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Progress and problems in schistosomiasis control in China.

M G Chen1

  • 1Parasitic Diseases Programme, World Health Organization, Geneva, Switzerland.

Tropical Medicine and Parasitology : Official Organ of Deutsche Tropenmedizinische Gesellschaft and of Deutsche Gesellschaft Fur Technische Zusammenarbeit (GTZ)
|June 1, 1989
PubMed
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Schistosomiasis japonica control in China has significantly reduced infections and snail habitats over 30 years. Remaining endemic areas in difficult terrains require sustained, long-term public health efforts.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Parasitology

Background:

  • Schistosomiasis japonica control is a major public health priority in China.
  • Over 30 years of control efforts have been implemented.
  • Schistosomiasis japonica remains a significant health concern in specific regions.

Purpose of the Study:

  • To evaluate the progress of schistosomiasis japonica control in China.
  • To assess the reduction in human and bovine infections.
  • To analyze changes in snail habitat areas.

Main Methods:

  • Analysis of historical and recent epidemiological data on Schistosomiasis japonica.
  • Estimation of infected human and cattle populations.
  • Measurement of Oncomelania snail habitat area reduction.

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Main Results:

  • Transmission of Schistosomiasis japonica has been interrupted in 125 counties and effectively controlled in 141 counties.
  • Infected human populations decreased from 10 million to 870,000, and infected cattle from 1.2 million to 100,000.
  • Oncomelania snail habitats were reduced from over 14 billion to 3.2 billion square meters.

Conclusions:

  • Significant progress has been made in schistosomiasis japonica control in China.
  • Control efforts have led to substantial reductions in disease burden and transmission.
  • Persistent challenges remain in endemic lake and mountainous regions, necessitating long-term control strategies.