中国血吸虫病防治杂志 ›› 2022, Vol. 34 ›› Issue (3): 217-.

• 专家共识 •    下一篇

剖析新版WHO指南内容与特点 加速推进中国消除血吸虫病步伐

郭照宇1，冯家鑫1，张利娟1，周艺彪2，周杰3，杨坤4，刘阳5，林丹丹6，刘建兵7，董毅8， 汪天平9，闻礼永10，季旻君11，吴忠道12，姜庆五2，梁松13，郭家钢14，曹淳力1，许静1，吕山1，15， 李石柱1，15*，周晓农1，15*   

  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）、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、WHO热带病合作中心、国家级热带病国际联合研究中心（上海 200025）；2 复旦大学公共卫生学院、教育部公共卫生安全重点实验室、热带疾病研究中心；3 湖南省血吸虫病防治所；4 江苏省血吸虫病防治研究所；5 四川省疾病预防控制中心；6 江西省血吸虫病防治研究所；7 湖北省疾病预防控制中心；8 云南省地方病防治研究所；9 安徽省血吸虫病防治研究所；10 杭州医学院、浙江省血吸虫病防治中心；11 南京医科大学；12 中山大学中山医学院；13美国佛罗里达大学；14 WHO被忽视热带病控制司；15 上海交通大学医学院⁃国家热带病研究中心全球健康学院（上海 200025）
  • 出版日期:2022-07-06 发布日期:2022-07-06
  • 作者简介:郭照宇，男，博士研究生。研究方向：流行病与卫生统计学
  • 基金资助:
    国家自然科学基金（32161143036）；国家重点研发计划（2021YFC2300800， 2021YFC2300802）

Analysis of the new WHO guideline to accelerate the progress towards elimination of schistosomiasis in China

GUO Zhao-yu1, FENG Jia-xin1, ZHANG Li-juan1, ZHOU Yi-biao2, ZHOU Jie3, YANG Kun4, LIU Yang5, LIN Dan-dan6, LIU Jian-bing7, Dong Yi8, WANG Tian-ping9, WEN Li-yong10, JI Min-jun11, WU Zhong-dao12, JIANG Qing-wu2, LIANG Song13, GUO Jia-gang14, CAO Chun-li1, XU Jing1, LÜ Shan1, 15, LI Shi-zhu1, 15*, ZHOU Xiao-nong1, 15*   

  1. 1 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), National Health Commission Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; 2 School of Public Health, Fudan University, Key Laboratory of Public Health Safety, Ministry of Education, Tropical Disease Research Center, China; 3 Hunan Institute of Schistosomiasis Control, China; 4 Jiangsu Institute of Parasitic Diseases, China; 5 Sichuan Provincial Center for Disease Control and Prevention, China; 6 Jiangxi Institute of Parasitic Diseases, China; 7 Hubei Provincial Center for Disease Control and Prevention, China; 8 Yunnan Institute of Endemic Disease Control and Prevention, China; 9 Anhui Institute of Schistosomiasis Control, China; 10 Hangzhou Medical College, Zhejiang Provincial Center for Schistosomiasis Control, China; 11 Nanjing Medical University, China; 12 Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong Province, China; 13 University of Florida, Gainesville, United States of America; 14 Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland; 15 School of Global Health, Shanghai Jiao Tong University School of Medicine and Chinese Center for Tropical Diseases Research, Shanghai 200025, China
  • Online:2022-07-06 Published:2022-07-06

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摘要： 2022年2月，WHO基于循证医学框架发布了《WHO控制和消除人体血吸虫病指南》(以下简称WHO新指南），以指导血吸虫病流行国家和地区控制和消除这一公共卫生问题、促进阻断血吸虫病传播。WHO新指南以全健康理念为基础，提出了6项核心建议。本文旨在分析WHO新指南中的关键内容对我国血吸虫病防控工作的适用性，阐释其对我国血吸虫病防治工作后续发展的指导意义。目前，我国血吸虫病防控体系在实施层面上已基本体现全健康理念及其组成部分。基于WHO新指南，针对我国血吸虫病防治工作提出如下建议：加强系统性框架建设，推动跨部门共识的形成，建立高级别领导小组；优化现阶段我国血吸虫病防治策略中的人畜治疗措施；开发高敏感度和高特异度的检测工具和消除验证框架；通过整合其他寄生虫病防治项目，进一步推动血吸虫病和其他寄生虫病防控工作。 　

关键词: 血吸虫病, 消除, 指南, 全健康

Abstract: On February 2022, WHO released the evidence-based guideline on control and elimination of human schistosomiasis, with aims to guide the elimination of schistosomiasis as a public health problem in disease-endemic countries by 2030 and promote the interruption of schistosomiasis transmission across the world. Based on the One Health concept, six evidence-based recommendations were proposed in this guideline. This article aims to analyze the feasibility of key aspects of this guideline in Chinese national schistosomiasis control program and illustrate the significance to guide the future actions for Chinese national schistosomiasis control program. Currently, the One Health concept has been embodied in the Chinese national schistosomiasis control program. Based on this new WHO guideline, the following recommendations are proposed for the national schistosomiasis control program of China: (1) improving the systematic framework building, facilitating the agreement of the cross-sectoral consensus, and building a high-level leadership group; (2) optimizing the current human and livestock treatments in the national schistosomiasis control program of China; (3) developing highly sensitive and specific diagnostics and the framework for verifying elimination of schistosomiasis; (4) accelerating the progress towards elimination of schistosomiasis and other parasitic diseases through integrating the national control programs for other parasitic diseases. 　

Key words: Schistosomiasis, Elimination, Guideline, One Health

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