对不同干预模式的现场验证,以在传输中断后的传输中断阶段对杆杆菌病的潜在传播风险进行验证
Jiaxin Feng1,2, Zhaoyu Guo1, Peijun Qian1
1National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai, People's Republic of China.
PLoS neglected tropical diseases
|November 6, 2023
概括
控制顺病传播风险的最佳策略包括综合健康教育和传染源管理. 这种方法在传输后的中断阶段最有效,超过了牛控制方法.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 寄生虫学的寄生虫学
背景情况:
- 脊髓灰质炎仍然是一个重大的公共卫生问题,特别是在传播中断的地区.
- 精确干预对于进一步降低残留传播风险和防止再次出现至关重要.
- 评估各种干预策略对于有效的疾病控制计划至关重要.
研究的目的:
- 评估不同干预模型在控制杆菌病传播风险方面的比较有效性.
- 确定在中断后的环境中管理剩余传输的最佳策略.
- 提供基于证据的建议,用于杆菌病控制计划.
主要方法:
- 在两年内 (2021-2022) 在湖北省江陵县的特有村落实施了三种干预模式.
- 模型1:牛控制和综合感染源管理.
- 模型2:综合健康教育和传染源管理.
- 模型3:仅集成感染源管理.
- 使用权重的TOPSIS,RSR和模糊组合模型来评估有效性.
主要成果:
- 模型2在所有评估方法 (TOPSIS,RSR和模糊组合) 中始终获得最高的综合排名.
- 对值加权的TOPSIS显示Model 2的Ci值较高,表明性能优越.
- RSR值也排在Model 2的最高位置,证实了其在风险管理方面的有效性.
结论:
- 综合健康教育为主导的战略,强调传染源管理,是控制杆杆菌病传播风险的最佳模式.
- 这种策略在传输中断后的阶段特别有效.
- 调查结果支持优先考虑健康教育和源管理,以控制杆菌病的努力.
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