Burden of schistosomiasis in global, regional, and national 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019

IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Travel Medicine and Infectious Disease Pub Date : 2024-09-01 DOI:10.1016/j.tmaid.2024.102751
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Abstract

Background

Despite the gradual decline of schistosomiasis due to the efforts of the WHO and various countries, with the WHO setting a goal to eliminate schistosomiasis by 2030, a comprehensive global assessment of the current status of schistosomiasis has not been conducted.

Objectives

To provide a detailed description of the changes in schistosomiasis from 1990 to 2019 by using the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 database.

Methods

We obtained all relevant data on schistosomiasis worldwide from the Global Burden of Diseases (GBD) database from 1990 to 2019. The mortality, prevalence, disability-adjusted life-years (DALYs), Years of Life Lost (YLLs), Years Lived with Disability (YLDs) of schistosomiasis were examined by Socio-demographic Index (SDI), age, sex, and year at the global, region and national level.

Results

From 1990 to 2019, the age-standardized rate(ASR)-prevalence of schistosomiasis has decreased from 2600.9 per 100,000(95% uncertainty interval (UI) 2191.2 to 3059.3) to 1805.0 per 100,000(95% UI 1503.4 to 2146.9). The estimated annual percentage change (EAPC) from 1990 to 2019 was 1.28 (95% UI 1.22 to 1.33) in high SDI regions and −2.45 (95% UI −3.03 to −1.86) in low SDI regions. In North Africa and the Middle East, the most substantial reduction in DALYs occurred, with an observed EAPC of −5.36.

Conclusion

The burden of schistosomiasis has decreased over the past three decades worldwide. However, the high SDI regions have shown the increasing burden of schistosomiasis. Besides, Multiple countries in Africa still bear a significant burden of schistosomiasis, necessitating robust prevention and control efforts.

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1990-2019 年全球、地区和国家的血吸虫病负担:2019 年全球疾病负担研究的系统分析。
背景:尽管在世卫组织和各国的努力下,血吸虫病逐渐减少,世卫组织也制定了到2030年消除血吸虫病的目标,但全球尚未对血吸虫病的现状进行全面评估:利用全球疾病负担、伤害和危险因素研究(GBD)2019 数据库,详细描述 1990 年至 2019 年血吸虫病的变化情况:我们从全球疾病负担(GBD)数据库中获取了 1990 年至 2019 年全球血吸虫病的所有相关数据。按社会人口指数(SDI)、年龄、性别和年份对全球、地区和国家层面的血吸虫病死亡率、流行率、残疾调整生命年(DALYs)、生命损失年(YLLs)和残疾生存年(YLDs)进行了研究:从1990年到2019年,血吸虫病的年龄标准化感染率(ASR)从每10万人2600.9例(95%不确定区间(UI)2191.2例至3059.3例)下降到每10万人1805.0例(95%不确定区间(UI)1503.4例至2146.9例)。从 1990 年到 2019 年,高 SDI 地区的估计年百分比变化(EAPC)为 1.28(95% UI 为 1.22 至 1.33),低 SDI 地区为-2.45(95% UI 为-3.03 至-1.86)。北非和中东地区的残疾调整寿命年数减少幅度最大,观察到的 EAPC 为-5.36:在过去三十年中,全球血吸虫病负担有所减轻。然而,血吸虫病高发病率地区的血吸虫病负担却在增加。此外,非洲多个国家仍承受着巨大的血吸虫病负担,因此需要大力开展预防和控制工作。
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来源期刊
Travel Medicine and Infectious Disease
Travel Medicine and Infectious Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-INFECTIOUS DISEASES
CiteScore
19.40
自引率
1.70%
发文量
211
审稿时长
49 days
期刊介绍: Travel Medicine and Infectious Disease Publication Scope: Publishes original papers, reviews, and consensus papers Primary theme: infectious disease in the context of travel medicine Focus Areas: Epidemiology and surveillance of travel-related illness Prevention and treatment of travel-associated infections Malaria prevention and treatment Travellers' diarrhoea Infections associated with mass gatherings Migration-related infections Vaccines and vaccine-preventable disease Global policy/regulations for disease prevention and control Practical clinical issues for travel and tropical medicine practitioners Coverage: Addresses areas of controversy and debate in travel medicine Aims to inform guidelines and policy pertinent to travel medicine and the prevention of infectious disease Publication Features: Offers a fast peer-review process Provides early online publication of accepted manuscripts Aims to publish cutting-edge papers
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