlled in Nanjing[J].China Trop Med,2019,19(8):743-746,775.
[17] 李新祥,王萍,李冰.江山市钉螺分布调查[J].预防医学,2019,31(8):833-837.
LI X X,WANG P,LI B.Spatial distribution of oncomelania in Jiangshan[J].Prev Med,2019,31(8):833-837.
[18] HAO Y W,WANG Q,CAO C L,et al.Construction and application of surveillance and response systems for parasitic diseases in China,led by NIPD-CTDR[J].Adv Parasitol,2020,110:349-371.
[19] 汪伟,杨坤.再送“瘟神”:消除血吸虫病适宜技术最新研究进展[J].预防医学情报杂志,2019,35(11):1314-1320.
WANG W,YANG K.Farewell to the god of plague:review of latest advances in the technology used in the National Schistosomiasis Elimination Programme of China[J].J Prev Med Inf,2019,35(11):1314-1320.
[20] WANG W,YANG K.Schistosomiasis and the global goals[J].N Engl J Med,2020,382(16):1575-1576. |
| [1] |
. [J]. Preventive Medicine, 2016, 28(7): 748-750. |
|
|
|
|
