中国从 3000 万疟疾病例到零疟疾病例:中非合作消除疟疾的经验教训。

IF 4.8 1区 医学 Q1 INFECTIOUS DISEASES Infectious Diseases of Poverty Pub Date : 2021-04-20 DOI:10.1186/s40249-021-00839-y
Jun-Hu Chen, Jun Fen, Xiao-Nong Zhou
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引用次数: 0

摘要

疟疾曾是中国最严重的公共卫生问题之一,1949 年前每年有 3000 多万疟疾病例。然而,在实施综合控制和消除疟疾战略后,特别是自 2000 年以来,疾病负担急剧下降,疫区范围不断缩小。迄今为止,中国已成功扩大了无疟疾规模,目前正在接受世界卫生组织的无疟疾认证评估。在与疟疾的斗争中,中国付出了几代人的努力,从1954年发病率最高的122.9/10 000(697万例)减少到2010年的0.06/10 000(7855例)。根据《国家消除疟疾行动计划(2010-2020 年)》,2017 年,中国首次实现本土疟疾零病例,有望在 2020 年之前连续三年实现零传播。中国在消除疟疾方面的努力令人印象深刻,中国致力于通过新的举措与其他国家分享在消除疟疾方面的经验教训,包括但不限于应用基于遗传学的新方法。中国将在包括 20 个非洲国家在内的约 65 个国家促进国际关系,并就广泛的主题建立合作平台。中国在应用基于遗传学的创新方法和工具来描述疟原虫种群特征方面有着丰富的经验,包括监测与抗药性相关的标记物、将病例分为本地病例和外来病例,以及客观识别可能的感染源,从而为在非洲控制和消除疟疾的努力提供信息。
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From 30 million to zero malaria cases in China: lessons learned for China-Africa collaboration in malaria elimination.

Malaria was once one of the most serious public health problems in China, with more than 30 million malaria cases annually before 1949. However, the disease burden has sharply declined and the epidemic areas has shrunken after the implementation of an integrated malaria control and elimination strategy, especially since 2000. Till now, China has successfully scaled up its efforts to become malaria-free and is currently being evaluated for malaria-free certification by the WHO. In the battle against malaria, China's efforts have spanned generations, reducing from an incidence high of 122.9/10 000 (6.97 million cases) in 1954 to 0.06/10 000 (7855 cases) in 2010. In 2017, for the first time, China reached zero indigenous case of malaria, putting the country on track to record three consecutive years of zero transmission by 2020, accoding to the National Malaria Elimination Action Plan (2010-2020). China's efforts to eliminate malaria is impressive, and the country is dedicated to sharing its lessons learned in malaria elimination-including, but not limited to, the application of novel genetics-based approaches-with other nations through new initiatives. China will promote international relationships and establish collaborative platforms on a wide range of topics in roughly 65 countries, including 20 African nations. China's experience in applying innovative genetics-based approaches and tools to characterize malaria parasite populations, including surveillance of markers related to drug resistance, categorization of cases as indigenous or imported, and objective identification of the likely sources of infections to inform efforts towards malaria control and elimination in Africa could offer game-changing results when applied to settings with ongoing transmission.

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来源期刊
Infectious Diseases of Poverty
Infectious Diseases of Poverty Medicine-Public Health, Environmental and Occupational Health
CiteScore
16.70
自引率
1.20%
发文量
368
审稿时长
13 weeks
期刊介绍: Infectious Diseases of Poverty is a peer-reviewed, open access journal that focuses on essential public health questions related to infectious diseases of poverty. It covers a wide range of topics and methods, including the biology of pathogens and vectors, diagnosis and detection, treatment and case management, epidemiology and modeling, zoonotic hosts and animal reservoirs, control strategies and implementation, new technologies, and their application. The journal also explores the impact of transdisciplinary or multisectoral approaches on health systems, ecohealth, environmental management, and innovative technologies. It aims to provide a platform for the exchange of research and ideas that can contribute to the improvement of public health in resource-limited settings. In summary, Infectious Diseases of Poverty aims to address the urgent challenges posed by infectious diseases in impoverished populations. By publishing high-quality research in various areas, the journal seeks to advance our understanding of these diseases and contribute to the development of effective strategies for prevention, diagnosis, and treatment.
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