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    Progress of schistosomiasis control in the People's Republic of China in 2025
    HE Junyi, ZHANG Lijuan, GUO Suying, LI Shizhen, LI Yinlong, YANG Fan, CAO Chunli, XU Jing, LI Shizhu
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 223-231.  
    Abstract (958)      PDF(pc) (1021KB)(369)       Save
    To understand the progress of, summarize experiences from, and analyze problems in the national schistosomiasis elimination programme, this article presented the national schistosomiasis epidemiology and surveillance in the People's Republic of China in 2025. By the end of 2025, Shanghai Municipality, Zhejiang Province, Fujian Province, Guangdong Province and Guangxi Zhuang Autonomous Region maintained the achievement of schistosomiasis elimination, and 7 provinces of Jiangsu, Sichuan, Yunnan, Hubei, Hunan, Anhui and Jiangxi remained at the criteria of schistosomiasis transmission interruption. In 2025, there were 450 counties (cities, districts), 3 203 townships and 26 029 villages endemic for schistosomiasis in China, with a total population of 73.598 million in endemic villages. Among the 450 endemic counties (cities, districts), 421 (93.56%) achieved thecriteria of schistosomiasis elimination and 29 (6.44%) reached the criteria of transmission interruption. In 2025, a total of 3 630 874 residents received immunological tests for schistosomiasis across endemic areas in China, with 31 588 seropositives identified (seroprevalence, 0.87%), and a total of 154 293 individuals received parasitological examinations, with 5 egg⁃positives detected. A total of 26 688 advanced schistosomiasis cases were recorded in China by the end of 2025. Of 529 683 bovines raised in schistosomiasis⁃endemic villages in China in 2025, 101 637 bovines received immunological tests for schistosomiasis, with 183 seropositives detected (seroprevalence, 0.18%), and 165 654 bovines received parasitological examinations, with no egg⁃positives identified. In 2025, Oncomelania hupensis snail survey was performed covering an area of 667 524.82 hm2 in China, and 176 378.64 hm2 O. hupensis snail habitats were identified, including 123.77 hm2 emerging O. hupensis snail habitats and 953.71 hm2 re⁃emerging O. hupensis snail habitats. A total of 19 283 schistosomiasis cases received chemotherapy with praziquantel in China in 2025, and 477 450 person⁃times and 304 279 herd⁃times received expanded chemotherapy, respectively. In addition, O. hupensis snail control with chemical treatment covered 116 475.10 hm2 snail habitats across China in 2025, with an actual area with chemical control covering 68 510.93 hm2 and an area with environmental improvements covering 1 101.84 hm2. The national schistosomiasis surveillance results indicated that the mean prevalence of Schistosoma japonicum infections was both 0 among humans and bovines in 2025, and no S. japonicum infection was detected in O. hupensis snails. These data showed that the prevalence of schistosomiasis remained low in China in 2025; however, the area of O. hupensis snail habitats stayed high, with an increase in emerging and re⁃emerging O. hupensis snail habitats. It is recommended to improve the surveillance and forecast mechanism for schistosomiasis and precisely implement the O. hupensis snail control programme in high⁃risk areas. 
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    Progress of researches on Triatoma rubrofasciata⁃transmitted trypanosomes 
    WANG Ziyi, SHEN Yong, HUANG Lirong, LI Yuanyuan, WU Di, LIU Qin
    Chinese Journal of Schistosomiasis Control    2026, 38 (2): 213-218.  
    Abstract (953)      PDF(pc) (1059KB)(831)       Save
    Triatoma rubrofasciata is currently the most widely distributed species of Triatoma worldwide, and it is also widespread in southern China. T. rubrofasciata has been proven to transmit Trypanosoma cruzi, and is one of vectors transmitting Chagas disease, which poses a potential risk for transmission of imported Chagas disease in China. Findings from latest studies have shown that T. rubrofasciata naturally infects T. lewisi, T. conorhini, and T. rangeli, which undoubtedly increases significant risks of and challenges to trypanosomiasis control in China. This article briefly describes the species of T. rubrofasciata⁃transmitted trypanosomes, and summarizes the epidemiological characteristics of trypanosomiasis, so as to provide insights into T. rubrofasciata⁃transmitted trypanosomiasis surveillance and control, and prevention of trypanosomiasis development and transmission in China.
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    Surveillance of schistosomiasis in Jiangsu Province from 2012 to 2024
    LI Wei, ZHANG Jianfeng, SHI Liang, WANG Tao, FENG Yun, LIU Lu, YANG Kun
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 8-13.  
    Abstract (833)      PDF(pc) (1480KB)(629)       Save
    Objective To evaluate the effectiveness of schistosomiasis control programmes in Jiangsu Province during the stage moving from transmission control to transmission interruption, and to analyze the current risk and challenges, so as to provide the evidence for achieving the target of schistosomiasis elimination. Methods Schistosomiasis surveillance data were collected from Jiangsu Province from 2012 to 2024, and the endemic areas, Schistosoma japonicum infections in humans and livestock, Oncomelania hupensis snail distribution and implementation of integrated interventions were descriptively analyzed. In addition, the trends in areas with snails, seroprevalence of human S. japonicum infections and numbers of advanced schistosomiasis cases were assessed using a Joinpoint regression model. Results The endemic areas of schistosomiasis continued to shrink in Jiangsu Province from 2012 to 2024, with the number of schistosomiasis⁃eliminated counties (cities, districts) increasing from 53 (75.71%) to 63 (96.92%), and interruption of schistosomiasis transmission was achieved across the province. A total of 4 600 300 person⁃times were tested for serum antibodies against S. japonicum with 28 719 person⁃times positive detected;and 616 500 person⁃times were tested S. japonicum infections among local residents in Jiangsu Province from 2012 to 2024, with only 3 egg⁃positives detected, and no egg⁃positives found since 2017. A total of 187 600 herd⁃times were tested for schistosomiasis in livestock, and no S. japonicum infections were found. O. hupensis snail survey was performed covering 1 018 408.97 hm2, and a total of 35 556.35 hm2 was found with snail⁃infested habitats, including 174.40 hm2 of emerging snail⁃infested habitats. A total of O. hupensis 1 102 800 snails were identified for S. japonicum infections, and no infections were found. The areas of snail⁃infested habitats appeared a tendency towards a rise in Jiangsu Province from 2012 to 2023 (APC = 23.67%, P < 0.05), and the actual areas of snail⁃infested habitats appeared a tendency towards a decline from 2012 to 2015 (APC = −22.77%, P < 0.05), and towards a rise from 2015 to 2023 (APC = 9.76%, P < 0.01). The seroprevalence of anti⁃S. japonicum antibodies appeared a tendency towards a decline among residents in Jiangsu Province from 2017 to 2023 (APC = −14.92%, P < 0.01). In addition, the number of newly diagnosed advanced schistosomiasis cases appeared a tendency towards a decline from 2012 to 2024 (APC = −12.02%, P < 0.01), and the numbers of advanced schistosomiasis patients requiring treatment showed a tendency towards a decline from 2012 to 2021 (APC = −10.56%, P < 0.01) and from 2021 to 2023 (APC = −20.06%, P < 0.01). Conclusions Great progresses had been achieved in schistosomiasis control in Jiangsu Province following transmission control, and transmission interruption had been achieved; however, there are still snail⁃infested habitats. High⁃intensity surveillance and integrated control are required to be maintained to advance the achievement of the target of schistosomiasis elimination in Jiangsu Province.
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    Expert consensus on the ultrasound diagnostic pathway for schistosomiasis japonica⁃induced hepatic fibrosis
    LI Bo, LI Shizhu, XU Jing, GUO Zhaoyu, WU Zhongdao, WU Haiwei, RICHTER Joachim, NING An, WEN Liyong, ZHANG Shiqing, LIN Dandan, YANG Kun, HUA Haiyong, SUN Xi, YUAN Yi, LI Huazhong, YANG Miyang, HE Dehui, CAO Chengbin, WU Bin, ZHU Longqiang, YAN Feixiong, ZHENG Mao, WANG Hongbo, PAN Ge, TIAN Ying, LI Jun, LI Weixiang, DUAN Juan, GONG Chun, REN Guanghui, SHI Yingrui, ZHOU Xiaonong
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 569-579.  
    Abstract (814)      PDF(pc) (3344KB)(395)       Save
    Due to non⁃invasive and repeatable characteristics, ultrasound, which may clearly display hepatic fibrosis and related pathologies caused by Schistosoma infections, is a vital tool for schistosomiasis screening and evaluation of therapeutic efficacy in endemic areas. With the progress towards elimination of schistosomiasis, there is an increasing reduction in new infections in China, and intensified management of previous infections and a delayed progress of hepatic fibrosis are therefore critical to the target of schistosomiasis elimination in the country. On May 2025, National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention convened an international seminar on ultrasound diagnosis of schistosomiasis japonica⁃induced hepatic fibrosis, which included over 30 experts from China, Switzerland and the United States, and achieved on expert consensus on the ultrasound diagnostic pathway for schistosomiasis japonica⁃induced hepatic fibrosis, based on a review of the historical development of standardization of ultrasound diagnosis, aiming to provide insights into the application of ultrasound technology in guiding the formulation of screening of schistosomiasis⁃induced hepatic fibrosis and interventions.  
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    Evolution of schistosomiasis epidemics in China during the past seventy⁃five years: reconstruction and implications based on historical literature
    ZHOU Ligang, HE Qiling, ZHANG Lijuan, XU Jing, LÜ Shan, LI Shizhu
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 250-259.  
    Abstract (806)      PDF(pc) (1426KB)(272)       Save
    Objective To systematically reconstruct the evolution of schistosomiasis prevalence in China from 1950 to 2024, so as to fill the gap of national data on schistosomiasis prevalence in China before 1986. Methods Schistosomiasis control data were collected from schistosomiasis⁃endemic areas of China before 1986, which mainly included statistical data on schistosomiasis, compilations of control records, annual work reports, and academic papers. Data pertaining to the prevalence of schistosomiasis from each province (autonomous region, municipality) were collected and summarized annually, and integrated into national annual work reports for schistosomiasis control in China from 1986 to 2024 to build a national schistosomiasis epidemic database covering schistosomiasis patients, cattle with schistosomiasis, and Oncomelania hupensis snails. The provincial⁃level epidemic data of schistosomiasis were summarized annually from 1986 to 2024 with pivot tables, and then the national epidemic data of schistosomiasis were summarized. The temporal trends in key epidemic indicators of schistosomiasis were analyzed in China from 1950 to 2024.  Results A complete time⁃series dataset of schistosomiasis was established in China from 1950 to 2024 through systematic reconstruction of multi⁃source historical documents and materials. A total of 1.97 million newly detected schistosomiasis cases were recorded in China from 1950 to 2024, and the actual number of schistosomiasis patients was all more than 1 million each year from 1955 to 1978. There were only more than 20 000 advanced schistosomiasis patients in China by the end of 2024, and the prevalence of Schistosoma japonicum human infections reduced from 34.6% in 1950 to below 1.0% after 1996. A total of 2.47 million cattle were tested positive for schistosomiasis, and the prevalence of S. japonicum infections reduced from 21.4% in bovines since 1950. The area of emerging O. hupensis snail habitats was concentrated during the period between 1956 and 1958, accounting for 49.8% of total areas, while the area of emerging O. hupensis snail habitats significantly decreased since 1992, indicating a stable distribution pattern of O. hupensis snails. Data validation results showed that the cumulative variation in areas of O. hupensis snail habitats was 1.6%, and the cumulative variation in the number of schistosomiasis cases was 1.4%. Joinpoint regression analysis revealed four turning points in the prevalence of S. japonicum infections in humans and seven turning points in the prevalence of S. japonicum infections in livestock across China from 1955 to 2024. Conclusions Through the joint efforts of the Communist Party of China and government leadership, interdepartmental collaboration, professional teams, scientific and technological innovation, and public participation, the schistosomiasis epidemic has been effectively controlled in China following active control for more than 70 years. This study builds, for the first time, a complete time⁃series dataset on schistosomiasis in China, which provides insights into assessment of the effectiveness of schistosomiasis control programmes and refinement of the experience from schistosomiasis control programmes in China.
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    Epidemiological analysis of schistosomiasis in surveillance sites in hilly endemic areas of Sichuan Province from 2020 to 2024
    PU Chen, WU Zisong, XU Liang, LU Ding, CHEN Ling, ZHONG Bo, LIU Yang
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 591-600.  
    Abstract (778)      PDF(pc) (1616KB)(853)       Save
    Objective To investigate the trends in the prevalence of schistosomiasis in surveillance sites of Sichuan Province from 2020 to 2024, so as to provide insights into facilitating the elimination of schistosomiasis in hilly endemic areas. Methods   A total 63 schistosomiasis⁃endemic counties (cities, districts) were selected in Sichuan Province as national schistosomiasis surveillance sites from 2020 to 2024, and transmission⁃interrupted and eliminated counties (cities, districts) with and without Oncomelania hupensis snails were classified into classⅡand Ⅲ surveillance counties (cities, districts), respectively. Two to three administrative villages were randomly sampled from each surveillance county (city, district) each year from 2020 to 2024 to investigate the prevalence of schistosomiasis. Mobile populations were screened for Schistosoma japonicum infections using indirect hemagglutination test (IHA), and sero⁃positives were subjected to parasitological tests using egg hatching test with nylon gauze and modified Kato⁃Katz thick smear method, with at least 200 populations investigated in each surveillance county (city, district). At least 100 livestock were tested for S. japonicum infections using miracidial hatching test across classⅡsurveillance counties (cities, districts). O. hupensis snail survey was performed in 3 administrative villages from classⅡsurveillance counties (cities, districts) with high⁃abundance snails, and 3 administrative villages randomly sampled from class Ⅲ surveillance counties (cities, districts) with a history of high⁃abundance snails, a high risk of introduction of snails or many settings suitable for snail breeding. At least 20% of class Ⅱ surveillance counties (cities, districts) were selected, and two administrative villages with a history of high⁃abundance snails, a high risk of introduction of snails, or many settings suitable for snail breeding were randomly selected from each county (city, district), followed by sampling of at least five settings from each village for snails and wild feces survey to monitor schistosomiasis transmission risk. All snails captured were examined for their viability using microscopy and tested for S. japonicum nucleic acid using loop⁃mediated isothermal amplification (LAMP) assay. Wild feces were tested for S. japonicum miracidia using miracidial hatching test. The mean density of living snails was subjected to clustering analysis using the software ArcGIS 10.4.1, spatial distribution maps of mean density of living snails were generated, and local spatial autocorrelation analysis was performed with hotspot analysis. Results A total of 73 241 mobile populations were serologically screened for antibodies against S. japonicum in Sichuan Province from 2020 to 2024, and there were 355 cases tested positive for the anti⁃S. japonicum antibody, with a cumulative sero⁃prevalence rate of 0.48% (355/73 241). The sero⁃prevalence rates of anti⁃S. japonicum antibody were 0.69% (97/14 009), 0.68% (101/14 845), 0.46% (67/14 607), 0.34% (51/14 923), and 0.26% (39/14 857) from 2020 to 2024, with a reduction of 62.32% in 2024 relative to in 2020, and there was a significant difference in the sero⁃prevalence of S. japonicum among years ([χ2] = 43.530, P < 0.001). Nevertheless, all sero⁃positives were tested negative for S. japonicum infections by parasitological assays. In 2023, the highest sero⁃prevalence of S. japonicum was detected among mobile populations in Ziyang City (1.09%), and in other four years, the highest sero⁃prevalence was seen in Liangshan Yi Autonomous Prefecture, ranging from 1.43% to 3.18%, with significant differences seen in the sero⁃prevalence among regions from 2020 to 2024 ([χ2] = 4.913 to 129.440, all P values < 0.05). The sero⁃prevalence of anti⁃S. japonicum antibody was higher among male mobile populations than among females in Sichuan Province in 2024 ([χ2] = 5.663, P < 0.05), and there was no gender⁃specific sero⁃prevalence in other four years ([χ2] = 0.028 to 1.207, all P values > 0.05). There were occupation⁃specific sero⁃prevalence rates of anti⁃S. japonicum antibody in four years ([χ2] = 11.711 to 45.920, all P values < 0.05), except in 2023 ([χ2] = 2.044, P > 0.05), with higher sero⁃prevalence among government staff, construction workers, fishermen and boatmen, and students (all P values < 0.05). There were age group⁃specific sero⁃prevalence rates of anti⁃S. japonicum antibody among mobile populations each year from 2020 to 2024 ([χ2] = 16.523 to 35.616, all P values < 0.05), with the highest sero⁃prevalence among mobile populations at ages of 46 to 55 years in 2023 and at ages of 6 to 15 years in 2020, 2021, 2022 and 2024 (all P values < 0.05). A total of 8 316 livestock were tested for S. japonicum infections in national schistosomiasis surveillance sites in Sichuan Province from 2020 to 2024, and no infections were identified in livestock. O. hupensis snail survey was conducted covering an area of 14 703.90 hm2 in national schistosomiasis surveillance sites in Sichuan Province from 2020 to 2024, with 1 815.92 hm2 areas detected with snails, accounting for 12.35%            (1 815.92/14 703.90) of total survey areas. A total of 502 854 snails were captured, and no S. japonicum infection was identified in snails. The mean occurrence rate of frames with snails was 6.91% (247 844/3 587 122), and there was a significant difference in the occurrence of frames with snails among years ([χ2] = 289 707.440, P < 0.001, Cramer's V = 0.284). The mean density of living snails appeared a spatial autocorrelation and a spatial cluster pattern in Sichuan Province from 2021 to 2023 (Moran's I = 0.078 to 0.128, Z = 2.378 to 3.642, all P values < 0.05) and showed a random distribution pattern in 2024 (Moran's I = 0.049, Z = 1.622, P > 0.05). There were high⁃high clusters in the mean density of living snails in Yucheng District, Lushan County and Yingjing County of Ya'an City, Hongya County and Renshou County of Meishan City, Shizhong District of Leshan City, and Dayi County and Chongzhou City of Chengdu City (Z = 1.982 to 3.223, all P values < 0.05). A total of 2 599.89 hm2 areas of settings were surveyed for O. hupensis snails during the surveillance of schistosomiasis transmission risk in Sichuan Province from 2020 to 2024, with 409.27 hm2 areas found with snails, and a total of 97 877 snails were captured, with no S. japonicum infection identified in snails using microscopy. Conclusions From 2020 to 2024, the epidemic situation of schistosomiasis in Sichuan Province showed an overall downward trend, the schistosomiasis control achievements were continuously consolidated; however, the sensitive and highly efficient schistosomiasis surveillance and early warning system requires to be improved in the future.
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    Surveillance on soil⁃transmitted nematodiasis and foodborne parasitic diseases in Jiangsu Province from 2022 to 2024
    NI Bixian, ZHANG Qiang, TANG Feng, ZHANG Jiayao, GONG Xinyi, MAO Fanzhen, LIU Yaobao
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 611-617.  
    Abstract (729)      PDF(pc) (1067KB)(421)       Save
    Objective To investigate the prevalence of soil⁃transmitted nematodiasis and foodborne parasitic diseases in Jiangsu Province from 2022 to 2024, so as to provide insights into formulation of targeted control strategies for soil⁃transmitted nematodiasis and foodborne parasitic diseases in the province.  Methods A total of 32 counties (districts) were sampled from Jiangsu Province from 2022 to 2024 for surveillance of human soil⁃transmitted nematodiasis and foodborne parasitic diseases. Each county (district) was classified into eastern, western, southern, northern and central regions according to geographical locations, and one administrative village from a township was sampled from each region. Permanent residents at age of more than 3 years in each administrative village were sampled using a cluster sampling method, and at least 200 residents were recruited in each village, with more than 1 000 residents included. Subjects' demographic features were collected, and their stool samples were collected for detection of soil⁃transmitted nematode and foodborne parasitic infections using the modified Kato⁃Katz thick smear method (two sides for each stool sample), while pinworm infection was additionally detected among children at ages of 3 to 9 years with a cellophane tape test. From 2022 to 2024, a total of 31 specific surveillance sites were allocated for surveillance of the risk of parasitic infections in Jiangsu Province. Soil and aquatic products (including freshwater fish, crayfish, freshwater crabs, and marine fish) were collected from surveillance sites for detection of hookworm larvae, Ascaris lumbricoides eggs, Clonorchis sinensis metacercariae, Paragonimus metacercariae, and Anisakis larvae using the hookworm larval separation technique, flotation solutions with saturated sodium nitrate, smears microscopy, homogeneous precipitation method and microscopy after dissection. The prevalence of soil⁃transmitted nematode and foodborne parasitic infections was compared among population subgroups, soil environments, and intermediate hosts. Results A total of 98 152 individuals received surveillance of soil⁃transmitted nematode and foodborne parasitic infections in Jiangsu Province from 2022 to 2024, and the overall prevalence of soil⁃transmitted nematode and foodborne parasitic infections was 0.058% (57/98 152), which was primarily attributed to hookworm (0.015%, 15/98 152) and C. sinensis infections (0.018%, 18/98 152). As of soil⁃transmitted nematode infections, there were significant differences in the prevalence of hookworm infections in terms of survey year ([χ2] = 6.513, P < 0.05), age group (P < 0.05) and education level (P < 0.05), and the highest prevalence was seen among subjects at ages of over 70 years (0.060%, 15/24 846) and illiterate participants (0.067%, 7/10 445) (all P values < 0.05). There was a significant difference among the prevalence rates of pinworm infection among different age groups (P < 0.05), with the highest prevalence seen among children at ages of 3 to 9 years (0.087%, 6/6 897) (all P values < 0.05). There were significant differences in the prevalence of hookworm and pinworm infections (both P values < 0.05) across 13 cities in Jiangsu Province from 2022 to 2024, with the highest prevalence of hookworm infections in Huai'an City (0.056%, 4/7 087), and the highest prevalence of pinworm infections in Suqian City (0.056%, 4/7 187) (all P values < 0.05). As of foodborne parasitic infections, there was an ethnic group⁃specific prevalence rate of C. sinensis infections (P < 0.05), with the highest prevalence among Zhuang ethnic populations (22.222%, 2/9) (all P values < 0.05), and there was an educational level⁃specific prevalence rate of Fasciolopsis buski infections (P < 0.05), with the highest prevalence seen among illiterate subjects (0.038%, 4/10 445) (all P values < 0.05). There were significant differences across years in terms of the prevalence of C. sinensis ([χ2] = 7.003, P < 0.05) and F. buski infections ([χ2] = 8.791, P < 0.05), and inter⁃city variation in the prevalence of F. buski infection was also significant (P < 0.05), with the highest prevalence recorded in Lianyungang City (0.042%, 3/7 066) (all P values < 0.05). Findings from surveillance of the risk of parasitic infections showed no hookworm larvae or A. lumbricoides eggs in soil samples in Jiangsu Province from 2022 to 2024, and the detection of C. sinensis metacercariae was 2.365% (21/888) in freshwater fish. In addition, no Paragonimus metacercariae were found in crayfish or freshwater crabs, while the detection of Anisakis larvae or cysts was 33.888% (285/841) in marine fish. Conclusions The prevalence of soil⁃transmitted nematodiasis and foodborne parasitic diseases was low in Jiangsu Province from 2022 to 2024, with hookworm and C. sinensis as the dominant parasite species. It is recommended to enhance the management of soil⁃transmitted nematodiasis and foodborne parasitic diseases among the elderly, children, and ethnic minority populations and strengthen food safety supervision and health education to improve the comprehensive capacity for prevention of human soil⁃transmitted nematodiasis and foodborne parasitic diseases.
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    Prevalence of Clonorchis sinensis human infections in Congjiang County of Guizhou Province in 2023
    SHE Danya, CAI Shan, LI Songping, LIN Guangchu, SHI Zhangjing, WU Chunyan, HE Lan, LU Lidan
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 92-95.  
    Abstract (709)      PDF(pc) (1034KB)(192)       Save
    Objective To investigate the prevalence of Clonorchis sinensis human infections in Congjiang County, Guizhou Province in 2023, so as to provide insights into formulation of the clonorchiasis control strategy. Methods Congjiang County was divided into eastern, western, southern, northern and central areas according to the geographical locations, and one township was randomly sampled from each area. Then, each administrative village was randomly sampled from each township, and 200 permanent residents over 3 years of age were randomly sampled from each village. Participants' stool samples were collected for detection of C. sinensis eggs with the Kato⁃Katz technique (two slides for each stool sample), and the prevalence and intensity of C. sinensis infections were calculated. In addition, the risk factors of clonorchiasis were identified among participants using a questionnaire survey. Results A total of 1 001 residents were included, and the prevalence of C. sinensis infections was 16.28% (163/1 001), with mild infections as the predominant category of infection intensity [73.01% (119/163)]. The prevalence rates of C. sinensis human infections were 30.50% (61/200), 1.50% (3/200), 30.35% (61/201), 12.50% (25/200), and 6.50% (13/200) at five survey sites, respectively ([χ2] = 107.03, P < 0.05), and there was a significant difference in the prevalence of C. sinensis infections between men [22.44% (112/499)] and women [10.16% (51/502)] ([χ2] = 27.71, P < 0.05). The prevalence of C. sinensis infections was relatively high among participants at ages of 60 to 70 years [26.14% (23/88)], public servants [46.15% (6/13)], and Han ethnic participants [33.33% (5/15)]. The prevalence of C. sinensis infections was higher among participants with a habit of consuming raw or undercooked freshwater fish and shrimp [22.06% (90/408)] than among those without the habit [12.31% (73/593)] ([χ2] = 16.85, P < 0.05), and there was no significant difference in the prevalence of C. sinensis infections between participants with [13.99% (41/293)] and without separation of raw and cooked chopping boards [17.23% (122/708)] ([χ2] = 1.59, P > 0.05). In addition, the prevalence of C. sinensis infections was 8.70% (2/23) and 16.46% (161/978) among participants with and without fever complicated by discomfort in the right upper abdomen during the past half year ([χ2] = 0.99, P > 0.05). Conclusions The prevalence of C. sinensis human infections was high in Congjiang County, Guizhou Province in 2023, and infections predominantly occurred among young and middle⁃aged men. Intensified health education among high⁃risk residents and alteration of dietary habits of consuming raw or undercooked freshwater fish or shrimp are recommended to reduce the prevalence of C. sinensis human infections.
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    Surveillance of schistosomiasis among floating populations in sentinel hospitals in Hubei Province from 2020 to 2024
    SHAN Xiaowei, XIAO Ying, CHEN Yanyan, LIU Si, YUAN Yi
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 650-654, 662.  
    Abstract (701)      PDF(pc) (1196KB)(278)       Save
    Objective To investigate the epidemiological characteristics of schistosomiasis cases in sentinel hospitals in Hubei Province from 2020 to 2024, so as to provide insights into schistosomiasis surveillance during the post⁃elimination stage.  Methods Sentinel hospitals were assigned in 63 schistosomiasis⁃endemic counties (cities, districts) and 2 potential endemic counties at the Three Gorges Reservoir Area in Hubei Province according to the National Schistosomiasis Surveillance Scheme (2020 Edition). Floating populations were screened for schistosomiasis using immunological and parasitological tests, and the differences in the seroprevalence and prevalence of Schistosoma japonicum infections were compared among floating populations with different characteristics. The Sankey map of the monitored populations flow was created online using dycharts.  Results   The number of sentinel hospitals increased from 166 in 2020 to 288 in 2024 in Hubei Province, and sentinel hospitals were mainly distributed in Shashi District (27), Xiantao City (32), Zhongxiang City (32), and Hanchuan City (37), and relatively fewer in Jingzhou District (22), Honghu City (22), Jiangling County (21), and Shishou City (17). A total of 74 009 floating populations were monitored for schistosomiasis in sentinel hospitals in Hubei Province from 2020 to 2024, with 222 clinically diagnosis cases found; however, no cases with confirmed diagnosis were recorded. The cumulative seroprevalence of human schistosomiasis was 0.30%, and the seroprevalence varied greatly among floating populations in terms of monitoring methods ([χ2] = 74.112, P < 0.001), occupations ([χ2] = 74.588, P < 0.001), and age groups ([χ2] = 42.237, P < 0.001). The number of populations monitored in sentinel hospitals peaked during the period from October to December, accounting for 94.26% (69 759/74 009) of total populations monitored during the 5⁃year period. In schistosomiasis transmission interrupted counties (districts), high seroprevalence of human schistosomiasis was detected in Jingzhou Development District, Gong'an County, Shashi District, Yangxin County and Qujialing Administration District, while in schistosomiasis⁃eliminated counties (districts), high prevalence was seen in Tongshan County and Yiling District. There were 66.86% (49 485/74 009) of the monitored populations that migrated within schistosomiasis⁃endemic counties (cities, districts) in Hubei Province from 2020 to 2024, and 19.25% (14 244/74 009) migrated into Hubei Province from other provinces, including 49.44% (7 042/14 244) from schistosomiasis⁃endemic provinces, with Hunan Province, Sichuan Province, Anhui Province, Jiangxi Province and Jiangsu Province as predominant provinces of origin, while 13.89% (10 280/74 009) moved out of Hubei Province to other provinces, including 81.60% (8 388/10 280) into schistosomiasis⁃endemic provinces, with Guangdong Province, Zhejiang Province, Jiangxi Province, Jiangsu Province and Hunan Province as predominant destination provinces. Among the 222 clinically diagnosed schistosomiasis cases, there were 8 cases introduced to Hubei Province from other provinces and 75 cases moved out of Hubei Province to other provinces. Conclusions The prevalence of schistosomiasis was extremely low among floating populations in Hubei Province from 2020 to 2024, and sentinel hospitals played a vital role in surveillance of human schistosomiasis among floating populations. Improved health education is recommended among migrant labors from schistosomiasis non⁃endemic provinces, and intensified management and improved sensitivity of schistosomiasis surveillance are required among floating populations in Hubei Province.
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    Assessment of suitability for Oncomelania hupensis snail habitats in China under climate changes from 1990 to 2020
    LI Qin, GUO Suying, XIANG Jiangling, LI Yinlong, CHEN Xianfa, ZHANG Lijuan, LI Shizhu, ZHOU Xiaonong, XU Jing
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 580-590, 600.  
    Abstract (689)      PDF(pc) (2909KB)(354)       Save
    Objective To analyze the changes in the suitability of Oncomelania hupensis snail habitats in China and to identify climatic factors that significantly affect the suitability in China from 1990 to 2020, so as to provide insights into formulation of schistosomiasis control measures. Methods All schistosomiasis⁃endemic villages recorded in the Information Management System for Parasitic Disease Control of Chinese Center for Disease Control and Prevention were selected as study areas, and national O. hupensis snail data in China from 2011 to 2021 were collected, while national O. hupensis snail data in China from 1990 to 1993 were collected from the Annual Report of National Schistosomiasis Epidemiological Observation Points in China. The temperature and cumulative precipitation during the spring active period (between April and June), summer dormancy period (between July and August), autumn active period (between September and October), and hibernation period (between December and February of the next year), as well as the maximum temperature of the warmest month, minimum temperature of the coldest month, temperature annual range, annual precipitation, precipitation of the wettest month, precipitation of the driest month, precipitation seasonality, precipitation of the wettest quarter, precipitation of the driest quarter, precipitation of the warmest quarter, and precipitation of the coldest quarter were calculated using historical monthly meteorological data from the WorldClim database during the same period of O. hupensis snail surveys, and annual mean temperature, isothermality, mean diurnal temperature range, temperature seasonality, mean temperature of the wettest quarter, mean temperature of the driest quarter, mean temperature of the warmest quarter, and mean temperature of the coldest quarter were calculated using daily mean surface air temperature (2 m height) data from the ECMWF Reanalysis version 5 (ERA5) hourly data database. Four topographic variables, namely elevation, slope, terrain and distance to water bodies, were obtained from the Resource and Environmental Science Data Platform of the Chinese Academy of Sciences, and the normalized difference vegetation index (NDVI) was obtained from the Geographic Remote Sensing Ecological Network Platform. Soil characteristic data were obtained from the harmonized world soil database, and the long⁃term series population density variable was estimated by previous studies based on Global Human Settlement Layer⁃Population and WorldPop databases. Data were processed to a 1 km2 resolution via resampling. An ecological niche model for O. hupensis snails was constructed using machine learning models and O. hupensis snail breeding data in China from 2011 to 2021, and the suitability of O. hupensis snail habitats was estimated and compared during the study periods between 2018 and 2020 and between 1990 and 1993, to analyze the changes in the suitability of O. hupensis snail habitats. O. hupensis snail data from both periods were calculated separately and analyzed using five models, including neural networks, support vector machines (SVM), naive Bayes, classification and regression tree (CART), and extreme gradient boosting (XGBoost) models, and the sensitivity, specificity, and area under the receiver operating characteristic (ROC) curve (AUC) of models were calculated. The Shapley Additive Explanations (SHAPs) algorithm was employed to calculate the mean contribution of each variable to the predictions of models. Partial dependence plots (PDPs) were constructed using the pdp package to analyze the response of O. hupensis snail habitat suitability to individual variables. Based on historical climatic data and current non⁃climatic data, a counterfactual scenario map was generated using models trained with 2011—2015 datasets. The counterfactual simulated results were compared with the actual O. hupensis snail habitat suitability from 2018 to 2020 to quantitatively assess the effect of climate changes on the suitability of O. hupensis snail habitats from 1990 to 2020.  Results The areas of O. hupensis snail habitats decreased from 3 726.641 km2 in 2011 to 3 562.876 km2 in 2015 in China, and then rebounded to 3 692.687 km2 in 2021. The XGBoost model exhibited an AUC of 0.983, a sensitivity of 0.993 and a specificity of 0.915, which was selected for subsequent analyses. Through SHAPs calculation combined with PDPs analysis, the four most significant climatic factors affecting the suitability of O. hupensis snail habitats in China included mean temperature of the coldest quarter [1.489 ℃, 95% confidence interval (CI): (1.105 ℃, 1.875 ℃)], precipitation of the wettest quarter [0.706 mm, 95% CI: (0.275 mm, 1.138 mm)], mean diurnal temperature range [0.610 ℃, 95% CI: (0.423 ℃, 0.797 ℃)], and precipitation of the warmest quarter [0.388 mm, 95% CI: (0.199 mm, 0.577 mm)]. Modeling results indicated that the areas with a reduced suitability of O. hupensis snail habitats accounted for 12.201% [95% CI: (11.588%, 12.830%)] of total areas along the Yangtze River basin from 1990 to 2020, while the areas of expanded O. hupensis snail suitable habitats in eastern coastal and high⁃latitude regions accounted for 10.009% [95% CI: (9.380%, 10.637%)] of total areas of the Yangtze River basin. Substantial expansions of O. hupensis snail suitable habitats were found along the lower reaches of the Yangtze River, with a 68.233% [95% CI: (67.463%, 69.002%)] increase in Zhejiang Province and 57.648% [95% CI: (56.878%, 58.417%)] increase in Jiangsu Province, respectively. The middle reaches of the Yangtze River experienced an overall reduction in the suitability of O. hupensis snail habitats, with a 45.784% [95% CI: (45.015%, 46.554%)] reduction in Anhui Province and 33.307% [95% CI: (32.538%, 34.077%)] reduction in Hubei Province, respectively. The areas with an increased suitability of O. hupensis snail habitats accounted for 2.461% to 6.166% of the total provincial areas in two provinces of Sichuan and Yunnan in the upper reaches of the Yangtze River, and in Guangdong Province, Guangxi Zhuang Autonomous Region and Fujian Province, respectively, while the areas with a decreased suitability accounted for 0.890% to 11.891% of the total provincial areas, respectively. In addition, counterfactual analysis revealed the areas with an increased suitability of O. hupensis snail habitats due to climate changes along the Yangtze River basin accounted for 20.738% [95% CI: (19.968%, 21.507%)] of the total basin areas, and the area with a reduced suitability accounted for 4.678% [95% CI: (3.909%, 5.448%)]. Conclusions The areas with a decreased and increased suitability for O. hupensis snail habitats were roughly equal in size in China from 1990 to 2020, with the areas with a decreased suitability mainly concentrated in the middle reaches of the Yangtze River region, and the areas with an increased suitability mainly located in the eastern coastal areas and high⁃latitude regions. Climate change is the primary factor driving the increased suitability of O. hupensis snail habitats in China.
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    Progress of research on the potential impacts of extreme climates on the distribution of Oncomelania hupensis
    PENG Yu, XUE Jingbo, LI Yinlong, ZHANG Lijuan
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 96-99, 108.  
    Abstract (668)      PDF(pc) (1047KB)(720)       Save
    The frequent extreme climatic events post multifaceted impacts on the distribution of Oncomelania hupensis, the intermediate host of Schistosoma japonicum in the context of global climate change. This article systematically reviews the effects of four types of extreme climatic events, including floods, droughts, heat waves, and cold waves, on the survival, reproduction, and distribution of Oncomelania hupensis. Floods may expand suitable snail habitats, and increase both emerging and re⁃emerging snail habitats; however, the impact of floods on O. hupensis density is characterized by a lag effect of a decline followed by a rise. Droughts may cause fragmentation of suitable O. hupensis snail habitats, reduced O. hupensis snail egg production rates, and increased O. hupensis snail mortality, and heat waves may cause an increase in O. hupensis snail mortality, a reduction in numbers of O. hupensis snail populations and shrinking of O. hupensis snail distribution, while cold waves may cause a reduction in O. hupensis snail density and a rise in O. hupensis snail mortality. Extreme climate events pose both short⁃ and long⁃term effects on the distribution of O. hupensis. Intensified surveillance of O. hupensis snails is required in high⁃risk environments.
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    Distribution of potential suitable habitats for Haemaphysalis longicornis in Nanjing City based on the maximum entropy model
    ZHOU Pumin, XIA Jianjun, SUN Luyao, CHEN Xuemin, SONG Bingdong, ZHANG Shougang
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 44-53.  
    Abstract (664)      PDF(pc) (2221KB)(508)       Save
    Objective To investigate the current distribution and predict the future suitable habitats of Haemaphysalis longicornis in Nanjing City, so as to provide insights into control and early warning of ticks and management of tick⁃borne diseases in Nanjing City. Methods The electronic map of Nanjing City was obtained from the National Platform for Common GeoSpatial Information Services. The distribution of H. longicornis and the longitude and latitude of distribution points from 2022 to 2024 were obtained from centers for disease control and prevention across each district in Nanjing City. Climatic and environmental variable data in Nanjing City were captured from the Worldclim database. Initially, 19 bioclimatic variables in this database were selected, including annual mean temperature, mean diurnal range, isothermality, temperature seasonality, maximum temperature of the warmest month, minimum temperature of the warmest month, temperature annual range, mean temperature of the wettest quarter, mean temperature of the driest quarter, mean temperature of the warmest quarter, mean temperature of the coldest quarter, annual precipitation, precipitation of the wettest month, precipitation of the driest month, precipitation seasonality, precipitation of the wettest quarter, precipitation of the driest quarter, precipitation of the warmest quarter, and precipitation of the coldest quarter. The elevation and normalized difference vegetation index were obtained from Data Sharing Platform of the Center for Resources and Environmental Sciences, Chinese Academy of Sciences. Then, the distribution points of H. longicornis, elevation, vegetation index and 19 bioclimatic variables were loaded into the software MaxEnt 3.4.4 to evaluate and screen out the variables with a contribution rate of 1% and higher. ArcGIS 10.8.1 software was used to extract the elevation, vegetation index and 19 bioclimatic variables of the distribution points of H. longicornis for a correlation analysis. If the absolute value of the correlation coefficient was 0.8 and higher, the variable with the higher contribution was retained. The 2050 dataset of the BCCCSM2⁃MR atmospheric circulation model in the coupled model intercomparison project phase 6 (CMIP6) were obtained from the Worldclim database as climate data for 2050. Screened H. longicornis species data and environmental and climate data were loaded into the maximum entropy (MaxEnt) model with the software MaxEnt 3.4.4 for training and validation, and then, all data generated from the model were imported into the software ArcGIS 10.8.1 to generate raster data and yield the map pertaining to the distribution of H. longicornis risk in Nanjing City. The accuracy of the model was evaluated with a receiver operating characteristic (ROC) curve, and the predictive effect of the model was assessed with area under the ROC curve (AUC). The suitable habitats of H. longicornis were classified in Nanjing City with the software ArcGIS 10.8.1, and the areas of distribution of suitable habitats in various categories were recorded to create the map of current H. longicornis suitable habitats classification in Nanjing City. The climatic and geographic information data in 2050 were employed as future environmental and climatic factors, and current environmental and climatic factors and current H. longicornis distribution data were additionally used to predict the future suitable habitats of H. longicornis in Nanjing City. In addition, the contributions of environmental and climatic factors to distribution of suitable habitats of H. longicornis was evaluated with the Jackknife method in Nanjing City.  Results A total of 10 environmental and climatic variables were screened for analysis of the suitability of H. longicornis in Nanjing City based on correlation analyses and contributions of the MaxEnt model, including annual mean temperature, precipitation of the warmest quarter, vegetation index, precipitation of the wettest month, temperature annual range, annual precipitation, mean temperature of the warmest quarter, elevation, mean temperature of the wettest quarter, and maximum temperature of the warmest month, and annual mean temperature (34.8%), precipitation of the warmest quarter (17.3%), vegetation index (13.1%), and precipitation of the wettest month (10.8%) contributed relatively highly to the distribution of suitable habitats of H. longicornis in Nanjing City. The mean AUC of the ROC curve was 0.810 ± 0.055 for 10 repeated modeling results of the MaxEnt model, indicating high predictive performance of the model. The potential distribution areas of H. longicornis were predicted to be mainly located in Luhe District, Pukou District, Jiangning District, Lishui District, and Gaochun District in Nanjing City with the MaxEnt model. Under current climatic conditions, the area of potential suitable habitats of H. longicornis was 4 182.42 km2 in Nanjing City, including 1 252.94 km2 highly suitable habitats, which accounted for 19.00% of the total area of Nanjing City. Under the climate scenario in 2050, the area of potential suitable habitats of H. longicornis was projected to increase to 5 467.58 km2 in Nanjing City, accounting for 82.95% of the total area of the city, and these habitats were mainly concentrated in Luhe District, Pukou District, Jiangning District, Lishui District, and Gaochun District. The areas of suitable habitats of H. longicornis at various categories were predicted to vary greatly in 2050, and the area of highly suitable habitats of H. longicornis was projected to increase to 2 378.82 km2, accounting for 36.08% of the total area of Nanjing City. Based on jackknife tests and contributions of environmental and climatic variables, 6 dominant environmental and climatic factors were screened, including annual mean temperature (34.8% contribution), precipitation of the warmest quarter (17.3% contribution), vegetation index (13.1% contribution), precipitation of the wettest month (10.8% contribution), temperature annual range (5.4% contribution), and mean temperature of the warmest quarter (5.0% contribution), with cumulative contributions of 86.4%. Conclusion The distribution of H. longicornis is strongly associated with vegetation, temperature and precipitation in Nanjing City. Future climate change may lead to an expansion of the distribution area of H. longicornis in Nanjing City.
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    Spatiotemporal distribution characteristics of and trends in disease burden of dengue fever in China from 2005 to 2024
    FENG Lianfang, SHANG Meng, REN Jiarong, WANG Xiaoxu, JI Haoqiang, HAO Xinning, LI Jing, LIU Qiyong
    Chinese Journal of Schistosomiasis Control    2026, 38 (2): 137-147.  
    Abstract (663)      PDF(pc) (2782KB)(307)       Save
    Objective To analyze the spatiotemporal distribution characteristics of and trends in the disease burden of dengue fever in China from 2005 to 2024, so as to provide insights into formulation of dengue fever control strategies. Methods Data pertaining to dengue fever cases in China from 2005 to 2024 were retrieved from the Infectious Disease Reporting Information System of Chinese Center for Disease Control and Prevention, and city population, gross domestic product (GDP), GDP per capita, and consumer price index in China were captured from the China Statistical Yearbook, National Bureau of Statistics of China, the China City Statistical Yearbook, and bureaus of statistics in each city. The disability⁃adjusted life years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) due to dengue fever were calculated in China from 2005 to 2024. The direct and indirect economic burdens of dengue fever were estimated to calculate the total economic burden. The trends in the disease burden of dengue fever were estimated in China from 2005 to 2024 using a Joinpoint regression model with the software Joinpoint 4.9.0.0, and the average annual percent change (AAPC) and its 95% confidence interval (CI) were calculated. In addition, the DALYs rate and economic burden of dengue fever in China were subjected to global and local spatial autocorrelation analyses using the software ArcGIS 10.8.  Results The gross DALYs due to dengue fever were 5 558 person⁃years in China from 2005 to 2024, and the DALYs of dengue fever increased from 36 person⁃years in 2005 to 899 person⁃years in 2024, with an increase of 23.97 folds. The average annual DALYs rate of dengue fever was 0.02 person⁃years/105 in China during the 20⁃year study period from 2005 to 2024, and the DALYs rate peaked in 2014 (0.13 person⁃years/105) and reduced during the COVID⁃19 pandemic from 2020 to 2022. YLDs were the main contributor of DALYs due to dengue fever in China from 2005 to 2024, with a total of 5 354 person⁃years, accounting for 96.33% (5 354 person⁃years/5 558 person⁃years) of the gross DALYs. The gross DALYs of dengue fever were 2 982 person⁃years among men (53.66%) and 2 575 person⁃years among women (46.34%) in China from 2005 to 2024, and high DALYs of dengue fever were measured among residents at ages of 15 to 30 years (1 639 person⁃years), 30 to 45 years (1 857 person⁃years), and 45 to 60 years (1 204 person⁃years), respectively, accounting for 84.56% (4 700 person⁃years/5 558 person⁃years) of total DALYs due to dengue fever in China. The total economic burden of dengue fever was estimated to be 612 million Yuan in China from 2005 to 2024, with an average annual economic burden of 30.584 million Yuan. The economic burden of dengue fever increased from 196 000 Yuan in 2005 to 121 million Yuan in 2024 in China, with an increase of 616.35 folds, and the per capita economic burden increased from 3 322.21 Yuan in 2005 to 4 940.01 Yuan in 2024, with an increase of 48.70%. Dengue fever cases were reported in 274 cities (counties) across 31 provinces (autonomous regions, municipalities) in China from 2005 to 2024, with relatively higher DALYs in Guangdong Province and Yunnan Province. Spatial autocorrelation analysis revealed that the disease burden of dengue fever appeared positive aggregation in Chinese cities (counties) from 2005 to 2024 (global Moran's I = 0.045, Z = 2.24, P < 0.05), with high⁃high clusters mainly concentrated in the Pearl River Delta region in Guangdong Province and Xishuangbanna Dai Autonomous Prefecture and Pu'er City in Yunnan Province, and the total economic burden (global Moran's I = 0.032, Z = 9.55, P < 0.001), per capita economic burden (global Moran's I = 0.208, Z = 27.34, P < 0.001), and the proportion of total economic burdens in GDP in 2024 (global Moran's I = 0.017, Z = 5.91, P < 0.001) all presented positive aggregation, with relatively higher total economic burdens mainly concentrated in Guangdong Province and Yunnan Province. Joinpoint regression analysis showed that the gross DALYs rates of dengue fever appeared an overall tendency towards a rise in China from 2005 to 2024 (AAPC = 16.24%, P = 0.029), and the DALYs rate presented an overall tendency towards a rise among both men (AAPC = 14.75%, P = 0.028) and women (AAPC = 14.93%, P = 0.037) during the study period. The per capita direct economic burden appeared an overall tendency towards a rise among dengue fever patients in China from 2005 to 2024 (AAPC = 2.16%, P = 0.012); however, there was no significant difference in the trends in the per capita indirect economic burden (AAPC = 0.46%, P = 0.470). In addition, the DALYs rate of dengue fever appeared a tendency towards a rise in 84.67% (232/274) of cities (counties) in China from 2005 to 2024, and the per capita economic burden appeared a tendency towards a rise in 85.40% (234/274) of cities (counties), while the DALYs rate and per capita economic burden of dengue fever appeared a tendency towards a rise in 77.01% (211/274) of cities (counties).  Conclusions The disease burden of dengue fever significantly increased in China from 2005 to 2024. It is recommended to reinforce integrated dengue fever control in high⁃risk areas and among high⁃risk populations, and to improve the surveillance of imported dengue fever cases and vector control.
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    China⁃Africa cooperation for tropical diseases control: current status and future priorities
    LU Shenning, YANG Kun, QIAN Yingjun, WANG Duoquan, LÜ Shan, ZHOU Xiaonong
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 1-7, 37.  
    Abstract (652)      PDF(pc) (1372KB)(924)       Save
    Tropical diseases, the transmission of which is affected by multiple natural and social factors, pose a great challenge to global public health, notably in African countries. During the past several decades, China and African countries have continuously collaborated for the control of neglected tropical diseases and malaria, which has become an important part of global South⁃to⁃South cooperation and global health governance. This article reviews the history of China⁃Africa cooperation for tropical diseases control, summarizes the experiences and achievements over the past decade, analyzes the current challenges in the cooperation, and proposes future recommendations. The China⁃Africa cooperation has achieved significant progress in the control of tropical diseases, such as malaria, schistosomiasis, and filariasis, and established a China⁃Africa cooperation network for tropical diseases control. Through the "Three⁃Step" strategy of China⁃Africa cooperation, the effectiveness of China's integrated control strategies has been validated in Africa, and the application of China's tropical disease control technologies has been promoted in African disease⁃epidemic countries. Currently, China⁃Africa collaboration, however, still experiences multiple realistic challenges, such as insufficient resources, difficulty in technology transfer, and weak primary healthcare systems. In the future, both sides are recommended to further strengthen policy coordination, deepen technological cooperation, innovate cooperation models, aiming to continuously promote the high⁃quality development of China⁃Africa cooperation for tropical diseases control.
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    Effectiveness of a novel medical care and prevention integration mode for clonorchiasis control 
    ZENG Qingsheng, LI Laide, FANG Yueyi, HUANG Siyue, LI Yinfeng, CHEN Jingdiao
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 663-667.  
    Abstract (643)      PDF(pc) (1043KB)(258)       Save
    Objective To evaluate the effectiveness of a novel medical care and prevention integration mode for clonorchiasis control in Xinhui District, Jiangmen City, Guangdong Province, so as to provide insights into optimization of clonorchiasis control strategies in hyper⁃endemic areas.  Methods A novel medical care and prevention integration mode was developed for clonorchiasis control in Xinhui District from 2019 to 2023 through a package of integrated interventions, including clonorchiasis clinics building, deworming, health education, improvements in water supply and sanitation facilities, and capacity building for professional personnels, and the proportion of clonorchiasis clinics building, coverage of deworming and health education, proportions of access to safe water and sanitary toilets, rate of qualified inspectors and percentage of trained professional personnels were collected in Xinghui District. Clonorchis sinensis human infections were detected using stratified cluster random sampling in Xinhui District in 2018 and 2023, and the awareness of clonorchiasis control knowledge was investigated among residents using questionnaire surveys. Results Clonorchiasis clinics were built in all 15 healthcare facilities in Xinhui District in 2023, with the proportion of clinics building from 13.33% (2/15) in 2019 to 100.00% (15/15) in 2023, and a total of 1 575 clonorchiasis patients were treated, with a treatment coverage rate of 78.75% (1 575/2 000). Deworming was performed among high⁃risk residents consuming raw freshwater fish in Xinhui District in 2020, with a coverage rate of 75.00% (13 111/17 481), and the coverage rates of access to safe water and sanitary toilets were both 100.00% in the district. The rates of qualified inspectors were all 100.00% (15/15) in all healthcare facilities, and the rate of trained professional personnels increased from 52.94% (90/170) in 2019 to 98.05% (201/205) in 2023. The prevalence of C. sinensis human infections reduced from 34.18% (499/1 460) in 2018 to 10.20% (102/1 000) in 2023 ([χ2] = 172.10, P < 0.05), with a reduction from 44.68% (344/770) and 22.46% (155/690) in 2018 to 12.97% (62/478) and 7.66% (40/522) in 2023 among men ([χ2] = 135.06, P < 0.05) and women ([χ2] = 48.22, P < 0.05), respectively. In addition, the coverage rates of health education and awareness of clonorchiasis control knowledge increased from 50.00% (112/224) and 70.30% (142/202) to 98.21% (220/224) and 98.08% (204/208), respectively.  Conclusion The novel medical care and prevention integration mode achieves remarkable effectiveness for clonorchiasis control in Xinhui District, which deserves wide applications in endemic areas.
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    Factors affecting and identification of key environmental determinants of the Oncomelania hupensis snail density in the Yangtze River Delta based on machine learning models
    LI Yinlong, LI Qin, GUO Suying, LI Shizhen, ZHANG Lijuan, CAO Chunli, XU Jing
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 14-19, 53.  
    Abstract (641)      PDF(pc) (1300KB)(236)       Save
    Objective To identify factors affecting and key environmental factors of the Oncomelania hupensis snail density in the Yangtze River Delta region using machine learning methods. Methods Administrative village⁃level O. hupensis snail survey data in the Yangtze River Delta (including Shanghai Municipality, Jiangsu Province, Zhejiang Province and Anhui Province) from 2011 to 2021 were retrieved from the Information Management System for Parasitic Disease Control of Chinese Center for Disease Control and Prevention. Environmental factor data were captured from the Google Earth Engine platform, including elevation, slope, terrain, normalized difference vegetation index (NDVI), vegetation type, soil type, total petroleum hydrocarbon (TPH), ammonium nitrogen, inorganic nitrogen, dissolved oxygen, pH of water, chemical oxygen demand (COD) and inorganic phosphorus, and climatic factor data in the study region were retrieved from the Copernicus Climate Data Store, including annual precipitation, aridity index and annual mean temperature (AMT). O. hupensis snail survey data in the Yangtze River Delta region from 2011 to 2021 were randomly divided into a training set (70%) and a test set (30%), and five machine learning models were selected for machine learning model construction and comparative analysis of the O. hupensis snail density using the software R 4.3.0, including random forest (RF), eXtreme gradient boosting (XGBoost), support vector machine (SVM), gradient boosting machine (GBM) and neural network (NN). The XGBoost model was employed to construct a predictive model for the O. hupensis snail density, and the impact of each environmental factor on O. hupensis snail distribution was quantified. The SHapley Additive exPlanations (SHAPs) values were calculated to estimate the average contribution of each variable to the model prediction, and the core environmental factors affecting the O. hupensis snail population density were screened. Results Among the five machine learning models, the XGBoost model exhibited the optimal comprehensive performance, with the coefficient of determination (R2) of 0.855, mean squared error (MSE) of 0.188, root mean squared error (RMSE) of 0.434 and mean absolute error (MAE) of 0.155, respectively. Analysis of factors affecting the O. hupensis snail density with the XGBoost model showed that among the 16 environmental factors, the top four high⁃impact factors ranked by SHAPs values included annual precipitation, elevation, aridity index and NDVI, with cumulative SHAPs contributions of 75%, which was higher than that of other environmental factors. If NDVI was higher than 0.6, the O. hupensis snail density increased with NDVI and peaked if NDVI was 0.8 (1.60 snails/0.1 m2). The O. hupensis snail density increased with elevation if the elevation ranged from 14 to 40 m, and slowly rose if the annual precipitation ranged from 900 to 1 300 mm, and then increased rapidly to the peak (1.52 snails/0.1 m2) if the annual precipitation ranged from 1 300 to 1 500 mm. In addition, the O. hupensis snail density increased rapidly to the maximum (1.60 snails/0.1 m2) if the aridity index ranged from 0.8 to 1.1, and decreased gradually if the aridity index exceeded 1.1. Conclusions The XGBoost model shows excellent performance in prediction of the O. hupensis snail density and identification of key environmental factors in the Yangtze River Delta region. Annual precipitation, elevation, aridity index and NDVI are key environmental factors affecting the distribution and density of O. hupensis snails in the Yangtze River Delta region.
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    Species of sandflies and prevalence of Leishmania infections in sandflies in selected areas of northern and northwestern China
    HE Yaqi, CUI Lei, ZHANG Yi, LI Yuanyuan, YANG Limin, FANG Yuan, LI Zhongqiu, ZHOU Zhengbin
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 20-28.  
    Abstract (634)      PDF(pc) (1467KB)(764)       Save
    Objective To investigate the species of sandflies and the prevalence of Leishmania infections in sandflies from selected areas of northern and northwestern China, so as to provide insights into identification of leishmaniasis vectors and assessment of epidemiological trends of leishmaniasis in China. Methods Sandfly samples were collected from Mentougou District of Beijing Municipality, Xiangning County in Linfen City of Shanxi Province, Ejin Banner in Alxa League of Inner Mongolia Autonomous Region, and Payzawat County of Karamay District of Karamay City, Gaochang District of Turpan City in Xinjiang Uygur Autonomous Region from July 2023 to July 2024. Approximately 100 intact female sandfly samples were randomly selected from each site and the species of sandflies was identified according to morphological characteristics and molecular assays. Female sandflies originating from the same habitat were grouped into pools of 10 individuals. Leishmania infection was detected using polymerase chain reaction (PCR) assay targeting the internal transcribed spacer 1 (ITS⁃1) gene, and the prevalence of Leishmania infection was calculated in sandflies from different sampling sites using the minimum infection rate (MIR) method. In addition, positive amplicons were sequenced and subjected to phylogenetic analysis. Results A total of 6 155 sandflies were collected from different environments at sampling sites across the six aforementioned regions from July 2023 to July 2024. Phlebotomus chinensis (96.00%) was the dominant sandfly species in Mentougou District, Beijing Municipality, with a small proportion of Ph. sergenti (4.00%), and only Ph. chinensis was found in Xiangning County, Linfen City, Shanxi Province. Ph. wui was the only sandfly species detected in Ejin Banner, Alxa League, Inner Mongolia Autonomous Region, and Payzawat County, Kashgar City, Xinjiang Uygur Autonomous Region, and Ph. caucasicus (97.70%) was the dominant sandfly species in Karamay District, Karamay City, Xinjiang Uygur Autonomous Region, with a small proportion of Ph. wui (2.30%), while Ph. alexandri was the only species in Gaochang District, Turpan City, Xinjiang Uygur Autonomous Region. A total of 40, 60, 34, 18, 18, and 22 pools of sandfly samples were tested from Mentougou District in Beijing Municipality, Xiangning County in Linfen City of Shanxi Province, Ejin Banner in Alxa League of Inner Mongolia Autonomous Region, Payzawat County in Kashgar City, Karamay District in Karamay City, and Gaochang District in Turpan City of Xinjiang Uygur Autonomous Region, respectively. L. infantum was detected in Ph. chinensis samples from Mentougou District in Beijing Municipality, and Xiangning County of Linfen City in Shanxi Province, with MIR of 0.25% to 1.00%, and L. donovani was detected in Ph. wui from Ejin Banner in Alxa League of Inner Mongolia Autonomous Region, and Payzawat County in Kashgar City of Xinjiang Uygur Autonomous Region, with MIR of 0.56% to 0.88%; however, no Leishmania infection was detected in Ph. caucasicus from Karamay District in Karamay City or Ph. alexandri from Gaochang District in Turpan City of Xinjiang Uygur Autonomous Region. Phylogenetic analysis showed that the Leishmania ITS⁃1 gene sequences obtained from Mentougou District in Beijing Municipality and Xiangning County in Linfen City of Shanxi Province were clustered into the same clade with the reference sequences of L. infantum ITS⁃1 gene, while the Leishmania ITS⁃1 gene sequences obtained from Ejin Banner in Alxa League of Inner Mongolia Autonomous Region and Payzawat County in Kashgar City of Xinjiang Uygur Autonomous Region were clustered into the same clade with the reference sequences of L. donovani ITS⁃1 gene. Conclusions There are variations in sandfly species in selected areas of northern and northwestern China, and variations in the species of Leishmania infecting sandflies. Improved surveillance of sandfly vectors and targeted control strategies with adaptations to geographical features and leishmaniasis vectors are recommended.
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    Epidemiological characteristics of dengue fever in Jiangmen City from 2014 to 2024
    FENG Qiwen, WEI Zhinan, LUO Xiaomin, XIAN Yihong, LAI Yanmei, HUANG Huanying, YANG Lifeng
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 668-672, 680.  
    Abstract (616)      PDF(pc) (1271KB)(297)       Save
    Objective To analyze the spatiotemporal and population distribution characteristics of dengue fever in Jiangmen City, Guangdong Province from 2014 to 2024, so as to provide insights into optimization of the dengue fever control strategy. Methods Data pertaining to dengue fever cases in Jiangmen City from 2014 to 2024 were retrieved from China Disease Prevention and Control Information System, including time of disease onset and current address. The temporal, regional and population distribution characteristics of dengue fever cases, as well as the interval from onset to definitive diagnosis and source of imported cases acquiring infections were analyzed. Results A total of 1 910 dengue fever cases were reported in Jiangmen City from 2014 to 2024, with an annual mean incidence rate of 5.16/105, and including 1 862 local cases (97.49%) and 48 imported cases (2.51%). Dengue fever outbreaks occurred in 2014, from 2018 to 2019 and in 2024, appearing a periodical outbreak, and 97.12% of dengue fever cases were reported in the year of the outbreak. Dengue fever cases were primarily concentrated in Pengjiang District (649 cases), Jianghai District (511 cases) and Heshan City (348 cases), which accounted for 78.95% of totally reported cases, and 50.47% of dengue fever cases were found at ages of 35 to 65 years, with housework/unemployment (28.70%), retirees (18.40%), and laborers (12.36%) as predominant occupations. There was a significant difference in the occupational distribution between local and imported dengue fever cases ([χ2] = 23.68, P < 0.05). The median interval from disease onset to definitive diagnosis was 5 (interquartile range, 5) days among dengue fever cases in Jiangmen City from 2014 to 2024, and 77.08% (37/48) of imported dengue fever cases acquired infections in Southeast Asia. Conclusions The epidemiological features of dengue fever are characterized by periodical outbreaks, regional clusters and high incidence among middle⁃aged and elderly populations. It is recommended to intensify vector control measures, precision interventions in high⁃risk areas, and early warning mechanisms at points of entry, and improve the early diagnostic capability among dengue fever cases.
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    Epidemiological characteristics of human brucellosis in Tacheng Prefecture, Xinjiang Uygur Autonomous Region from 2020 to 2023
    ZIWEIDIKEZI Shataer, ADELIETI Tuoliuhan, SAIMILA Ababaikere, ADILI Simayi, ZHAO Jiangshan, LIAO Peihua
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 268-273; 292.  
    Abstract (614)      PDF(pc) (1750KB)(170)       Save
    Objective To investigate the epidemiological characteristics of human brucellosis in Tacheng Prefecture, Xinjiang Uygur Autonomous Region, so as to provide insights into formulation of human brucellosis control measures. Methods The epidemiological data of human brucellosis cases in Tacheng Prefecture, Xinjiang Uygur Autonomous Region (excluding the Xinjiang Production and Construction Corps) from 2020 to 2023 were retrieved from the National Notifiable Infectious Diseases Reporting Information System, and population data in Tacheng Prefecture from 2020 to 2023 were collected from 2020 China Population Census by County. A hexagonal grid map was created at a township level using the R 4.5.0 software to examine the spatial distribution and spatial autocorrelation of human brucellosis cases, so as to identify statistically significant spatial clustering patterns and clusters. Results A total of 1 798 human brucellosis cases were reported in Tacheng Prefecture, Xinjiang Uygur Autonomous Region from 2020 to 2023, with an average annual incidence rate of 40.54/105. Human brucellosis cases were predominantly detected during the period between March and August (1 291 cases, 71.80% of totally reported cases), and these cases were predominantly male (70.19%), individuals at ages of 30 to 60 years (73.14%), and farmers and herdsmen (86.32%). The highest annual average incidence of human brucellosis was found in Hoboksar Mongol Autonomous County (71.21/105), and a high number of human brucellosis cases was reported in Shawan City and Wusu City (1 160 cases, 64.52% of total cases), which were epidemic⁃concentrated regions for human brucellosis. Spatial analysis of human brucellosis at a township scale revealed that human brucellosis cases exhibited spatial clustering patterns in Tacheng Prefecture each year from 2020 to 2023 (Moran's I = 0.27 to 0.44, all P values < 0.05). Hotspot townships were primarily concentrated in Shawan City and Wusu City and remained relatively stable, while cold⁃spot areas gradually expanded. Conclusions Human brucellosis remained highly prevalent in Tacheng Prefecture, Xinjiang Uygur Autonomous Region from 2020 to 2023. Targeted management of sources of infection and high⁃risk individuals is recommended for human brucellosis control.
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    From transmission to elimination: progress of schistosomiasis control in Sichuan Province
    WAN Jiajia, WU Zisong, CHEN Lin, WANG Nannan, ZHANG Yu, PU Chen, LI Rongzhi, MENG Xianhong, XU Liang, SHANG Jingye, LU Ding, ZHONG Bo, LIU Yang
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 232-239.  
    Abstract (606)      PDF(pc) (1040KB)(236)       Save
    Sichuan Province is a hilly schistosomiasis⁃endemic province in China with the highest endemicity and largest coverage. During the period of more than 70 years of integrated control, there are five distinct phases of schistosomiasis control in Sichuan Province, including baseline investigation, Oncomelania hupensis snail control, chemotherapy for both humans and livestock, management of source of Schistosoma japonicum infections, and sustained control and intensified surveillance and early warning, and a package of key interventions are implemented, including environmental modification, snail control with chemical treatment, large⁃scale chemotherapy for humans and livestock, management of source of S. japonicum infections, intensified integrated control, establishment of an early warning and surveillance system. As a result, schistosomiasis has been eliminated across all 63 disease⁃endemic counties (cities, districts) in Sichuan Province by June 2025. Government⁃led multi⁃sectoral collaborations, science and technology⁃supported precision control strategies, and a sustainable control model tailored to the ecological and socio⁃economic conditions in endemic regions are essential to achieving the target of schistosomiasis elimination in Sichuan Province.
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    Transcriptomic responses of Bulinus globosus to extreme temperature and drought stress
    WANG Xinyao, PENG Dandan, YANG Ying, ZHANG Jianfeng, QIN Zhiqiang, YANG Kun, LI Shizhu, XU Jing
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 29-37.  
    Abstract (605)      PDF(pc) (2173KB)(204)       Save
    Objective To examine the impact of extreme temperature and drought stress on the survival of Bulinus globosus, so as to provide the theoretical evidence for the genomic research of Bulinus in absence of reference genes. Methods‌ B. globosus snail samples were collected from Kiwani Shehia in Pemba Island, Zanzibar, Tanzania, and offspring snails were obtained through laboratory breeding and reproduction. A total of 120 10⁃week⁃old B. globosus snails from the same generation were selected and randomly assigned into four groups, including the high⁃temperature drought (HD) group, normal temperature drought (D) group, low⁃temperature drought (LD) group, and the control (C) group, of 30 snails in each group. Snails in HD, D, and LD groups were placed in beakers containing dry soil at the bottom and subsequently housed in climate chambers at 35, 26 ℃, and 10 ℃, respectively, while snails in Group C were maintained in 500 mL petri dishes containing dechlorinated tap water at 26 ℃. Following 3 days of breeding, living snails in each group were collected, and soft tissues were dissected and isolated. Total RNA was extracted from snail soft tissues for library construction, followed by high⁃throughput sequencing on the Illumina HiSeq 4000 sequencing system. De novo transcriptome assembly was performed using the Trinity software, and the longest transcripts were selected as unigenes. Gene functional annotations of unigenes were conducted using the Diamond software against Gene Ontology (GO) knowledgebase, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway database, NCBI non⁃redundant (NR) protein sequences database, Protein Family (Pfam) database, and UniProtKB/Swiss⁃Prot (Swiss⁃Prot) knowledgebase. GO and KEGG enrichment analyses of differentially expressed genes (DEGs) were performed using the topGO and clusterProfiler software, respectively. In addition, four relevant genes were selected for validation using a real⁃time quantitative PCR (qRT⁃PCR) assay to verify the reliability of transcriptome sequencing results. Results Following 3 days of breeding, there were 7, 20, 28, and 30 survival B. globosus snails in HD, LD, D, and C groups, with corresponding survival rates of 23.33% (7/30), 66.67% (20/30), 93.33% (28/30), and 100.00% (30/30), respectively ([χ2]  = 52.72, P < 0.001). De novo transcriptome assembly generated 176 942 unigenes, with annotation rates of 0.98%, 13.49%, 26.46%, 12.48%, and 14.39% against GO knowledgebase, KEGG pathway database, NR protein sequences database, Pfam database, and Swiss⁃Prot knowledgebase, respectively. There were 33 up⁃regulated and 72 down⁃regulated genes in Group D, 483 up⁃regulated and 815 down⁃regulated genes in Group HD, and 245 up⁃regulated and 172 down⁃regulated genes in Group LD relative to in Group C. Following removal of overlapping genes across groups and unmatched genes, 11 candidate genes were identified. GO and KEGG analyses revealed 3 heat shock protein (HSP)⁃related DEGs in these 11 candidate genes, which were annotated as HSP12.2, HSP70, and HSP20 genes and were all significantly up⁃regulated in each treatment group. Three immune⁃ and nervous system⁃related DEGs were identified, and were all significantly down⁃regulated in each treatment group, which were involved in the neural cell adhesion molecule L1⁃like protein pathway, fibrinogen binding protein pathway, and leukocyte elastase inhibitor⁃like protein pathway. qRT⁃PCR assay quantified that the expression trends of four genes related to temperature and drought stress across different treatment groups were highly consistent with transcriptome sequencing data. Conclusion The survival rate of B. globosus significantly reduces under combined stresses of extreme temperature and drought, possibly due to an imbalance in its cellular homeostasis regulatory system.
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    Metagenomic next⁃generation sequencing for diagnosis of infection of unknown origin in intensive care units: a bibliometric analysis
    CHEN Ke, HUANG Liuliu
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 79-83, 91.  
    Abstract (593)      PDF(pc) (1831KB)(752)       Save
    Objective To investigate the scientific outputs of metagenomic next⁃generation sequencing (mNGS) for diagnosis of infection of unknown origin in intensive care units (ICUs), and to decipher the latest advances, frontier trends and spatiotemporal evolution of research hotpots in mNGS for diagnosis of infection of unknown origin in ICUs.  Methods Publications pertaining to the application of mNGS in diagnosis of infection of unknown origin in ICUs were retrieved from Web of Science Core Collection (WOSCC) from January 1, 2015 to December 31, 2024. The software Scimago Graphica 1.0.30 was employed to generate the network maps of collaboration relationships between countries, international collaborative relationships, author collaborations, institutional collaborative relationships, and a heatmap of journals, and the software VOSviewer 1.6.18 was used to create a heatmap of keywords, and maps of keyword co⁃occurrence clustering and keyword clustering timelines. In addition, the keyword burst map was created using the software CiteSpace 6.3.R3.  Results A total of 1 707 publications were included in the final analysis, and the number of publications appeared an overall tendency towards a rise from 2015 to 2024, with the largest number of publications seen in 2024 (545 publications). The largest number of publications was recorded in China (1 390 publications), followed by in USA (190 publications) and United Kingdom (31 publications), and China led the global research in this field, with 81% of global related researches linked with China. Frontiers in Cellular and Infection and Microbiology published the largest number of articles (212 publications, 12.42%), and Joseph Derisi was the most productive author (33 publications). Author collaborations occurred within groups; however, there was a lack of close inter⁃group collaborations, with University of California, San Francisco and Chan Zuckerberg Biohub⁃based group seen as the largest collaborative group. High⁃frequency co⁃occurrence keywords included mNGS, infection, diagnosis, case report, community⁃acquired pneumonia and bronchoalveolar lavage fluid, and the 100 most common high⁃frequency co⁃occurrence keywords were assigned into four clusters. Keyword clustering timeline analysis revealed that the research hotspots in this field shifted from virus sequencing and sequence alignment to severe pulmonary infections, and keyword burst analysis showed identification, mNGS and virus as top three keywords with the highest burst intensity.  Conclusions mNGS was mainly used for identification of viruses among patients with infections of unknown origins in ICUs from 2015 to 2024, and future research priority shifted to pathogen detection for severe pulmonary infections.
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    Advances in techniques for assessment of schistosomiasis transmission risk: a global perspective and China's practice
    XU Andong, ZHU Hong, XU Jing, LI Shizhu
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 100-108.  
    Abstract (584)      PDF(pc) (1116KB)(435)       Save
    Based on review of global and Chinese schistosomiasis control progress and the evolution of control strategies, this article focuses on Chinese practical experiences of schistosomiasis control and systematically summarizes five key determinants for schistosomiasis transmission risk, including source of infections, intermediate host snails, high⁃risk populations, natural environments, and social factors. To address these risks and challenges associated with these determinants, the article reviews the advances in techniques for assessment of schistosomiasis transmission risk and their applications, including conventional risk assessment approaches, mathematical model⁃based tools for prediction of schistosomiasis transmission risk, and indicator⁃system⁃based techniques for assessment of schistosomiasis transmission risk. This review underscores the essential role of interdisciplinary integration and dynamic management in precision schistosomiasis control and recommends the intensification of verification of field adaptation and dynamic updates of indicator systems to promote the widespread application of assessment tools across diverse regions and contexts, so as to provide strategic guidance and methodological support to achieve the target for elimination of schistosomiasis across China in 2030.
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    Analysis of the structure and function of the vaginal microbiota among patients with trichomonal vaginitis
    YANG Tao, XUE Zhiqiang, YUAN Dongbo
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 655-662.  
    Abstract (581)      PDF(pc) (2787KB)(360)       Save
    Objective To analyze the characteristics and functions of the vaginal microbiota in patients with trichomonal vaginitis (TV) and to explore the association between vaginal microbiota structure and the pathogenesis of TV. Methods  TV patients admitted to the Gynecology and Obstetrics Outpatient Department of Yixing People's Hospital from October 2024 to January 2025 were selected as the TV group, and non⁃TV patients among female health examination participants at the same hospital during the same period were selected and served as controls. Vaginal secretion samples were collected from both groups. The pH value of vaginal secretions, as well as hydrogen peroxide and leukocyte esterase, were detected using a vaginitis combined detection kit. Total genomic DNA was extracted from the vaginal secretion samples of both groups, and the full⁃length bacterial 16S rRNA gene was amplified by PCR. Purified PCR products were mixed proportionally to construct an amplicon library for single⁃molecule real⁃time sequencing. High⁃quality sequences were clustered into operational taxonomic units (OTUs), and chimeric sequences were simultaneously removed. Representative sequences of OTUs were taxonomically classified, and the microbial composition of each sample was statistically analyzed at different taxonomic levels. Results A total of 21 TV patients were included in the TV group, and 22 non⁃TV patients among female health examination participants were included in the control group. The pH values of vaginal secretions in the TV group and the control group were 4.593 ± 0.087 and 4.431 ± 0.093, respectively, with a statistically significant difference (t = 6.537, P < 0.01). The positive rates of H2O2 in the two groups were 80.95% (17/21) and 22.72% (5/22), and the positive rates of leukocyte esterase were 80.95% (17/21) and 27.27% (6/22), respectively, with statistically significant differences([χ2] = 14.576、12.445, P < 0.01). Alpha diversity analysis results showed that the median and interquartile range [M(QR)] of the Shannon index for the vaginal microbiota in the TV group was 1.40 (1.41), which was higher than that of the control group (Z = 3.716, P < 0.001); the Simpson index [M(QR)] of the TV group was 0.34 (0.39), which was lower than that of the control group (Z = -3.602, P < 0.001). At the OTU level, the distribution of sample data points in the coordinate space was distant between the TV group and the control group, showing spatial separation. The microbiota health index value of the control group was higher than that of the TV group [1.40 (1.66) vs. -2.36 (2.29); Z = -5.467, P < 0.001], while the microbiota dysbiosis index value was lower than that of the TV group [-1.17 (1.40) vs. 2.06 (2.27); Z = -5.224, P < 0.001]. A total of 281 OTUs were identified. The vaginal microbiota of the TV group contained 62 unique OTUs (accounting for 22.06%), while the control group contained 82 unique OTUs (accounting for 29.18%). The highest relative abundance of Leptotrichia was detected in the TV group, and Lactobacillus was the dominant genus in the control group, with higher relative abundance of Lactobacillus detected in the control group than in the TV group (t = 3.646, P = 0.003). Functional analysis of the vaginal microbiota in both groups showed statistically significant differences in the relative abundances of metabolic pathways such as ABC transporters (t = 3.282, P = 0.002), purine metabolism (t = 2.517, P = 0.014), biosynthesis of secondary metabolites (t = 2.704, P = 0.010), and aminoacyl⁃tRNA biosynthesis (t = 2.201, P = 0.030). Conclusion The abundance and function of vaginal flora in TV patients undergo changes, which may be closely related to the occurrence and development of TV. This provides assistance for further understanding the microbial mechanism of TV in clinical practice.
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    Surveillance of Schistosoma japonicum infections in wild murines in Yunnan Province
    SHEN Meifen, SONG Jing, WANG Lifang, ZHANG Yun, JIANG Hua, ZHOU Jihua, YAN Jiaqi, SUN Jiayu, CHEN Chunqiong, ZHANG Zongya, WANG Hongqiong, DU Chunhong, DONG Yi
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 299-303.  
    Abstract (565)      PDF(pc) (1224KB)(170)       Save
    Objective To investigate the prevalence of Schistosoma japonicum infections in wild murines in schistosomiasis⁃endemic areas of Yunnan Province, so as to provide the evidence for improving the schistosomiasis surveillance and early warning capability and  implementing precise interventions in the province. Methods A total of 56 natural villages were sampled from 14 schistosomiasis⁃endemic counties (cities, districts) in Yunnan Province as surveillance sites from 2024 to 2025. Wild murines were captured using traps at night and characterized for species. Liver samples were collected from wild murines, S. japonicum eggs and miracidia were simultaneously detected using liver tissue compression microscopy, liver tissue homogenate microscopy, and liver tissue homogenate hatching. In addition, stool samples were collected from wild murine rectum, with S. japonicum eggs detected using a modified Kato⁃Katz thick smear technique and S. japonicum miracidia detected using the hatching test with nylon gauzes. Results A total of 15 577 valid murine traps were recovered, and 891 wild murines belonging to 16 species were captured, with a capture rate of 5.72%(891/15 577). The captured wild murines were predominantly districted in paddy fields, dry lands, ditches, ponds and marshlands, with Apodemus chevrieri, Rattus norvegicus, Crocidura attenuata, R. rattus sladeni, R. flavipectus, and Eothenomys miletus as dominant species. No S. japonicum eggs or miradicia were in laboratory; however, other parasites were identified in 25 wild murines. The prevalence rates of Schistosoma sinensis, Capillaria hepatica and Hymenolepis nana were 2.24% (20/891), 0.90% (8/891) and 0.56% (5/891), and the prevalence of S. sinensis and C. hepatica co⁃infection was 0.90% (8/891), respectively. Conclusions S. sinensis, C. hepatica and H. nana are predominant parasite species in wild murines in schistosomiasis⁃endemic areas of Yunan Province. No S. japonicum infection was detected during the study period; however, there is still a  risk of wild murines as a potential source of infection for schistosomiasis transmission. Continuous intensified surveillance of S. japonicum infections in wild murines is a critical programme in schistosomiasis surveillance and early warning in Yunnan Province.
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    Diagnosis of bovine piroplasmosis: a review
    SHEN Lin, SUN Yingying, WANG Wei, DU Cheng, WANG Xiaojun
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 314-322.  
    Abstract (556)      PDF(pc) (1345KB)(158)       Save
    Bovine piroplasmosis, caused by infections with genus of Babesia and Theileria, is a tick⁃borne hemoparasitic disease. Recovered cattle often become asymptomatic persistent carriers, which represent potential sources of infection, and the pathogens of some forms of bovine piroplasmosis have zoonotic potential, which greatly threatens the public health security. Currently, the etiological diagnostic approaches of bovine piroplasmosis mainly include microscopy of blood smears, PCR assay, fluorescent quantitative real⁃time PCR assay, and loop⁃mediated isothermal amplification, and serological assay mainly includes indirect fluorescent antibody assay, enzyme⁃linked immunosorbent assay and immunochromatographic assay. This article systematically reviews the advances in the application of etiological approaches and serological assay for diagnosis of bovine piroplasmosis, and proposes future directions in the development of bovine piroplasmosis diagnosis, so as to provide insights into effective surveillance and precision control of bovine piroplasmosis in China. 
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    Correlation of mitochondrial genetic differentiation and spatial variables of Oncomelania hupensis robertsoni in Yunnan Province
    ZHANG Yuanyuan, SONG Jing, HAO Yuwan, YANG Zaogai, SHI Xinping, NING Siqi, WANG Hongqiong, DU Chunhong, ZHOU Jihua, ZHANG Zongya, LI Kai, LI Shizhu, DONG Yi
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 54-59.  
    Abstract (548)      PDF(pc) (1535KB)(497)       Save
    Objective To analyze the potential spatial factors affecting the genetic differentiation of Oncomelania hupensis robertsoni in Yunnan Province. Methods A total of 13 administrative villages were selected from schistosomiasis⁃endemic areas of Yunnan Province as O. hupensis snail sampling sites. At least 200 snails were collected in each site, and the spatial variable data of each site were recorded, including longitude, latitude and altitude. Thirty active and Schistosoma japonicum uninfected O. hupensis snails were selected from each sampling site by means of the crawling method and the cercarial shedding method. Genomic DNA was extracted from O. hupensis snails. Following PCR amplification, purification of PCR amplification products and sequencing, the gene sequences of O. hupensis snail samples were spliced and edited using the DNAstar software and the NCBI database to yield the complete mitochondrial sequences of O. hupensis snails at each sampling site, and the mitochondrial genetic distance matrix of O. hupensis robertsoni was calculated at each sampling site. The geographical coordinates of each sampling site were marked using the software ArcGIS 10.2, and the straight⁃line geographical distance between each sampling site was calculated. The altitude difference, longitude difference and latitude difference between each sampling site were calculated using the Excel software, and the correlation between the mitochondrial genetic distance matrix of O. hupensis robertsoni and each spatial variable matrix was examined by using the Mantel test at 13 sampling sites in Yunnan Province. Results Among the 13 O. hupensis snail sampling sites in Yunnan Province, the largest mitochondrial genetic distance of O. hupensis robertsoni snail populations was seen between Anding Village, Nanjian Yi Autonomous County and Caizhuang Village, Midu County (26.244 2), and the largest geographical distance was seen between Dongyuan Village, Gucheng District and Cangling Village, Chuxiong County (272.64 km). The highest altitude difference was seen between Anding Village, Nanjian Yi Autonomous County and Dongyuan Village, Gucheng District (1 086.10 m), and the largest longitude difference was found between Qiandian Village, Eryuan County and Cangling Village, Chuxiong County (1.86°), while the largest latitude difference was measured between Leqiu Village, Nanjian Yi Autonomous County and Dongyuan Village, Gucheng District (1.81°). In addition, the mitochondrial genetic distance of O. hupensis robertsoni snail populations was positively correlated with altitude at 13 snail sampling sites in Yunnan Province (r = 0.542 8, P < 0.001), and showed no significant correlations with geographical distance (r = 0.093 4, P > 0.05), longitude (r = −0.199 5, P > 0.05) or latitude (r = 0.205 7, P > 0.05). Conclusion Altitude may be a potential spatial factor affecting the genetic differentiation of O. hupensis robertsoni in Yunnan Province.
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    Construction of an index system for assessment of schistosomiasis transmission risk following natural disasters
    SHANG Jingye, YU Chenghang, WU Zisong, MENG Xianhong, XU Huirong, WANG Chaofu, ZHENG Bin, LI Shizhu, LIU Yang
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 60-68.  
    Abstract (538)      PDF(pc) (1113KB)(274)       Save
    Objective To construct an index system for assessment of schistosomiasis transmission risk following natural disasters such as rainstorms, floods, earthquakes, mudslides, and landslides, so as to provide insights into rapid identification of schistosomiasis transmission risk post⁃disasters and formulation of targeted schistosomiasis control strategies. Methods An initial framework for the index system for assessment of schistosomiasis transmission risk following natural disasters was drafted through literature review, brainstorming, and focus group discussions. Two rounds of expert correspondence consultations were conducted using the Delphi method to refine and finalize the system, and the degrees of expert activeness, authority and endorsement, and consensus were evaluated. In addition, the weights of each index were calculated using the analytic hierarchy process. Results A total of 18 experts participated in the consultation. The expert positive coefficients were 100.00% and 94.44% for two rounds of consultations, with authority coefficients of 0.92 and 0.94, respectively. The coefficients of coordination on the index importance, rationality and operability were 0.209, 0.185, 0.222 and 0.407, 0.214, 0.257 for two rounds of consultations, respectively, and all consistency tests were statistically significant ([χ2] = 246.771 to 505.278, all P values < 0.001). Following two rounds of expert consultations, an index system consisting of 6 first⁃level indicators, 15 second⁃level indicators, and 49 third⁃level indicators was ultimately constructed. In terms of first⁃level indicators, "disaster situation", "previous epidemics", "healthcare guarantee", "response capacity" and "emergency recovery" had the highest weights, each at 18.18%. Regarding second⁃level indicators, "Schistosoma japonicum infections in animals", "S. japonicum infections in snails" and "medical treatment" had the highest weights, each at 7.35%. In terms of third⁃level indicators, ten items had the highest weights, including "identification of schistosomiasis cases", "detection of S. japonicum infections in wild feces", "detection of S. japonicum infections in snails", "reserves of schistosomiasis diagnostic/testing reagents and consumables", "reserves of chemotherapy agents for human and animal schistosomiasis", "reserves of cercariacides", "periodical surveillance on schistosomiasis", "identification of schistosomiasis transmission risk and timely response", "normal provision of diagnosis and treatment services" and "post⁃disaster schistosomiasis surveillance", each at 2.40%. Conclusion A scientific, systematic, and practical index system has been constructed for assessment of schistosomiasis transmission risk following natural disasters, which may provide insights into rapid post⁃disaster identification of schistosomiasis transmission risk, formulation of targeted schistosomiasis control strategies and optimization of resource allocation. 
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    Construction of a One Health⁃based performance evaluation indicator system for integrated interventions for schistosomiasis control during the elimination phase
    ZHANG Yanyan, LIU Jingshu, LI Xinchen, ZHANG Qiyu, ZHANG Xiaoxi, ZHOU Xiaonong
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 240-249.  
    Abstract (533)      PDF(pc) (1147KB)(186)       Save
    Objective To construct a One Health⁃based performance evaluation indicator system for integrated interventions for schistosomiasis in the elimination phase, clarify the dimensions and connotations of intervention performance evaluation, and provide methodological reference for subsequent real⁃world performance evaluation in schistosomiasis control. Methods On the basis of literature analysis, a preliminary indicator system was developed through group discussion and expert consultation. Nineteen experts in schistosomiasis control were invited to participate in two rounds of Delphi consultation. Expert response rate, degree of consensus, coordination of opinions, and authority were assessed. The indicators were optimized and refined according to the scoring results and expert feedback, and the analytic hierarchy process was used to determine the normalized weights of indicators at each level. Results Through literature analysis, group discussion, and expert consultation, a preliminary performance evaluation indicator system for integrated interventions for schistosomiasis was developed, consisting of 4 first⁃level indicators, 8 second⁃level indicators, and 20 third⁃level indicators. The response rates of the two rounds of expert consultation were both 100.00%. In the first round, the ranges of the experts' judgment coefficient, familiarity coefficient, and authority coefficient were 0.88 ~ 1.00, 0.74 ~ 0.99, and 0.82 ~ 0.99, respectively; in the second round, the corresponding ranges were 0.88 ~ 0.98, 0.73 ~ 0.98, and 0.81 ~ 0.98, respectively. In the first round, Kendall's coefficients of concordance for the rationality, importance, and operability of the indicators were 0.201, 0.252, and 0.221, respectively; in the second round, the corresponding values were 0.267, 0.319, and 0.296, respectively. The Kendall's coefficients of concordance in both rounds were statistically significant ([χ2] = 112.063, 140.415, 123.386, 121.939, 145.393, and 135.072, all P < 0.05). After optimization and revision, the final indicator system consisted of 4 first⁃level indicators, 7 second⁃level indicators, and 14 third⁃level indicators. Among the first⁃level indicators, the normalized weights of "health performance", "economic performance", "ecological performance", and "social performance" were 40.44%, 13.88%, 11.67%, and 34.01%, respectively. Among the second⁃level indicators, the normalized weights of "disease burden level" and "promotion of health equity" were both 100.00%; those of "resource consumption" and "production capacity" were both 50.00%; and those of "water and soil regulation", "atmospheric environmental regulation", and "species conservation" were all 33.33%. Conclusions A One Health⁃based performance evaluation indicator system was constructed for integrated interventions for schistosomiasis in the elimination phase. The system incorporates performance evaluation indicators across multiple dimensions, including health, economic, ecological, and social domains, and provides a tool for evaluating the performance of cross⁃sector collaborative governance in integrated schistosomiasis interventions.
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    Investigation on prevalence of pinworm infection among kindergarten children and knowledge of prevention and control among teachers and parents in Gaoyou City from 2023 to 2025
    WANG Wei, XU Yuhui, TIAN Fang, GAO Jinbin, WAN Zhong, HE Yong
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 309-313.  
    Abstract (528)      PDF(pc) (942KB)(139)       Save
    Objective To investigate the prevalence of pinworm infections among kindergarten children and the effectiveness of health interventions among teachers and parents in Gaoyou City, so as to provide insights into optimization of enterobiasis control strategies.  Methods From September to November each year from 2023 to 2025, Gaoyou City's 57 kindergartens were divided into five zones based on the five cardinal directions: east, west, south, north, and center. At least one kindergarten was randomly selected as a survey site in each zone, with a minimum of 200 children surveyed per site. The transparent adhesive tape anal swab method was used to detect pinworm infection in the surveyed children, while the transparent adhesive tape sticking method was employed to assess pinworm egg contamination in the children's home and classroom environments. Concurrently, health education interventions were conducted for kindergarten teachers and parents. Additionally, self⁃administered questionnaires were administered to teachers and parents to evaluate children's hygiene behaviors and the awareness rates of pinworm prevention knowledge among teachers and parents before and after the health education interventions.  Results From 2023 to 2025, a total of 1 939 children from nine kindergartens in Gaoyou City were tested for pinworm infection, with two cases detected, resulting in an overall infection rate of 0.10% (2/1 939). No pinworm eggs were found in the samples from the children's families or classroom environments. In public kindergartens, the proportions of children practicing the four hygiene habits, namely "handwashing after defecation" [96.10% (1 305/1 358) vs. 74.65% (212/284); [χ2] = 153.646, P < 0.05], "regular nail trimming" [92.93%(1 262/1 358) vs. 77.82% (221/284); [χ2] = 61.349, P < 0.05], "not biting toys or pencils" [88.14% (1 197/1 358) vs. 76.76% (218/284); [χ2] = 25.549, P < 0.05], and "showering twice or more per week" [89.03% (1 209/1 358) vs. 74.65% (212/284); [χ2] = 41.699, P < 0.05], were all higher than those in private kindergartens. Before health education intervention, the awareness rates of pinworm prevention knowledge among teachers in public and private kindergartens were 86.89% (53/61) and 75.00% (21/28), respectively, with no statistically significant difference ([χ2] = 1.935, P > 0.05). The awareness rates among parents of children in public and private kindergartens were 64.73% (879/1 358) and 57.39% (163/284), respectively, showing a statistically significant difference ([χ2] = 5.447, P < 0.05). After the intervention, the awareness rates among teachers in public and private kindergartens increased to 96.72% (59/61) and 82.14% (23/28), respectively, while those among parents rose to 88.95% (1 208/1 358) and 77.81% (221/284), both with statistically significant differences ([χ2] = 5.628 and 25.808, both P < 0.05). Among the questionnaire items, teachers [32.58% (29/89)] and parents [26.00% (427/1 642)] had the lowest overall awareness rate regarding the "main reasons for the difficulty in preventing and controlling pinworm disease". After the intervention, these rates increased to 77.53% (69/89) and 70.77% (1 162/1 642), respectively. Conclusions The prevalence of pinworm infection in kindergarten children in Gaoyou City is at a low level. Health intervention can effectively improve the knowledge level of teachers and parents on the prevention and treatment of pinworm disease, but further efforts are needed to strengthen the health education and management of pinworm disease in private kindergartens.
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    Comorbid chronic diseases among advanced schistosomiasis patients in Suzhou City
    SHI Qianwen, HU Yihe, WU Jingzhi, DAI Ningbin
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 293-298.  
    Abstract (524)      PDF(pc) (1104KB)(165)       Save
    Objective To investigate the prevalence of comorbid chronic diseases among advanced schistosomiasis patients in Suzhou City, so as to provide insights into formulation of the scheme for medical assistance management of advanced schistosomiasis patients.  Methods All data pertaining to survival advanced schistosomiasis patients in Suzhou City were retrieved from the Information Management Platform of Schistosomiasis (Parasitic Diseases) in Jiangsu Province as of August 19, 2024. These patients' outpatient and inpatient records from January 1, 2017, to August 19, 2024, were collected through Suzhou Municipal Health Statistics Information Center. The prevalence of comorbid chronic diseases was analyzed, and the comorbid patterns of chronic diseases were identified using cluster analysis.  Results A total of 1 868 advanced schistosomiasis patients were enrolled in Suzhou City, with a mean age of (79.20 ± 7.17) years, and the median types of prevalent comorbid chronic diseases was 5 (interquartile range, 5). The mean age [(80.13 ± 7.09) years vs. (77.49 ± 7.02) years; t = 7.70, P < 0.001] and median types of prevalent comorbid chronic diseases [5 (interquartile range, 4) vs. 4 (interquartile range, 5); Z = 436 745, P < 0.001] were both higher among female advanced schistosomiasis patients than among male cases. The prevalence of comorbid chronic diseases was 84.96% (1 587/1 868) among advanced schistosomiasis patients in Suzhou City, and the prevalence was higher among female cases than among male cases [86.58%, (1 052/1 215) vs. 81.93% (535/653); [χ2] = 7.20, P = 0.007]. The prevalence of comorbid chronic diseases appeared a tendency towards a rise with age among male advanced schistosomiasis patients ([χ2] trend = 7.63, P = 0.006) and a decline among female patients ([χ2] trend = 10.59, P = 0.001). The prevalence of comorbid chronic diseases was higher among female advanced schistosomiasis patients at ages of 70 to 80 years than among male cases at the same age group [90.18% (459/509) vs. 80.61% (266/330); [χ2] = 14.81, P < 0.001]. The three most common comorbid chronic diseases included hypertension (67.83%), chronic gastric disorders (57.28%) and heart disease (44.00%) among advanced schistosomiasis patients in Suzhou City. The comorbidity rates of chronic gastric diseases ([χ2] = 5.33, P < 0.05), heart diseases ([χ2] = 4.15, P < 0.05), stroke ([χ2] = 10.68, P < 0.05), arthritis or rheumatic disease ([χ2] = 7.13, P < 0.05), osteoporosis ([χ2] = 39.51, P < 0.05), and memory⁃related diseases ([χ2] = 7.00, P < 0.05) were higher among female advanced schistosomiasis patients than among male cases, and the comorbidity rate of malignant tumors was higher among male cases than among female cases (10.26% vs. 7.41%; [χ2] = 4.13, P = 0.042). The cluster dendrogram showed that advanced schistosomiasis patients' comorbid chronic diseases in Suzhou City were mainly divided into three clusters: (1) hypertension, chronic gastric diseases; (2) chronic pulmonary diseases, arthritis or rheumatic diseases, osteoporosis, chronic liver diseases, heart diseases, and stroke; and (3) diabetes, sleep disorders, gallbladder diseases, overweight and obesity, atopic dermatitis, chronic kidney diseases, mental and psychological diseases, malignant tumors, asthma, and memory⁃related diseases. Conclusions There are multiple types of comorbid chronic diseases among advanced schistosomiasis patients in Suzhou City, with high prevalence, which necessitates the implementation of effective preventive measures and interventions targeting comorbid chronic diseases among advanced schistosomiasis patients.
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    Prevalence of parasite infections in murines in Dali City of Yunnan Province in 2023#br#
    SHEN Meifen, WANG Lifang, SONG Jing, LIU Yuhua, YANG Xun, LI Guizhen, YANG Ruowen, ZHANG Yun, SUN Jiayu, ZHANG Zongya, JIANG Hua, ZHOU Jihua, DU Chunhong, DONG Yi
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 646-649.  
    Abstract (522)      PDF(pc) (1111KB)(328)       Save
    Objective To investigate the current prevalence of parasitic infections in murines captured from Dali City, so as to provide insights into improvements in the surveillance and control measures of human parasitic diseases in the city. Methods  Seven natural villages were sampled from 4 townships in Dali City on November 2023, and murines were captured using murine traps in farmlands, grasslands and ditches neighboring the survey villages and characterized for species. Murines were sacrificed and dissected, and liver specimens were collected for detection of parasite eggs using microscopy. In addition, murine rectal feces were collected, and parasite eggs were identified in fecal samples using Kato⁃Katz technique, and Schistosoma japoninicum infection was detected using miracidial hateching test with nylon gauzes. Results A total of 126 murines belonging to 12 species were captured, and Crocidura attenuata was the dominant species (34.92%, 44/126), followed by Eothenomys miletus (13.49%, 17/126) and Apodemus chevrier (13.49%, 17/126). A total of 17 murines representing 8 species were detected with parasitic infections, with an overall prevalence rate of 13.49% (17/126). Murine with parasitic infections were distributed in 4 natural villages, with the highest number of infections in C. attenuata (5), followed by in E. miletus (4). A total of 7 species of parasite eggs were detected in captured murines, and the highest prevalence of parasitic infections was seen in Schistosoma sinensium (5.56%, 7/126), followed by in Capillaria hepatica (3.17%, 4/126), S. japonicum (2.38%, 3/126), Strongyloides stercoralis (2.38%, 3/126), hookworm (2.38%, 3/126), Trichuris trichiura (1.59%, 2/126) and Hymenolepis nana (1.59%, 2/126). Mixed infections of S. japonicum, S. sinensium and C. hepatica were detected in one C. attenuata, one Rattus tanezumi and one R. norvegicus captured from the same natural village, with S. japonicum miracidia hatched from R. tanezumi fecal samples, and S. stercoralis and H. nana mixed infections were detected in one C. attenuata. Conclusions The prevalence of parasitic infections was high in murines in Dali City in 2023, and the murine host animals are diverse and the species of parasites infecting murines are multiple, with a high risk of zoonotic transmission. Early warning and monitoring of parasitic infections, environmental improvements and murine control are recommended for integrated control of parasitic infections in murines.
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    Mechanistic study on alleviation of Schistosoma japonicum infection⁃induced hepatic damages by macrophage efferocytosis 
    ZHANG Yuxin, SHEN Junyao, XUE Weijie, MAO Chenxu, WANG Ziling, LEI Zhigang, ZHOU Sha, SU Chuan
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 274-286.  
    Abstract (493)      PDF(pc) (4011KB)(172)       Save
    Objective To investigate the development, role, and regulatory mechanism of macrophage efferocytosis in the liver of hosts infected with Schistosoma japonicum. Methods The expression of efferocytosis⁃related gene like efferocytosis receptors, efferocytosis⁃related bridging molecules,"eat me" signal and "don't eat me" signal was detected in the livers of patients and mice infected with S. japonicum in the Gene Expression Omnibus (GEO) database. Ten wild⁃type (WT) male mice (6 ~ 8 weeks old, weighing 20 ~ 25 g) were randomly divided into a Schistosoma japonicum infection (SJ) group and a normal control (NC) group, with 5 mice in each group. The efferocytosis of neutrophils and T cells by liver macrophages was detected in mice from SJ group and NC group using flow cytometry and immunofluorescence assay, respectively. The expression of efferocytosis⁃related Mer receptor tyrosine kinase (MerTK) and Axl receptor tyrosine kinase (Axl) proteins was determined in mouse liver tissues using Western blotting assay, and the proportion of MerTK+ macrophages and the average fluorescence intensity of macrophage MerTK were detected in mouse livers using flow cytometry. Changes in liver granulomas and fibrosis were observed in mice infected with S. japonicum following injection of efferocytosis inhibitors, and S. japonicum⁃infected mice without injection of efferocytosis inhibitors served as controls. Bone marrow⁃derived macrophages (BMDMs) were isolated from macrophage scavenger receptor class A (SR⁃A) conditional knockout (CKO) and wild⁃type (WT) mice, and changes in apoptotic neutrophils were detected in SR⁃A CKO mouse macrophages in vitro using flow cytometry. Then, BMDMs was divided into the WT mono⁃culture group, the WT and apoptotic neutrophils co⁃culture group, the SR⁃A CKO mono⁃culture group, and the SR⁃A CKO and neutrophils co⁃culture group, and the expression of MerTK and Axl was quantified in vitro using Western blotting and real⁃time quantitative PCR (RT⁃qPCR) assays during neutrophil efferocytosis. The efferocytosis of neutrophils and T cells by mouse liver macrophages was detected in the SR⁃A CKO SJ group and the WT SJ group using flow cytometry and immunofluorescence assay, and the expression of MerTK and Axl proteins was determined in mouse liver tissues in both groups using Western blotting. In addition, the proportion of MerTK+ macrophages and the average fluorescence intensity of macrophage MerTK were detected in mouse livers in both groups using flow cytometry. Results Data from the GEO database showed that the expression of some efferocytosis receptors and efferocytosis⁃related bridging molecules, and "eat me" and "don't eat me" signals all appeared a tendency towards a rise in livers of patients and mice in the SJ group relative to the NC group, suggesting that S. japonicum infection⁃induced liver diseases may be associated with efferocytosis. Flow cytometry detected higher proportions of Ly6G+cells [(13.13 ± 0.45)% vs. (6.48 ± 0.25)%; t = 22.30, P < 0.05] and CD3+ cells [(7.60 ± 0.33)% vs. (3.30 ± 0.42)%; t = 13.98, P < 0.05] in mouse liver macrophages in the SJ group than in the NJ group, and the expression of MerTK protein [(2.30 ± 0.14) vs. (1.14 ± 0.46); t = 4.19, P < 0.05], the mean fluorescence intensity of macrophages [(160.67 ± 15.28) vs. (94.50 ± 19.61); t = 4.81, P < 0.05], and the proportion of MerTK+ macrophages [(20.78 ± 4.17)% vs. (6.85 ± 0.39)%; t = 6.57, P < 0.05] were significantly higher in mouse liver tissues in the SJ group than in the NC group. The Axl expression was lower in mouse liver tissues in the SJ group than in the NC group [(1.25 ± 0.08) vs. (1.93 ± 0.37); t = 2.79, P < 0.05], and the area of granulomas around single eggs [(9.18 ± 1.81) × 104 μm2  vs.  (5.24 ± 1.35) × 104 μm2; t = 3.03, P < 0.05] and proportion of collagen fibers [(25.27 ± 3.99)% vs. (15.14 ± 4.02)%; t = 3.10, P < 0.05] were significantly greater in livers of S. japonicum⁃infected mice with injection of efferocytosis inhibitors than in mice without injection of efferocytosis inhibitors. The in vitro efferocytosis efficiency of BMDMs [(32.83 ± 3.17)% vs. (45.43 ± 2.34)%; t = 5.54, P < 0.05], and the proportions of Ly6G+ [(9.37 ± 0.48)% vs. (13.13 ± 0.72)%; t = 7.50, P < 0.05] and CD3+ cells [(4.95 ± 0.17)% vs. (7.64 ± 0.50)%; t = 8.87, P < 0.05] in liver macrophages post⁃infection with S. japonicum were significantly lower in SR⁃A CKO mice than in WT mice, and the expression of MerTK protein [(0.65 ± 0.25) vs. (1.96 ± 0.69); t = 3.10, P < 0.05], the average fluorescence intensity of macrophages [(138.33 ± 8.39) vs. (160.67 ± 15.28); t = 3.03, P < 0.05] and the proportion of MerTK+ macrophages [(13.17 ± 5.01)% vs. (22.63 ± 2.06)%; t = 3.56, P < 0.05] were significantly lower in mouse liver tissues in the SR⁃A CKO SJ group than in the WT group. Western blotting detected no significant difference in the Axl protein expression in mouse liver tissues between the SR⁃A CKO SJ group and the WT SJ group [(0.48 ± 0.07) vs. (0.68 ± 0.30); t = 1.09, P > 0.05]. There were significant differences in the relative MerTK mRNA and protein expression during efferocytosis of BMDMs among the WT mono⁃culture group, the WT and apoptotic neutrophils co⁃culture group, the SR⁃A CKO mono⁃culture group, and the SR⁃A CKO and neutrophils co⁃culture group (F = 9.41 and 40.68, both P values < 0.05). In addition, there was a significant difference in the relative Axl mRNA expression during efferocytosis of BMDMs among the four groups (F = 13.62, P < 0.05); however, no significant difference was seen in the relative Axl protein expression (F = 1.27, P > 0.05). Conclusions Efferocytosis of liver macrophages is seen in mice infected with S. japonicum and inhibits liver fibrosis. SR⁃A may up⁃regulate the efficiency of macrophage efferocytosis through regulating the expression of efferocytosis receptors.
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    Molecular identification and population genetics of the invasive Pomacea spp. in Dali Bai Autonomous Prefecture
    JIANG Ling, LI Tianmei, LIU Yuhua, CHEN Shaorong, FANG Wen, ZHAO Shenhua, JIANG Yingrui
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 626-636.  
    Abstract (490)      PDF(pc) (2008KB)(1049)       Save
    Objective To conduct molecular identification and population genetic analysis of Pomacea based on mitochondrial cytochrome c oxidase subunit Ⅰ (COI) gene sequence in Dali Bai Autonomous Prefecture, so as to provide the theoretical evidence for the scientific management of the invasive Pomacea.  Methods Pomacea samples were collected during field surveys of Pomace spp. in Dali Bai Autonomous Prefecture from March 2023 to December 2024. Genomic DNA was extracted from the foot muscle tissue of Pomacea samples for PCR amplification and sequencing. The sequences were subjected to haplotype analysis, sequence similarity, and phylogenetic analysis using the software MEGA 11, DnaSP 5.1, and Geneious Prime 2024, respectively. The haplotype network relationship diagram was plotted with the software PopART to unravel the population genetic structure of Pomacea spp., and genetic diversity parameters and molecular variance analyses were conducted using the software DnaSP 5.1 and Arlequin 3.5. The population genetic differentiation index (Fst) and inter⁃population gene flow (Nm) were calculated, and the historical population dynamics of the Pomacea spp. were inferred in Dali Bai Autonomous Prefecture based on neutrality tests and mismatch analysis.  Results A total of 379 gene sequences from nine geographical populations of Pomacea spp. were obtained in this study. Haplotype analysis revealed nine haplotypes, including hap1, hap4, hap11, hap18, hap20, hap21, hap22, hap 23 and hap24, and both sequence similarity and phylogenetic analyses indicated that these nine haplotypes were clustered into three distinct groups, and were identified as P. canaliculate (hap1, hap4 and hap11), P. occulta (hap18, hap20, hap21, hap22, and hap23), and P. maculata (hap24). P. canaliculata was detected across all nine geographical populations in Dali Bai Autonomous Prefecture, with a high overall genetic diversity, and the inter⁃population genetic variation (71.20%) was much higher than intra⁃population genetic variation (19.50%), with Fst of 0.712, and Nm of 0.351. P. occulta had unique haplotypes (hap20 to hap23), which contained few gene sequences and had a relatively low overall genetic diversity, and the intra⁃population genetic variation (80.50%) was much higher than inter⁃population genetic variation (16.45%), with Fst of 0.165, and Nm of 1.515. Neutrality tests and mismatch analysis showed that the overall Tajima's D value (4.564), Fu and Li's F* value (3.866), and Fu and Li's D* value (2.163) of P. canaliculata populations were all positive and exhibited significant differences in Dali Bai Autonomous Prefecture (all P values < 0.05), with two distinct peaks generated by mismatch distributions. In contrast, the overall Tajima's D value (-1.574), Fu and Li's F* value (-0.889), and Fu and Li's D* value (-0.328) of P. occulta populations were all negative, with no significant differences detected (all P values > 0.05), and the mismatch distribution produced only a single main peak. Conclusions This is the first report to unravel P. canaliculata, P. occulta, and P. maculata in Pomacea spp. populations in Dali Bai Autonomous Prefecture, and P. canaliculata is the dominant species in the majority of geographical Pomacea spp. populations, with a high genetic diversity and high inter⁃population genetic differentiations. The P. canaliculata population conforms to the neutral evolution theory and the population size may be in an equilibrium or contraction state. In contrast, P. occulta has a relatively low genetic diversity and a low inter⁃population genetic differentiation, which may have recently experienced a population expansion event.  
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    Transfusion⁃transmitted Plasmodium falciparum malaria: a case report
    WANG Junling, PANG Zhifeng, WU Xiaohong, ZHANG Guangming, XU Ting
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 681-684.  
    Abstract (490)      PDF(pc) (1240KB)(1751)       Save
    This article reports the diagnosis and treatment of a case with transfusion⁃transmitted Plasmodium falciparum malaria. The patient had no history of travel to malaria⁃endemic regions or previous history of infections; however, the case had a history of multiple blood transfusions prior to disease onset. The patient was admitted due to fever of unknown causes. Metagenomic next⁃generation sequencing revealed Plasmodium infection, and P. falciparum malaria was definitively diagnosed following blood smear microscopy and real⁃time fluorescence quantitative reverse transcription PCR (RT⁃qPCR) assay. Epidemiological investigations showed an Ethiopian blood donor with weakly positive rapid diagnostic test (RDT) results. The patient was cured following a 7⁃day treatment with artesunate injection and no recurrence or relapse occurred during the 3⁃month follow⁃up.
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    Visualization analysis of studies on Oncomelania hupensis control from 2005 to 2024
    ZHU Wen, LUO Huatang, WANG Hao, XIONG Yuelin, LIU Cong
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 84-91.  
    Abstract (488)      PDF(pc) (4943KB)(556)       Save
    Objective To analyze Chinese and English publications pertaining to Oncomelania hupensis control from 2005 to 2024, so as to decipher the research status and hotspots of O. hupensis control. Methods Chinese and English publications pertaining to O. hupensis control from 2005 to 2024 were retrieved in the Web of Science Core Collection Database and China National Knowledge Infrastructure. The annual number of publications was analyzed from 2005 to 2024, and the author and institution cooperation networks were mapped using the software CiteSpace 6.3.1. Keywords were extracted from publications to map the co⁃occurrence, burst and timeline of keywords to identify the research hotspots of O. hupensis control.  Results A total of 158 English publications and 771 Chinese publications were included for bibliometric analyses. The overall output of English publications was relatively small from 2005 to 2024, the annual average publication was 7.90 publications. Parasites & Vectors was the most productive journal by the number of publications (21 publications). The three most productive authors included Li Shizhu (24 publications), Zhou Xiaonong (13 publications), and Yang Kun (12 publications), and the three most productive institutions included Chinese Center for Disease Control and Prevention (49 publications), the WHO (27 publications), and Fudan University (25 publications). The annual average number of Chinese publications was high from 2005 to 2015 (57.73 publications), and reduced to 15.11 publications during the period from 2016 to 2024, with Chinese Journal of Schistosomiasis Control as the most productive journal (241 publications). The three most productive authors included Wang Wanxian (18 publications), Sun Qixiang (16 publications), and Dai Jianrong (16 publications), and the three most productive institutions included Jiangsu Institute of Parasitic Diseases (55 publications), Chinese Center for Disease Control and Prevention (47 publications), and Hubei University (38 publications). Among the 158 English publications, molluscicidal effect, climate change, geographic information, biological control, machine learning were current research hotspots, and the Yangtze River and elimination were emerging research hotspots. Among the 771 Chinese publications, molluscicidal effect, niclosamide, comprehensive management, molluscicide, effectiveness evaluation, marshland, and endophyte were current research hotspots, and the future research hotspots shifted to molluscicidal effect and pyriclobenzuron. Conclusions Limited attention is paid to the research on O. hupensis control across the world. The Yangtze River, elimination, molluscicidal effect, and pyriclobenzuron may be future research hotspots. High attention is recommended to be paid to the research on O. hupensis control, and development of diverse approaches for O. hupensis control is of urgent needs. We should continue to attach importance to the control research of O. hupensis and strengthen the exploration of diverse snail extermination and control methods.
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    Integrated effects of climate, land use, and their interactive driving mechanisms on the spatiotemporal dynamics of Oncomelania hupensis density: a case study of Yunnan Province
    XIANG Jiangling, GUO Suying, WANG Qiang, ZHANG Lijuan, SUN Jiayu, DONG Yi, XU Jing
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 260-267.  
    Abstract (486)      PDF(pc) (1685KB)(182)       Save
    Objective To examine the impact of climate, land use and their interaction effect on the population density of Oncomelania hupensis. Methods O. hupensis snail surveillance data in Yunnan Province from 2013 to 2022 were obtained from the National Information System for Parasitic Diseases Prevention and Control of Chinese Information System for Disease Control and Prevention, and the density of living snails was calculated in each county⁃level administrative district. Climate data were obtained from the China Meteorological Forcing Dataset version 2.0, and land use data were captured from the China Land Cover Dataset. The raster climate data and land use data were clipped to the administrative border of Yunnan Province in the R package version 4.5, and the climate data were resampled to a spatial resolution of 30 m × 30 m consistent with the land use data using bilinear interpolation. Annual meteorological indicators were extracted from each county⁃level schistosomiasis surveillance administrative area in Yunnan Province from 2013 to 2022, including average temperature, maximum temperature, minimum temperature, temperature difference, average precipitation rate, maximum precipitation rate, minimum precipitation rate, downward shortwave radiation flux, downward longwave radiation flux, air pressure, wind speed, specific humidity and relative humidity. Annual land use structure and landscape pattern index in each county⁃level schistosomiasis surveillance administrative area in Yunnan Province from 2013 to 2022 were extracted and calculated, including the proportion of areas occupied by each type of land use, patch density, largest patch index, landscape separation index, landscape fragmentation index, landscape segmentation index, contagion index, patch cohesion index, edge density, and shape index. Land use entropy index was introduced to represent the degree of habitat fragmentation and ecological niche breadth. The density of living snails and environmental factors were subjected to rank correlation analysis, and variables with no statistically significant correlation (P > 0.1) were excluded. Then, a correlation coefficient matrix was constructed, and ∣rs∣ of 0.85 and greater was defined as the threshold of high collinearity. For highly correlated variables in each group, indicators with a more biological explanatory power or a better statistical efficiency were retained. A generalized additive model (GAM) was constructed with O. hupensis snail density as a response variable and screened environmental variables as independent variables, and the model performance was evaluated using the variance explained. Results The area occupied by O. hupensis snail habitats was 1 056 to 1 680 hm2 in Yunnan Province from 2013 to 2022, appearing an overall tendency towards a decline; however, the density of living snails appeared a tendency towards a slight rise. Based on the correlation coefficient matrix, 14 core explanatory variables were retained, including farmland, water bodies, bare land, impervious surface, landscape separation index, landscape fragmentation index, edge density, shape index, land use entropy index, downward longwave radiation flux, downward shortwave radiation flux, maximum temperature, minimum precipitation rate and specific humidity. Two types of GAM were constructed, including the main⁃effects model without interaction terms and the interaction model with interaction terms. The corrected Akaike information criterion (AICc) of the optimal main⁃ effects model was -285.223, and the core variables included bare land, impervious surface, landscape separation index, edge density, shape index, land use entropy index and downward shortwave radiation flux. Following introduction of second⁃order interaction terms, the AICc value of the optimal interaction model was -345.526, and the significant interaction combinations included: farmland × impervious surface, farmland × landscape separation index, farmland × shape index, farmland × land use entropy index, impervious surface × landscape separation index, impervious surface × edge density, and shape index × downward shortwave radiation flux. The proportion of the main⁃effects model explaining the variation of O. hupensis snail density was 39.8%, and the explanatory power of GAM increased to 79.0% following introduction of interaction terms. Conclusion Landscape separation index, edge density, shape index and other landscape pattern indicators pose significant impacts on the intensity and direction of changes in O. hupensis snail density in Yunnan Province.
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    Stability of the molluscicidal activity of the fermentation broth of Bacillus indicus F19
    ZHU Liyun, LIN Lei, XU Ning, LONG Ping, YANG Xinran, ZHOU Yu, GONG Yanfeng, JIANG Qingwu, ZHOU Yibiao
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 304-308, 336.  
    Abstract (485)      PDF(pc) (1859KB)(120)       Save
    Objective To assess the stability of the molluscicidal activity of the fermentation broth supernatant of Bacillus indicus F19, so as to provide insights into development of novel molluscicides derived from this isolate. Methods Healthy Oncomelania hupensis snails free from Schistosoma japonicum infections and acclimated in the laboratory for 7 days were selected. The fermentation broth supernatant of B. indicus F19 was prepared. For each treatment condition, four experimental groups and one control group were established, with 10 mL of the fermentation broth supernatant each group. O. hupensis snails were exposed to different pH values (3, 6, 9 and 12), temperatures (40, 60, 80 ℃ and 100 ℃), and ultraviolet (UV) exposure durations (1, 2, 3 h and 4 h). Then, the supernatant was diluted with dechlorinated water to concentrations of 50%, 10%, and 5% (v/v), and 10 mL of each dilution solution was added to three separate tubes, with an equal volume of dechlorinated water as a blank control. Twenty O. hupensis snails were transferred to each tube, immersed for 48 h and 72 h, and collected for viability assessment using the shell⁃tapping method. The mortality of O. hupensis snails was calculated and compared among dilution groups and the blank control group to evaluate the molluscicidal activity of the fermentation broth supernatant of B. indicus F19.  Results There was a significant difference in the mortality of O. hupensis snails immersed in 5% fermentation broth supernatants of B. indicus F19 for 48 h at various pH levels ([χ2] = 11.556, P < 0.05), and the mortality reduced to 13.33% (8/60) in the experimental groups at a pH value of 12, which was significantly lower than in the blank control group [33.33% (20/60)] ([χ2] = 6.708, P < 0.05). There was a significant difference in the mortality of O. hupensis snails immersed in 10% fermentation broth supernatants of B. indicus F19 for 72 h at various pH levels ([χ2] = 31.691, P < 0.001), and the mortality reduced to 71.67% (43/60) and 65.00% (39/60) in the experimental group at pH values of 9 and 12, which was significantly lower than in the blank control group [100.00% (60/60)] ([χ2] = 8.571 and 12.110, both P values < 0.01). The mortality of O. hupensis snails both reduced to 23.33% (14/60) following immersion in 5% fermentation broth supernatants of B. indicus F19 heated in a water bath at 80 ℃ and 100 ℃ for 48 h, which was lower than that of unheated O. hupensis snails [33.33% (20/60)] and snails heated in a water bath at 40 ℃[35.00% (21/60)] and 60 ℃ [33.33% (20/60)], and there was no significant difference in the mortality of O. hupensis snails among groups ([χ2] = 3.898, P > 0.05). The mortality of O. hupensis snails was 68.33% (41/60), 66.67% (40/60), 65.00% (39/60), and 68.33% (41/60) following immersion in fermentation broth supernatants heated in a water bath at 40, 60, 80 ℃ and 100 ℃ for 72 h, which was all lower than that of snails in the control group [71.70% (43/60)]; however, there was no significant difference seen in the snail mortality among groups ([χ2] = 0.674, P > 0.05). The mortality of O. hupensis snails was 73.33% (44/60), 71.67% (43/60), 71.67% (43/60), and 75.00% (45/60) following 48 h immersion in 10% fermentation broth supernatants of B. indicus F19 irradiated by UV for 1, 2, 3 h and 4 h, 33.33% (20/60), 31.67% (19/60), 35.00% (21/60), and 33.33% (20/60) following 48 h immersion in 10% fermentation broth supernatants of B. indicus F19 irradiated by UV for 1, 2, 3 h and 4 h, and 71.67% (43/60) and 33.33% (20/60) following 48 h immersion in 10% fermentation broth supernatants of B. indicus F19 without UV irradiation, and no significant differences were found among groups ([χ2] = 0.229 and 0.150, both P values > 0.05). In addition, the mortality of O. hupensis snails was 76.67% (46/60), 71.67% (43/60), 70.00% (42/60), and 76.67% (46/60) following 72 h immersion in 5% fermentation broth supernatants of B. indicus F19 irradiated by UV for 1, 2, 3 h and 4 h, and 71.67% (43/60) in the control group, and there was no significant difference in the snail mortality among groups ([χ2] = 1.193, P > 0.05). Conclusion  The molluscicidal action of the fermentation broth supernatants of B. indicus F19 is tolerant to high temperature and UV irradiation; however, the activity is attenuated under alkaline conditions.
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    Surveillance of soil⁃transmitted nematodiasis in Hubei Province from 2016 to 2023
    ZHANG Juan, LIN Wen, ZHU Hong, WAN Lun, YI Jia, WU Dongni, XIA Jing, TANG Li
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 287-292.  
    Abstract (480)      PDF(pc) (973KB)(153)       Save
    Objective To investigate the prevalence of soil⁃transmitted nematode human infections in Hubei Province from 2016 to 2023, so as to provide insights into formulation of soil⁃transmitted nematodiasis control strategies and evaluation of soil⁃transmitted nematodiasis control effectiveness. Methods There were 10 surveillance points established in Hubei Province for soil⁃transmitted nematodiasis each year from 2016 to 2023. The surveillance points were divided into eastern, western, southern, northern and central regions according to geographical locations, and one administrative village was sampled from a township in each region as a surveillance point. Then, at least 200 permanent residents at ages of over 3 years were randomly sampled at each point, with at least 1 000 individuals sampled. Soil⁃transmitted nematode infection was detected using a modified Kato⁃Katz thick smear method (two slides for one stool sample), and Enterobius vermicularis infection was additionally detected with a cellophane tape test among children at ages of 3 to 9 years. The prevalence of soil⁃transmitted nematode human infections was descriptively analyzed. Results A total of 80 547 individuals underwent surveillance for soil⁃transmitted nematodiasis in Hubei Province from 2016 to 2023, and a total of 262 individuals were detected with soil⁃transmitted nematode infections, including two cases with mixed infections, yielding an overall prevalence rate of 0.33% (262/80 547). The prevalence rates of hookworm, Ascaris lumbricoides, Trichuris trichiura, and E. vermicularis infections were 0.02% (20/80 547), 0.07% (55/80 547), 0.02% (15/80 547) and 0.22% (174/80 547), respectively, appearing a parasite species⁃specific prevalence rate ([χ2] = 250.235, P < 0.05), and the prevalence rates of soil⁃transmitted nematode infections were 0.50% (51/10 271), 0.37% (34/9 120), 0.39% (39/10 099), 0.40% (41/10 168), 0.36% (37/10 234), 0.45% (46/10 211), 0.03% (3/10 238) and 0.11% (11/10 206) in Hubei Province from 2016 to 2023, respectively, showing a year⁃specific prevalence rate ([χ2] = 60.589, P < 0.05). Soil⁃transmitted nematode infections were detected across 36 surveillance points, and there was a significant difference in the prevalence of soil⁃transmitted nematode infections among surveillance points (0.02% to 3.30%, P < 0.001). In addition, the differences in prevalence rates of human soil⁃transmitted nematode infection among different age groups ([χ2] = 531.091, P < 0.05), occupations (P < 0.001), and education levels (P < 0.001) were all statistically significant. Among these, the children at ages of 3 to 9 years old (1.40%, 174/12 461), nursery⁃school children (1.69%, 90/5 312) and preschool⁃aged children (1.56%, 93/5 969) were relatively high. Conclusions The overall prevalence of soil⁃transmitted nematodiasis was low in Hubei Province from 2016 to 2023; however, the prevalence varied across regions and among populations, with E. vermicularis as the predominant species of soil⁃transmitted nematode. Soil⁃transmitted nematodiasis control should be given a high priority in key areas in Hubei Province, and preschool children, primary school students, and individuals with a low educational level are recommended as key target populations for health education and interventions. 
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    Hemophagocytic syndrome secondary to visceral leishmaniasis: a case report
    LIU Siqi, LUO Xuan
    Chinese Journal of Schistosomiasis Control    2026, 38 (3): 330-332.  
    Abstract (476)      PDF(pc) (1070KB)(139)       Save
    This article presents the diagnosis and treatment of a case with hemophagocytic syndrome secondary to visceral leishmaniasis. The patient had been misdiagnosed for a long period of time, and was finally definitively diagnosed as hemophagocytic syndrome secondary to visceral leishmaniasis through laboratory tests, bone marrow smear microscopy, and metagenomics next⁃generation sequencing. Due to unsatisfactory therapeutic efficacy, the patient's family members decided to abandon treatment, and the patient subsequently died following discharge from hospital.
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