阻断血吸虫病传播策略与措施专家共识

中国血吸虫病防治杂志 ›› 2021, Vol. 33 ›› Issue (1): 10-.

阻断血吸虫病传播策略与措施专家共识

吕山1，吕超1，李银龙1，许静1，洪青标2，周杰3，张键锋2，闻礼永4，张剑锋4，张世清5，林丹丹6，刘建兵7，任光辉3，董毅8，刘阳9，杨坤2，蒋智华10，邓卓晖11，靳艳军12，谢汉国13，周艺彪14，汪天平5，刘亦文6，祝红庆1，曹淳力1，李石柱1，周晓农1*

1 中国疾病预防控制中心寄生虫病预防控制所、国家热带病研究中心、WHO热带病合作中心、科技部国家级热带病国际联合研究中心、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室（上海200025）；2江苏省血吸虫病防治研究所；3湖南省血吸虫病防治所；4浙江省血吸虫病防治中心；5安徽省血吸虫病防治研究所；6江西省寄生虫病防治研究所；7湖北省疾病预防控制中心；8云南省地方病防治所；9四川省疾病预防控制中心；10广西壮族自治区疾病预防控制中心；11广东省疾病预防控制中心；12上海市疾病预防控制中心；13福建省疾病预防控制中心；14复旦大学公共卫生学院

出版日期:2021-02-10 发布日期:2021-02-10
作者简介:吕山，男，博士，副研究员。研究方向：血吸虫病防治与研究
基金资助:
国家科技重大专项（2018ZX10101002?002、2018ZX10004222?004）

Expert consensus on the strategy and measures to interrupt the transmission of schistosomiasis in China

Lü Shan1, Lü Chao1, LI Yin-Long1, XU Jing1, HONG Qing-Biao2, ZHOU Jie3, ZHANG Jian-Feng2, WEN Li-Yong4, ZHANG Jian-Feng4, ZHANG Shing-Qing5, LIN Dan-Dan6, LIU Jian-Bing7, REN Guang-Hui3, DONG Yi8, LIU Yang9, YANG Kun2, JIANG Zhi-Hua10, DENG Zhuo-Hui11, JIN Yan-Jun12, XIE Han-Guo13, ZHOU Yi-Biao14, WANG Tian-Ping5, LIU Yi-Wen6, ZHU Hong-Qing1,CAO Chun-Li1, LI Shi-Zhu1, ZHOU Xiao-Nong1*

1 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Chinese Center for Tropical Diseases Research, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Key Laboratory of Parasite and Vector Biology of National Health Commission, Shanghai 200025,China; 2 Jiangsu Institute of Parasitic Disease, China; 3 Hunan Provincial Institute of Schistosomiasis Control, China; 4 Zhejiang Provincial Center for Schistosomiasis Control, China; 5 Anhui Provincial Institute of Schistosomiasis Control, China; 6 Jiangxi Provincial Institute of Parasitic Disease Control, China; 7 Hubei Provincial Center for Disease Prevention and Control, China; 8 Yunnan Institute of Endemic Disease Control and Prevention, China; 9 Sichuan Provincial Center for Disease Control and Prevention, China; 10 Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, China; 11 Guangdong Provincial Center for Disease Control and Prevention, China; 12 Shanghai Municipal Center for Disease control and Prevention, China; 13 Fujian Provincial Center for Disease Control and Prevention, China; 14 School of Public Health, Fudan University, China

Online:2021-02-10 Published:2021-02-10

摘要/Abstract

摘要： 2015年全国达到血吸虫病传播控制标准后，进入以全面阻断血吸虫病传播为新目标、开展监测预警为主要干预措施的新时期。“十三五”时期，四川、江苏、云南、湖北等4个血吸虫病防治重点省份先后达到血吸虫病传播阻断标准或通过国家血吸虫病传播阻断技术评估，我国血吸虫病疫情处于历史最低水平，流行程度进一步降低，《“十三五”全国血吸虫病防治规划》既定目标基本实现。但日本血吸虫唯一中间宿主钉螺依然广泛存在且孳生环境复杂、血吸虫病传染源种类多且牛羊等主要传染源管控困难、现有防治技术与当前防治需求不相适应、防治成果基础不牢等是我国血吸虫病消除进程中面临的主要困难和挑战。“十四五”时期是巩固我国血吸虫病防治成果、逐步解决上述困难的重要时期，也是为实现消除血吸虫病最终目标奠定基础的关键阶段。我们在认真总结前期血吸虫病防治经验和当前面临挑战基础上，遵循依法防治、科学防治和精准防治原则，就《“十四五”全国血吸虫病防治规划》中防治目标、防治策略、防治措施等方面达成专家共识，旨在为制定《“十四五”全国血吸虫病防治规划》提供参考，更好地发挥该规划对现场防治工作的政策指导和引领作用。

关键词: 血吸虫病, 传播阻断, 消除, 防治策略, 专家共识

Abstract: Since 2015 when the transmission of schistosomiasis was controlled in China, the country has been moving towards elimination of schistosomiasis, with the surveillance?response as the main interventions for schistosomiasis control. During the period of the 13th Five?Year Plan, the transmission of schistosomiasis had been interrupted in four provinces of Sichuan, Jiangsu, Yunnan and Hubei and the prevalence of schistosomiasis has been at the historically lowest level in China. As a consequence, the goal set in The 13th Five?Year National Schistosomiasis Control Program in China is almost achieved. However, there are multiple challenges during the stage moving towards elimination of schistosomiasis in China, including the widespread distribution of intermediate host snails and complicated snail habitats, many types of sources of Schistosoma japonicum infections and difficulty in management of bovines and sheep, unmet requirements for the current schistosomiasis control program with the currently available tools, and vulnerable control achievements. During the 14th Five?Year period, it is crucial to consolidate the schistosomiasis control achievements and gradually solve the above difficulties, and critical to provide the basis for achieving the ultimate goal of elimination of schistosomiasis in China. Based on the past experiences from the national schistosomiasis control program and the challenges for schistosomiasis elimination in China, an expert consensus has been reached pertaining to the objectives, control strategy and measures for The 14th Five?Year National Schistosomiasis Control Program in China, so as to provide insights into the development of The 14th Five?Year National Schistosomiasis Control Program in China.

Key words: Schistosomiasis, Transmission interruption, Elimination, Control strategy, Expert consensus

中图分类号:

R532.21

. 阻断血吸虫病传播策略与措施专家共识[J]. 中国血吸虫病防治杂志, 2021, 33(1): 10-.

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