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Schistosomiasis control in China

H C Yuan1

  • 1Shanghai Medical University, P. R. of China.

Memorias Do Instituto Oswaldo Cruz
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

Schistosomiasis japonica control in China has achieved success in many areas but faces challenges in lake and mountainous regions. Ongoing surveillance and tailored strategies are crucial for sustained elimination efforts.

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Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Parasitology

Background:

  • Schistosomiasis japonica control efforts in China have progressed over three decades.
  • Significant achievements include control in one-third of endemic provinces and over 68% of endemic counties.
  • Remaining challenges are concentrated in endemic counties within lake and mountainous regions, presenting unique epidemiological and ecological features.

Purpose of the Study:

  • To outline the key characteristics of schistosomiasis control efforts in China.
  • To describe the multi-level strategies employed for schistosomiasis japonica control.
  • To highlight the importance of adaptive strategies for different endemic areas.

Main Methods:

  • Centralized leadership and management involving multiple government ministries and local authorities.

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  • Integration of actions across various sectors, including agriculture, water conservation, and public health.
  • Promotion of mass participation, organization of professional teams, and securing adequate funding.

    • Main Results:

    • Schistosomiasis japonica has been controlled in 4 out of 12 endemic provinces and 259 out of 380 endemic counties.
    • 121 endemic counties, primarily in lake and mountainous areas, require continued and adapted control measures.
    • Three-tiered strategies are implemented based on the level of control achieved: surveillance and rapid response, integrated treatment and snail control, and morbidity control.

    Conclusions:

    • Sustained schistosomiasis japonica control requires ongoing surveillance and rapid response in controlled areas.
    • Integrated approaches involving treatment, environmental modification, and mollusciciding are vital for partially controlled regions.
    • Morbidity control remains the primary strategy in areas where transmission is not yet controlled, necessitating tailored interventions for diverse endemic settings.