Epidemiological Features and Spatial-Temporal Clustering of Visceral Leishmaniasis - China, 2011-2022.

IF 4.3 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 中国疾病预防控制中心周报 Pub Date : 2024-11-15 DOI:10.46234/ccdcw2024.242
Zhengbin Zhou, Zhuowei Luo, Gaiqin Pan, Yuanyuan Li, Zhongqiu Li, Qin Liu, Yuwan Hao, Limin Yang, Zelin Zhu, Qiang Wang, Yi Zhang, Shizhu Li
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Abstract

What is already known about this topic?: Visceral leishmaniasis (VL), transmitted by sandflies, is a zoonotic disease of public health importance in central and western China.

What is added by this report?: A number of VL hotspots were identified in the border areas of Shanxi-Hebei, Shanxi-Shaanxi, Gansu-Sichuan, as well as the southern Xinjiang provincial-level administrative division (PLAD). Mountain zoonotic visceral leishmaniasis (MT-ZVL) expanded rapidly in the mountainous regions of Shaanxi, Shanxi, Henan, Hebei, Beijing, and Gansu PLADs from 2011 to 2022. A notable resurgence of MT-ZVL has occurred, with 671 cases in 66 historically endemic counties.

What are the implications for public health practice?: Actions are recommended to restrain the rapid expansion of MT-ZVL: Firstly, implement One Health approaches, such as timely diagnosis and treatment of patients, promoting insecticide-impregnated dog collars, and restraining the number of dogs in endemic areas. Secondly, surveillance-response systems for sandflies and infective dogs in potential risk areas should be strengthened.

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2011-2022 年中国内脏利什曼病的流行病学特征和时空聚类。
本专题的已知信息:由沙蝇传播的内脏利什曼病(VL)是中国中西部地区具有重要公共卫生意义的人畜共患病:在山西-河北、陕西-山西、甘肃-四川交界地区以及新疆南部省级行政区(PLAD)发现了一些 VL 热点。2011年至2022年,山区人畜共患病内脏利什曼病(MT-ZVL)在陕西、山西、河南、河北、北京和甘肃的山区迅速蔓延。MT-ZVL出现了明显的回升,在66个历史流行县出现了671例病例:建议采取以下行动抑制 MT-ZVL 的迅速蔓延:首先,实施 "一体健康 "方法,如及时诊断和治疗患者、推广浸过杀虫剂的狗项圈、限制流行地区的养犬数量。其次,应加强对潜在风险地区的沙蝇和感染犬的监测-反应系统。
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