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    Epidemiological characteristics of dengue fever in Shenzhen City in 2024
    WAN Jia, NIU Cong, LIU Wei, LIN Liangqiang, YANG Fan, LÜ Ziquan, ZHANG Zhen, FENG Tiejian, LU Jianhua, KONG Dongfeng
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 517-523.  
    Abstract907)      PDF(pc) (1575KB)(2123)       Save
    Objective To investigate the epidemiological characteristics of dengue fever in Shenzhen City in 2024, so as to provide insights into formulation of the preventive and control measures for dengue fever.  Methods The epidemiological data of dengue cases reported in Shenzhen City in 2024 were extracted from the China Disease Prevention and Control Information System and field epidemiological survey data of dengue fever in Shenzhen City, and the temporal, regional and population distributions of dengue fever cases, source of acquire dengue virus infections, disease diagnosis and treatment and outbreaks were analyzed. The dengue virus nucleic acid was tested and the serotypes of dengue virus were characterized using real⁃time quantitative reverse transcription PCR (RT⁃qPCR) assay, and the dengue virus gene was sequenced using next⁃generation sequencing (NGS). In addition, the surveillance on the density of Aedes albopictus was performed using Breteau index (BI) and mosquito oviposition index (MOI).  Results A total of 1 735 dengue fever cases were reported in Shenzhen City in 2024, including 952 local cases and 783 imported cases. Most imported dengue fever cases acquired infections from eight cities of Foshan, Guangzhou, Zhongshan, Jiangmen, Dongguan, Zhaoqing, Huizhou, and Zhuhai in the Pearl River Delta region (664 cases, 84.8% of total imported cases) into Baoan, Longgang, and Nanshan districts. The epidemic exhibited an early onset and rapid progression, peaking during the period between September and November (1 632 cases, 94.1% of total cases), and dengue fever cases were distributed across 73 subdistricts in 10 districts, with most cases reported in densely populated central and western regions. The dengue fever cases had a male⁃to⁃female ratio of 1.9 ∶ 1, and a median age of 37 (21) years, with a higher median age among local cases than among imported cases [40 (20) years vs. 33(15) years; Z = -10.303, P < 0.05]. Housework, unemployment, workers, and business service were predominant occupations (1 405 cases, 81.0% of total cases), and there was a significant difference in the constituent ratio of occupations between local and imported cases ([χ2] = 92.3, P < 0.05). Among the 1 735 dengue fever cases, the median duration from onset to definitive diagnosis was 3.3 (2.9) days, and 1 686 cases (97.2%) were identified in healthcare facilities, with a low rate of hospitalization and isolation seen in 1 701 inpatients with available epidemiological data (485 cases, 28.5% of total inpatients). A total of 29 outbreaks of dengue fever occurred in Shenzhen City across 2024, which primarily in construction sites (27 outbreaks, 93.1% of total). Dengue virus typeⅠwas the dominant serotype causing dengue fever in Shenzhen City in 2024. Sequencing showed that the genomes of dengue virus from multiple dengue fever cases in Shenzhen City shared a high sequence homology with those from cities neighboring Shenzhen City, and there might be intra⁃city transmission of dengue virus among multiple construction sites in Shenzhen City. The Aedes albopictus density was significantly higher in Shenzhen City in 2024 than in 2023, peaking from May to September. The annual MOI values ranged from 0.9 to 14.0, and the BI values ranged from 0.6 to 6.0. Conclusions The overall epidemic of dengue fever was severe in Shenzhen City in 2024, which was greatly affected by case importation from neighboring cities, construction sites⁃centered local transmission, and the effectives of routine mosquito vector control was not satisfactory. Integrated dengue fever control measures should be implemented, focusing on regional joint prevention and control mechanisms, capacity building for mosquito vector control, addressing challenges in epidemic containment at construction sites, and strengthening case detection and management systems.
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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.  
    Abstract392)      PDF(pc) (1240KB)(1545)       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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    Fascioliasis in the common bile duct: a case report
    ZHANG Pengfei, TANG Qiong, LIU Li, LI Jingxin, LAN Weiming
    Chinese Journal of Schistosomiasis Control    2026, 38 (2): 219-222.  
    Abstract197)      PDF(pc) (2350KB)(1494)       Save
    This article reports the diagnosis and treatment of one patient with fascioliasis of the common bile duct, aiming to provide reference for the clinical diagnosis and treatment of this disease. The patient sought medical attention due to long⁃term symptoms such as abdominal pain, abdominal distension, nausea, and vomiting. Imaging examinations displayed dilatation of the common bile duct and intrahepatic bile ducts, and the patient was admitted to the hospital with a diagnosis of "common bile duct stone". Through endoscopic retrograde cholangiopancreatography and choledochoscopy, two worms were collected from the common bile duct, which were identified as Fasciola hepatica by high⁃throughput sequencing.
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    Strengths, weaknesses, opportunities and threats analysis of diagnosis⁃related group in schistosomiasis control
    XU Liwu, LI Jiongying
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 74-78.  
    Abstract310)      PDF(pc) (1012KB)(1232)       Save
    As a novel healthcare management tool, diagnosis⁃related group (DRG) plays a significant role in standardization of medical behaviors, reduction of medical costs, and improvements of the utilization efficiency of medical resources. This article analyzes internal and external factors pertaining to the application of DRG in schistosomiasis control through a strengths, weaknesses, opportunities and threats (SWOT) analysis and discusses potential impacts, challenges, and development opportunities. DRG has shown significant potential in optimizing resources, standardizing diagnosis and treatment, and reducing expenses; however, it also suffers from problems of a great difficulty in grouping and a low informatization level at grassroots institutions. Optimization of diagnosis⁃related grouping and increased investments into grassroots institutions are therefore required to meet the special needs of schistosomiasis control, so as to improve the effectiveness of schistosomiasis control.
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    Dilemmas and challenges for parasitology teachers at shortage of clinical medical sciences knowledge background in medical colleges and universities
    HAN Su, CHENG Yang, DENG Chao, LIU Youyi, LI Yuhong
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 69-73.  
    Abstract326)      PDF(pc) (1160KB)(1125)       Save
    Medical parasitology, as a course bridging basic medical sciences and clinical medicine, has an important disciplinary value in the medical education system. This study investigated the composition of parasitology teachers from multiple medical colleges and universities across China. The results showed that there was a significant difference in the proportion of teachers with clinical medicine background knowledge, and there was common dilemma that there were insufficient clinical medicine knowledge reserves among teachers in some medical colleges and universities, who encountered severe teaching challenges. Based on this issue, this study constructed a basic⁃clinical medicine collaborative problem⁃based learning (PBL) teaching model. This model integrated theoretical teaching, case analyses, and experimental operations, and combined transdisciplinary team building and multidimensional teacher training, which significantly improved the clinical teaching capability among parasitology teachers, and effectively compensated the impact of insufficient clinical medicine knowledge reserves on teaching. Following teaching reform, students' scores significantly improved, and their case analysis capability ability enhanced. This study provides a practical path to address the shortage of clinical medicine background knowledge among parasitology teachers, which facilitates the progress of educational reform of medical parasitology and improvement of teaching quality. 
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    Challenges and countermeasures for soil⁃transmitted and food⁃borne parasitic diseases surveillance in low⁃endemicity areas
    MAO Fanzhen, LIU Yaobao, CAO Jun
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 545-548.  
    Abstract415)      PDF(pc) (948KB)(1096)       Save
    As a global public health concern, parasitic diseases have been a great threat to human health for a long period of time. Following decades of integrated control efforts, the incidence of soil⁃transmitted and food⁃borne parasitic diseases has been remarkable reduced in most endemic foci of China, and is now low across the country. However, there are still multiple factors affecting the transmission of soil⁃transmitted and food⁃borne parasitic diseases, which pose multiple challenges to parasitic diseases surveillance in the new era. This article analyzed the current status and challenges of soil⁃transmitted and food⁃borne parasitic diseases surveillance in Jiangsu Province, a low⁃endemicity area, and proposed countermeasures to tackle the challenges, so as to provide insights into key parasitic diseases surveillance in the new era.
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    Single⁃molecule, real⁃time sequencing of ceftazidime⁃avibactam⁃resistant Pseudomonas aeruginosa and the mechanism of resistance to ceftazidime⁃avibactam
    WAN Li, LIU Weiqi, ZHOU Yangyang, WENG Hang, CAI Xingwang, MAO Chengye
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 530-536, 548.  
    Abstract578)      PDF(pc) (1931KB)(1018)       Save
    Objective To perform single⁃molecule, real⁃time sequencing of ceftazidime⁃avibactam (CAZ⁃AVI)⁃resistant Pseudomonas aeruginosa and to investigate the mechanism underlying ceftazidime⁃avibactam resistance in P. aeruginosa.  Methods    The susceptibility of 89 P. aeruginosa isolates randomly sampled from clinical specimens in Sanming First Hospital Affiliated to Fujian Medical University from November 2021 through July 2023 to common antimicrobial agents was tested, and the minimum inhibitory concentration (MIC) of CAZ⁃AVI was determined against P. aeruginosa with a broth microdilution assay, with CAZ⁃AVI MICs of 8 mg/L and lower defined as susceptible and 16 mg/L and higher as resistant. The expression of drug⁃resistant genes ampC, oxa⁃488, oprD, mexA, oxa⁃10, oxa⁃14, vim and tem was quantified in P. aeruginosa using a real⁃time quantitative reverse transcription PCR (qPCR) assay. CAZ⁃AVI⁃susceptible and ⁃resistant P. aeruginosa isolates from the same case were selected for PacBio single⁃molecule, real⁃time sequencing, and sequencing results were subjected to genome structure and Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) functional annotations.  Results The 89 P. aeruginosa isolates showed a relatively high level of resistance to meropenem (75.28%) and imipenem (74.16%) and the highest susceptibility to amikacin (91.01%). There were 49 CAZ⁃AVI⁃resistant P. aeruginosa isolates and 40 susceptible isolates. qPCR assay detected lower oprD gene expression in CAZ⁃AVI⁃resistant P. aeruginosa isolates [0.104 (2.385)] than in susceptible isolates [0.551 (17.885)] (Z = -2.958, P < 0.01), and there were no significant differences between CAZ⁃AVI⁃susceptible and ⁃resistant P. aeruginosa isolates in terms of ampC, oxa⁃488, mexA or tem gene expression (all P values > 0.05), while oxa⁃10, oxa⁃14 and vim gene was expressed in few P. aeruginosa isolates. There were 1 729, 3 936, 3 737 and 3 955 genes in CAZ⁃AVI⁃resistant P. aeruginosa isolates PA⁃762 and PA⁃M174 and susceptible isolates PA⁃885 and PA⁃808 that were annotated to GO terms, with the highest numbers of genes enriched in the molecular function of catalytic activity, high numbers of genes enriched in biological processes of metabolic process, single⁃organism process and cellular process, and high numbers of genes enriched in cellular components of cell and cell membranes. There were 1 803, 4 084, 3 915 and 4 066 genes in the PA⁃762, PA⁃M174, PA⁃885 and PA⁃808 isolates enriched in the KEGG signaling pathway, and the majority of genes were enriched in four primary signaling pathways of metabolism, genetic information processing, environmental information processing and cellular process, with the highest number of genes associated with metabolic pathways. Both CAZ⁃AVI⁃resistant P. aeruginosa isolates PA⁃762 and PA⁃M174 carried multiple efflux pumps systems, including MexAB⁃OprM, MexCD⁃OprJ, MexEF⁃OprN and MexXY⁃OprM. Single nucleotide substitution was found at position 169 in the DNA sequence of the PA⁃762 isolate, leading to substitution of serine for glycine at position 57 in the protein sequence, and there are deletions of two bases at positions 307 and 308 in the DNA sequence of the PA⁃M174 isolate, leading to substitution of threonine for arginine at position 103 in the protein sequence.  Conclusion Mutation or downregulation of oprD gene may lead to CAZ⁃AVI resistance in P. aeruginosa.
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    Advances in the mechanisms underlying the contributions of thymocyte selection⁃associated high mobility group box group to pathogen infections: a review
    WANG Yuanfeng, YING Tingting, WU Junru, HONG Yuna, GUO Haorui, WANG Mingyue, YANG Zhenke, WANG Shuai
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 561-568.  
    Abstract277)      PDF(pc) (994KB)(993)       Save
    Thymocyte selection⁃associated high mobility group box group (TOX), a member of the high mobility group protein superfamily, plays an important role in T cell development, functional maintenance, and exhaustion. It has been recently found that TOX exerts critical immunoregulatory functions during pathogen infections, and TOX expression is strongly associated with the intensity and tolerance of host immune responses. This review systematically summarizes the structural and functional features of TOX and focuses on its expression dynamics, mechanisms of action, and immunomodulatory effects during viral, bacterial, and parasitic infections, which provides a theoretical support to better understanding of the role of TOX in infectious diseases and provides new insights into development of potential immunotherapeutic strategies targeting TOX.
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    Epidemiological characteristics of cross⁃county imported dengue fever cases within Yunnan Province in 2023
    TANG Yerong, ZHOU Hongning, WU Chao, WEI Chun, ZHAO Xiaotao, WANG Xuefei, GUO Xiaolian, JIANG Jinyong
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 524-529.  
    Abstract589)      PDF(pc) (1972KB)(921)       Save
    Objective To investigate the epidemiological characteristics of cross⁃county imported dengue fever cases within Yunnan province in 2023, so as to provide insights into formulation of preventive and control measures for intra⁃provincial spread of dengue fever.  Methods All data pertaining cross⁃county imported dengue fever cases within Yunnan Province in 2023 were collected, and the temporal, regional and population distributions of the cases were descriptively analyzed.  Results A total of  1 664 intra⁃provincial cross⁃county imported dengue fever cases were reported in 95 counties (cities, districts) cross 16 profectures (cities) in Yunnan Province in 2023, accounting for 12.34% of total cases in the province. Cross⁃county imported dengue fever cases were predominantly reported during the period between August and October (1 516 cases, 91.11% of total cases), and peaked in September (659 cases), with a single⁃day peak on October 8 (36 cases). During the period from September 4 to 10, five counties (cities) with local dengue fever epidemics, including Jinghong City of Xishuangbanna Dai Autonomous Prefecture, Gengma Dai and Wa Autonomous County of Lincang City, Ruili City of Dehong Dai and Jingpo Autonomous Prefecture, Mengla County of Xishuangbanna Dai Autonomous Prefecture, and Zhenkang County of Lincang City, exported 165 cross⁃county imported dengue fever cases to the rest of the province. Among the 1 644 intra⁃provincial cross⁃county imported dengue fever cases, the male to female ratio was 1.40∶1, and 1 329 cases were at ages of 15 to 55 years (79.87%), with farmers as the predominant occupation (886 cases, 53.25%). The top 5 counties (cities/districts) reporting the highest number of intra⁃provincial cross⁃county imported dengue fever cases included Simao District (266 cases) and Lancang Lahu Autonomous County (118 cases) of Pu'er City, Mengla County (91 cases) and Menghai County (91 cases) of Xishuangbanna Dai Autonomous Prefecture, and Mangshi City (73 cases) of Dehong Dai and Jingpo Autonomous Prefecture, which accounting for 38.40% of total imported cases. These intra⁃provincial cross⁃county imported dengue fever cases originated from 7 counties (cities/districts) in 4 prefectures (cities), including 1 261 cases (76.70%) from Jinghong City of Xishuangbanna Dai Autonomous Prefecture, 224 cases (13.63%) from Ruili City of Dehong Dai and Jingpo Autonomous Prefecture, 103 cases (6.27%) from Gengma Dai and Wa Autonomous County of Lincang City, 31 cases (1.89%) from Mengla County of Xishuangbanna Dai Autonomous Prefecture, 30 cases (1.82%) from Zhenkang County of Lincang City, 10 cases (0.61%) from Cangyuan Wa Autonomous County of Lincang City, and 5 cases (0.30%) from Mohan⁃Boten Economic Cooperation Zone of Kunming City. In addition, local dengue fever epidemics following intra⁃provincial cross⁃county importation of dengue fevers cases in Simao District, Jinggu Dai and Yi Autonomous County, Mangshi City, Longchuan County, and Cangyuan Wa Autonomous County. Conclusions Farmers and students are high⁃risk populations for intra⁃provincial cross⁃county imported dengue fever cases in Yunnan Province, and health education pertaining personal protection against dengue fever should be strengthened among these high⁃risk populations by governments at all levels. There is a high risk of local outbreak of dengue fever following continuous introduction of intra⁃provincial cross⁃county imported cases. Standardized management of intra⁃provincial cross⁃county imported dengue fever cases should be reinforced to reduce the risk of local epidemics.
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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.  
    Abstract399)      PDF(pc) (2008KB)(911)       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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    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.  
    Abstract518)      PDF(pc) (1372KB)(808)       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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    Strategies and practices for joint prevention and control of cross⁃border infectious diseases between Guangxi Zhuang Autonomous Region, China and Vietnam
    CAI Jianfeng, MENG Jun, HU Liping, JIANG Zhihua, LAN Guanghua
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 451-454, 493.  
    Abstract649)      PDF(pc) (1069KB)(808)       Save
    This article discusses the important role and practical experience of Guangxi Zhuang Autonomous Region as a bridgehead between China and the Association of Southeast Asian Nations (ASEAN) in the joint prevention and control of cross⁃border infectious diseases between China and Vietnam. The cross⁃border transmission of infectious diseases has been effectively managed in Guangxi Zhuang Autonomous Region through a package of strategies, including government leadership, construction of the joint prevention and control mechanism, establishment of dialogue platforms, collaboration of scientific researches, and personnel exchange and training; however, there are still challenges. Further deepening of collaboration is required to meet future needs for infectious disease prevention and control.
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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.  
    Abstract651)      PDF(pc) (1616KB)(773)       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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    Prevalence of Schistosoma japonicum infections in wild rodents in key areas during the elimination phase
    LÜ Chao, XU Xiaojuan, LI Jiajia, FENG Ting, ZHU Hai, LI Yifeng, XU Ling, FENG Zhihong, JIANG Huiwen, ZOU Xiaoqing, WEI Wenjun, QIN Zhiqiang, HONG Yang, ZHANG Shiqing, XU Jing
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 475-481, 523.  
    Abstract524)      PDF(pc) (1027KB)(718)       Save
    Objective To investigate the prevalence of Schistosoma japonicum infections in wild rodents in schistosomiasis⁃endemic areas of China, so as to provide insights into formulation of technical guidelines for monitoring of and the precise control strategy for S. japonicum infections in wild rodents during the elimination phase. Methods Two administrative villages where schistosomiasis was historically highly prevalent were selected each from Dongzhi County, Anhui Province, and Duchang County, Jiangxi Province as study villages. Wild rodents were captured from study villages with baited traps or cages at night in June and September, 2021. The number of rodents captured was recorded, and the rodent species was characterized based on morphological characteristics. Liver tissues were sampled from captured rodents for macroscopical observation of the presence of egg granulomas, and S. japonicum infection was detected simultaneously using liver tissue homogenate microscopy, examinations of mesenteric tissues for parasites, and modified Kato⁃Katz thick smear technique (Kato⁃Katz technique). A positive S. japonicum infection was defined as detection of S. japonicum eggs or adult worms by any of these methods. The rate of wild rodent capture and prevalence of S. japonicum infections in wild rodents were compared in different study villages and at different time periods, and the detection of S. japonicum infections in wild rodents was compared by different assays. Results The overall rate of wild rodent capture was 8.28% (237/2 861) in Dongzhi County, and the wild rodent capture rates were 9.24% (133/1 439) and 7.31% (104/1 422) in two study villages ([χ2] = 3.503, P = 0.061), and were 8.59% (121/1 409) and 7.99% (116/1 452) in June and September, 2021, respectively ([χ2] = 0.337, P = 0.561). The overall rate of wild rodent capture was 3.72% (77/2 072) in Duchang County, and the wild rodent capture rates were 6.91% (67/970) and 0.91% (10/1 102) in two study villages ([χ2] = 51.901, P < 0.001), and were 4.13% (39/945) and 3.37% (38/1 127) in June and September, 2021, respectively ([χ2] = 0.815, P = 0.365). Rattus norvegicus was the predominant rodent species captured in both counties, accounting for 70.04% (166/237) of all captured wild rodents in Dongzhi County and 88.31% (68/77) in Duchang County. No S. japonicum infection was detected in wild rodents captured in Duchang County. Nevertheless, the overall prevalence of S. japonicum infections was 51.05% (121/237) in wild rodents captured in Dongzhi County, with prevalence rates of 50.38% (67/133) and 51.92% (54/104) in two study villages ([χ2] = 0.098, P = 0.755), and 54.31% (63/116) and 47.93% (58/121) in September and June, 2021, respectively ([χ2] = 0.964, P = 0.326). Of 237 wild rodents captured in Dongzhi County, there were 140 (59.07%) rodents with visible hepatic egg granulomas, 117 (49.47%) tested positive for S. japonicum eggs by liver tissue homogenate microscopy, 34 (14.35%) tested positive for S. japonicum eggs with Kato⁃Katz technique; however, no adult S. japonicum worms were detected in mesenteric tissues. In addition, hepatic egg granulomas were found in all wild rodents tested positive for S. japonicum eggs with liver tissue homogenate microscopy.  Conclusions The rate of wild rodent capture and prevalence of S. japonicum infection in wild rodents vary greatly in schistosomiasis⁃endemic areas of China, and the prevalence of S. japonicum infection is slightly higher in wild rodents captured in autumn than in summer. Liver tissue is recommended as the preferred sample for surveillance of S. japonicum infection in wild rodents, and a combination of macroscopical observation of hepatic egg granulomas and liver tissue homogenate microscopy may be a standard method for surveillance of S. japonicum infection in wild rodents.  
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    Global epidemiology and control strategies of Chikungunya virus: a review
    RONG Heng, DING Yuhan, NING Shuo, GE Yiyue, CUI Lunbiao
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 455-464.  
    Abstract702)      PDF(pc) (1041KB)(701)       Save
    Chikungunya virus (CHIKV), which is primarily transmitted by Aedes aegypti and Ae. albopictus, has recently rapidly spread across the world, which poses a huge threat to public health. Chikungunya fever (CHIKF), caused by CHIKV infection, typically manifests as acute febrile illness with severe polyarthralgia that may persist for months to years. A few severe CHIKF cases may be accompanied by serious neurological complications, even resulting in death. The accelerating global expansion of CHIKV is closely associated with genetic variations of the virus, and mutated genes in CHIKV may augment the virus adaptability to Aedes vectors and transmission efficiency. Currently, the diagnosis of the CHIKV infection primarily relies on molecular and serological assays; however, there are still multiple challenges for early and differential diagnosis of CHIKV infections due to co⁃infections with arboviruses and nonspecific early symptoms. The first prophylactic vaccine for CHIKF has been recently approved in the United States; however, the large⁃scale application still awaits further validations. More importantly, there are no licensed antiviral therapies against CHIKV until now. This review describes the structure and pathogenesis of CHIKV, summarizes the latest epidemiology and advances in the diagnosis of CHIKV infections, and depicts the current status and prospects of antiviral agents and vaccine development, so as to inform evidence⁃based prevention and control strategies. 
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    Antibacterial activity of the antifungal peptide Mt6⁃21DLeu derived from Musca domestica against Acinetobacter baumannii and the underlying mechanisms
    HUA Xuan, QIU Tong, WANG Xuyuan, TANG Renxian, KONG Delong
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 482-493.  
    Abstract401)      PDF(pc) (2609KB)(689)       Save
    Objective To investigate the antibacterial activity of the antifungal peptide Mt6⁃21DLeu derived from Musca domestica against Acinetobacter baumannii (AB) and unravel its underlying mechanisms, so as to provide insights into development of novel agents against AB. Methods The minimum inhibitory concentrations (MICs) of Mt6⁃21DLeu, M. domestica⁃derived antifungal peptide⁃1 (MAF⁃1A), and polymyxin B were determined against Staphylococcus aureus, Bacillus subtilis, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and AB using the broth microdilution assay, and the antibacterial activity of Mt6⁃21DLeu and polymyxin B was dynamically assessed against AB over 24 hours with time⁃kill curves. The inhibitory effects of Mt6⁃21DLeu and polymyxin B on biofilm formation in AB at concentrations of 1/4 × MIC, 1/2 × MIC and MIC, and the eradication effects of Mt6⁃21DLeu and polymyxin B on mature biofilms in AB at concentrations of MIC, 2 × MIC, and 4 × MIC were evaluated using crystal violet staining. Structural changes in the cell membrane of AB were observed 3 hours post⁃exposure to Mt6⁃21DLeu at concentrations of MIC and 2 × MIC using scanning electron microscopy, and alterations in the cell membrane permeability of AB were analyzed 3 hours post⁃treatment with Mt6⁃21DLeu at concentrations of MIC and 2 × MIC by means of fluorescence microscopy and propidium iodide (PI) staining. Intracellular reactive oxygen species (ROS) levels in AB were measured 3 hours post⁃treatment with Mt6⁃21DLeu at concentrations of MIC, 2 × MIC, and 4 × MIC using flow cytometry. The survival of Caenorhabditis elegans exposed to Mt6⁃21DLeu at concentrations of MIC, 2 × MIC, and 4 × MIC was monitored for 7 consecutive days, and survival curves were plotted to evaluate the in vivo toxicity of Mt6⁃21DLeu. In addition, C. elegans infected with AB and treated with Mt6⁃21DLeu at a concentration of 4 × MIC served as the treatment group, and uninfected C. elegans served as the control group, while infected but untreated C. elegans served as the infection group. The in vivo antibacterial efficacy of Mt6⁃21DLeu at a concentration of 4 × MIC was evaluated by comparing the survival curves and bacterial load among the three groups.  Results The MICs of MAF⁃1A were all >128 μg/mL against S. aureus, B. subtilis, E. coli, K. pneumoniae, P. aeruginosa, and AB. In contrast, the MICs of Mt6⁃21DLeu were >128, 32, 8, 8, 16, and 4 μg/mL against these strains, respectively, and the MIC of Mt6⁃21DLeu against AB was close to that of polymyxin B (2 μg/mL). Time⁃kill curve analysis showed that both Mt6⁃21DLeu at concentrations of MIC and 2 × MIC and polymyxin B at a concentration of MIC inhibited AB growth over the 24⁃hour study period. The biofilm biomass in AB was (52.38 ± 6.92)%, (40.88 ± 9.17)% and (14.77 ± 6.00)% post⁃exposure with Mt6⁃21DLeu at concentrations of 1/4 × MIC, 1/2 × MIC and MIC, (61.58 ± 7.35)%, (47.42 ± 5.51)% and (20.85 ± 10.48)% post⁃treatment with polymyxin B at concentrations of 1/4 × MIC, 1/2 × MIC and MIC, and (100.00 ± 15.92)% in the control group (only bacterial suspension), respectively (F = 68.38, P < 0.001), and pairwise comparisons indicated that Mt6⁃21DLeu and polymyxin B at all concentrations significantly inhibited biofilm formation as compared to the control group (all P values < 0.001). The mature biofilm biomass in AB was (73.44 ± 11.41)%, (72.56 ± 13.08)% and (49.65 ± 9.23)% post⁃exposure to Mt6⁃21DLeu at concentrations of MIC, 2 × MIC, and 4 × MIC, (84.38 ± 8.6)%, (72.31 ± 9.63)% and (58.85 ± 4.96)% post⁃treatment with polymyxin B at concentrations of MIC, 2 × MIC, and 4 × MIC, and (100.00 ± 6.36)% in the control group (F = 35.63, P < 0.001), and pairwise comparisons revealed that Mt6⁃21DLeu at all concentrations significantly eradicated biofilm biomass (all P values < 0.05); however, polymyxin B showed no clear⁃cut eradication effect at a concentration of MIC (P > 0.05). Scanning electron microscopy revealed pore formation and content leakage in the cell membrane of AB 3 hours post⁃treatment with Mt6⁃21DLeu at concentrations of MIC and 2 × MIC. Fluorescence microscopy showed that the proportions of PI⁃stained AB were (24.79 ± 11.51)% and (68.44 ± 15.80)% post⁃treatment with Mt6⁃21DLeu at concentrations of MIC and 2 × MIC, and (0.96 ± 0.94)% in the phosphate⁃buffered saline (PBS) treatment group (F = 105.90, P < 0.001), with the highest proportion of PI⁃stained AB seen post⁃treatment with Mt6⁃21DLeu at a concentration of 2 × MIC  (P < 0.05). Flow cytometry revealed that the relative intracellular ROS levels in AB were (652.00 ± 141.90), (694.33 ± 14.19), and (974.33 ± 160.02) 3 hours post⁃treatment with Mt6⁃21DLeu at concentrations of MIC, 2 × MIC and 4 × MIC, and (403.67 ± 86.56) in the PBS treatment group, respectively (F = 12.27, P < 0.05), with the highest intracellular ROS level measured following treatment with Mt6⁃21DLeu at a concentration of 4 × MIC (P < 0.05). Survival curve analysis revealed that Mt6⁃21DLeu posed no impact on C. elegans survival at concentrations of MIC ([χ2] = 0.02, P > 0.05), 2 × MIC ([χ2] = 0.06, P > 0.05) or 4 × MIC ([χ2] = 0.16, P > 0.05), and there was a significant difference in the survival period of C. elegans among the control group, the infection group, and the treatment group ([χ2] = 82.66, P < 0.05), with a significantly longer survival period in the treatment group than in the infection group ([χ2] = 45.00, P < 0.05). In addition, the log⁃transformed bacterial colony counts in C. elegans were (0.00 ± 0.00), (5.46 ± 0.03), and (3.91 ± 0.47) CFU/mL in the control group, the infection group, and the treatment group, respectively (F = 324.80, P < 0.001), and the log⁃transformed bacterial colony counts in C. elegans were significantly lower in the treatment group than in the infection group (P < 0.05). Conclusions Mt6⁃21DLeu exerts potent antibacterial effects through disrupting the cell membrane integrity of AB and promoting intracellular ROS accumulation in AB, and exhibits promising potential for treatment of AB infections both in vivo and in vitro, which may serve as a candidate drug molecule against multidrug⁃resistant AB infections.
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    Practice and prospect of China's participation in international cooperation for malaria control from the perspective of the "China⁃Africa Year of People⁃to⁃People Exchanges"
    LIANG Cheng, ZHU Guoding, CAO Jun
    Chinese Journal of Schistosomiasis Control    2026, 38 (2): 109-113.  
    Abstract234)      PDF(pc) (995KB)(610)       Save
    As one of major global public health challenges, malaria control is crucial to building a global community of health for all. The 2026 "China⁃Africa Year of People⁃to⁃People Exchanges" provides a new opportunity for China's participation in international cooperation for malaria control. This article introduces the strategic significance and practical path of China's participation in international cooperation on malaria control in the new era, and discusses policy recommendations for optimizing the cooperation model between China and African countries, aiming to provide insights into accelerating the progress towards global malaria elimination and facilitating the building of a China⁃Africa community of health for all. 
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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.  
    Abstract474)      PDF(pc) (1467KB)(604)       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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    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.  
    Abstract531)      PDF(pc) (1047KB)(598)       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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    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.  
    Abstract444)      PDF(pc) (1831KB)(598)       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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    Regulation of natural killer cell subtypes and functions by programmed cell death protein 1 and its receptor at the maternal⁃fetal interface in mice infected with Toxoplasma gondii during the second trimester
    SUN Jiayue, BAI Qiuhua, CHEN Xiaodan, LÜ Jiayin, HE Shanshan, TANG Lili, LIAO Dejun, LIU Dengyu, FU Xiaoyin
    Chinese Journal of Schistosomiasis Control    2025, 37 (5): 465-474.  
    Abstract328)      PDF(pc) (2159KB)(530)       Save
    Objective To investigate the regulatory role of the programmed cell death protein 1 (PD⁃1) and its ligand programmed cell death protein ligand 1 (PD⁃L1) signaling on the subtypes and functions of natural killer (NK) cells at the maternal⁃fetal interface during the second trimester in mice following Toxoplasma gondii infection during the first trimester. Methods Twelve 6⁃ to 8⁃week⁃old female mice of the C57BL/6J strain were divided into a control group and an infection group, of 6 mice in each group. On the 6.5th day of pregnancy (Gd6.5), each pregnant mouse in the infection group was intraperitoneally injected with 150 tachyzoites of the Toxoplasma gondii PRU strain, while mice in the control group were injected with an equal volume of physiological saline. On the 12.5th day of pregnancy (Gd12.5), uterus and placenta tissues were sampled from pregnant mice for pathological observations, and the mRNA expression levels of PD⁃1, PD⁃L1, and tumor necrosis factor⁃α (TNF⁃α) were quantified in uterus and placenta tissues. The PD⁃1 and DX5 expression was measured on NK cells at the maternal⁃fetal interface using flow cytometry. In addition, the in vitro JEG⁃3 trophoblast cells and NK⁃92MI cells co⁃culture system was established as the control group, and the addition of T. gondii tachyzoites in the co⁃culture system served as the infection group. The PD⁃1, PD⁃L1, and DX5 mRNA expression was quantified in cells using real⁃time fluorescence quantitative reverse transcription PCR (RT⁃qPCR) assay, and the TNF⁃α concentration was measured in the cell culture supernatant using enzyme⁃linked immunosorbent assay (ELISA). Results On Gd12.5, clear and intact cellular structures of placental decidual tissues were seen in pregnant mice in the control group, with no remarkable abnormal changes found in the uterine columnar epithelial cells, and inflammatory cell infiltration and blood stasis at varying degrees were found in uterine and placental tissues from pregnant mice in the infection group. The relative PD⁃1, PD⁃L1, and TNF⁃α mRNA expression was (1.004 ± 0.004), (1.001 ± 0.001), and (1.001 ± 0.001) in uterine tissues from pregnant mice in the control group and (2.480 ± 0.720), (3.355 ± 0.920), and (2.391 ± 0.073) in the infection group, respectively. The relative PD⁃1, PD⁃L1, and TNF⁃α mRNA expression was (1.007 ± 0.010), (1.006 ± 0.006), and (1.001 ± 0.001) in the uterine tissues in the control group and (6.948 ± 1.918), (3.225 ± 1.034), and (1.536 ± 0.150) in the infection group, respectively. The relative PD⁃1, PD⁃L1, and TNF⁃α mRNA expression was higher in both the uterine (t = 3.55, 4.43 and 33.02, all P values < 0.05) and placental tissues (t = 5.36, 3.72 and 6.18, all P values < 0.05) in the infection group than in the control group. Flow cytometry showed that the proportions of PD⁃1+ NK cells, PD⁃1+ DX5+ NK cells, and DX5+ NK cells were (12.200 ± 1.082)%, (9.373 ± 7.728)%, and (44.000 ± 4.095)% in uterine tissues from pregnant mice in the control group, and (21.733 ± 1.630)%, (18.767 ± 1.242)%, and (73.367 ± 0.611)% in the infection group, respectively. The proportions of PD⁃1+ NK cells, PD⁃1+ DX5+  NK cells, and DX5+ NK cells were (1.100 ± 0.510)%, (2.277 ± 1.337)%, and (96.167 ± 2.831)% in placental tissues from mice in the control group, and (26.867 ± 9.722)%, (23.433 ± 6.983)%, and (82.467 ± 2.248)% in the infection group, respectively. The proportions of PD⁃1+ NK cells (t = 8.45, P < 0.05) and DX5+ NK cells (t = 12.29, P < 0.05) were higher in uterine tissues from pregnant mice in the infection group than in the control group, and no significant difference was seen in the proportion of PD⁃1+DX5+ NK cells (Z = -1.09, P > 0.05). The proportions of PD⁃1+ NK cells (t = 4.58, P < 0.05) and PD⁃1+ DX5+ NK cells (t = 5.15, P < 0.05) were higher in placental tissues from pregnant mice in the infection group than in the control group, while the proportion of DX5+ NK cells was lower in the infection group than in the control group (t = -6.56, P < 0.05). RT⁃qPCR assay revealed that the relative PD⁃1, PD⁃L1, and DX5 mRNA expression was (1.010 ± 0.005), (1.002 ± 0.003), and (1.001 ± 0.001) in the JEG⁃3 cells and NK92MI cells co⁃culture system and (3.638 ± 1.258), (0.397 ± 0.158), and (4.267 ± 1.750) in the control group, and ELISA measured that the TNF⁃α concentration was higher in the cell culture supernatant in the infection group [(22.056 ± 3.205) pg/mL] than in the control group [(12.441 ± 0.001) pg/mL] (t = 5.20, P < 0.05). The PD⁃1(t = 3.62, P < 0.05) and DX5 mRNA expression (t = 3.23, P < 0.05) was higher in the infection group than in the control group, and the PD⁃L1 mRNA expression was lower in the infection group than in the control group (t = -6.63, P < 0.05). Conclusions Following T. gondii infection, both PD⁃L1 expression and PD⁃1 expression on DX5+ NK cells at the maternal⁃fetal interface are upregulated in mice during the second trimester; however, the proportion of DX5+ NK cells decreases. These findings suggest that PD⁃1/PD⁃L1 signaling may suppress NK cell functions by modulating DX5+ NK cell subsets.
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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.  
    Abstract671)      PDF(pc) (1480KB)(518)       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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    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.  
    Abstract362)      PDF(pc) (4943KB)(444)       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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    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.  
    Abstract410)      PDF(pc) (1535KB)(411)       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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    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.  
    Abstract516)      PDF(pc) (2221KB)(401)       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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    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.  
    Abstract438)      PDF(pc) (1116KB)(379)       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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    Diagnostic value of serum Mac⁃2 binding protein for the severity of schistosomiasis⁃induced liver fibrosis  
    WU Jun, LUO Meiqun, XIE Shuying, ZHU Ronghua, XU Hui, TANG Long, HU Fei, DING Sheng
    Chinese Journal of Schistosomiasis Control    2026, 38 (1): 38-43.  
    Abstract238)      PDF(pc) (1223KB)(374)       Save
    Objective To evaluate the value of serum Mac⁃2 binding protein (M2BP) for assessment of the severity of schistosomiasis⁃induced liver fibrosis, so as to provide insights into non⁃invasive diagnosis and disease surveillance of liver fibrosis caused by schistosomiasis.  Methods A total of 234 individuals with a history of Schistosoma japonicum infection were sampled from Xinhua Village, Lushan City, Jiangxi Province from 2019 to 2020, and 234 serum samples were collected from all participants. All participants received B⁃ultrasound examinations of the liver. Serum samples were categorized into four groups (grades 0, Ⅰ, Ⅱ and Ⅲ schistosomiasis⁃induced liver fibrosis groups) according to B⁃ultrasound examination results, and then, each group was randomly divided into a receiver operating characteristic (ROC) curve group and an efficacy assessment group at a ratio of 7 ∶ 3. Serum M2BP concentration was measured in four groups using the enzyme⁃linked immunosorbent assay (ELISA), and differences in serum M2BP concentrations were compared with analysis of variance and Spearman correlation analysis. Serum M2BP concentration was subjected to ROC curve analysis among individuals with different grades of schistosomiasis⁃induced liver fibrosis in the ROC curve group to determine the optimal diagnostic threshold of M2BP concentration at different fibrosis grades, and the area under the ROC curve (AUC) was calculated to evaluate the diagnostic performance. The diagnostic accuracy was verified by comparing the accordance rate and Kappa consistency test in the efficacy assessment group.  Results Among 234 serum samples, there were 79 samples with grade 0 schistosomiasis⁃induced liver fibrosis, 87 samples with Grade Ⅰ, 46 samples with Grade Ⅱ and 22 samples with Grade Ⅲ according to the B⁃ultrasound examinations. The mean serum M2BP concentrations were (0.40 ± 0.31) [95% confidence interval (CI): (0.33, 0.47)], (0.64 ± 0.48) [95% CI: (0.53, 0.74)], (1.76 ± 0.58) [95% CI: (1.59, 1.93)] μg/mL and (2.56 ± 0.93) [95% CI: (2.14, 2.97)] μg/mL in the four groups, respectively (F = 150.796, P < 0.001), and the severity of schistosomiasis⁃induced liver fibrosis significantly positively correlated with serum M2BP concentration (rs = 0.715, P < 0. 001). The sample sizes of grades 0, Ⅰ, Ⅱ and Ⅲ schistosomiasis⁃induced liver fibrosis sera were randomly allocated as follows: 55 versus 24, 61 versus 26, 32 versus 14, and 15 versus 7 in the ROC curve and efficacy assessment groups, respectively, and the serum M2BP concentrations were (0.39 ± 0.29) μg/mL and (0.42 ± 0.36) μg/mL (F = 0.196, P > 0.05), (0.59 ± 0.47) μg/mL and (0.75 ± 0.51) μg/mL (F = 1.967, P > 0.05), (1.73 ± 0.59) μg/mL and (1.85 ± 0.57) μg/mL (F = 0.417, P > 0.05), and (2.46 ± 0.64) μg/mL and (2.76 ± 1.41) μg/mL (F = 0.491, P > 0.05), respectively. ROC curve analysis showed that the optimal diagnostic thresholds of serum M2BP concentration were 0.347 86 μg/mL (AUC = 0.635, P < 0.05), 1.188 83 μg/mL (AUC = 0.938, P < 0.000 1) and 2.021 21 μg/mL (AUC = 0.821, P < 0.000 1) for grade Ⅰ, Ⅱ and Ⅲ schistosomiasis⁃induced liver fibrosis. In addition, the accordance rates between the optimal diagnostic threshold of serum M2BP and B⁃ultrasound examinations for predicting grade Ⅰ, Ⅱ and Ⅲ schistosomiasis⁃induceed liver fibrosis were 69.23%, 85.71% and 71.43% ([χ2] = 1.340, P > 0.05), and the overall Kappa consistency test showed moderate consistency [Kappa = 0.608, 95% CI: (0.428, 0.788); Z = 6.609, P < 0.000 1].  Conclusions Serum M2BP may serve as a potential biomarker for assessing moderate to advanced schistosomiasis⁃induced liver fibrosis; however, its diagnostic value for early⁃stage schistosomiasis⁃induced liver fibrosis remains limited.
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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.  
    Abstract581)      PDF(pc) (1067KB)(373)       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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    Progress of researches on the habitat adaptability and control measures of Biomphalaria straminea
    MIN Fengyang, LI Wei, WANG Jiasheng, YUAN Yi, GUO Yunhai, YANG Kun, ZHANG Jianfeng, XIONG Chunrong
    Chinese Journal of Schistosomiasis Control    2025, 37 (6): 673-680.  
    Abstract264)      PDF(pc) (1125KB)(366)       Save
    Biomphalaria straminea is an important intermediate host of Schistosoma mansoni, and control of B. straminea is critical to schistosomiasis mansoni control. Recently, great strides have been achieved in the habitat adaptability and control measures of B. straminea. This review summarizes advances in the adaptation of B. straminea to habitat elements and chemical, biological, and physical control measures of B. straminea, analyzes current research gaps and challenges and proposes future research priorities, so as to provide insights into effective control of B. straminea.
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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.  
    Abstract765)      PDF(pc) (1059KB)(365)       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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