Abstract:
Since 2015 when the transmission of schistosomiasis was controlled in China, the country has been moving towards elimination of schistosomiasis, with the surveillance-response as the main interventions for schistosomiasis control. During the period of the 13th Five-Year Plan, the transmission of schistosomiasis had been interrupted in four provinces of Sichuan, Jiangsu, Yunnan and Hubei and the prevalence of schistosomiasis has been at the historically lowest level in China. As a consequence, the goal set in The 13th Five-Year National Schistosomiasis Control Program in China is almost achieved. However, there are multiple challenges during the stage moving towards elimination of schistosomiasis in China, including the widespread distribution of intermediate host snails and complicated snail habitats, many types of sources of Schistosoma japonicum infections and difficulty in management of bovines and sheep, unmet requirements for the current schistosomiasis control program with the currently available tools, and vulnerable control achievements. During the 14th Five-Year period, it is crucial to consolidate the schistosomiasis control achievements and gradually solve the above difficulties, and critical to provide the basis for achieving the ultimate goal of elimination of schistosomiasis in China. Based on the past experiences from the national schistosomiasis control program and the challenges for schistosomiasis elimination in China, an expert consensus has been reached pertaining to the objectives, control strategy and measures for The 14th Five-Year National Schistosomiasis Control Program in China, so as to provide insights in to the development of The 14th Five-Year National Schistosomiasis Control Program in China.
[摘要] 2015 年全国达到血吸虫病传播控制标准后, 进入以全面阻断血吸虫病传播为新目标、开展监测预警为主要干 预措施的新时期。“十三五” 时期, 四川、江苏、云南、湖北等 4 个血吸虫病防治重点省份先后达到血吸虫病传播阻断标准或通过国家血吸虫病传播阻断技术评估, 我国血吸虫病疫情处于历史最低水平, 流行程度进一步降低, 《“十三五” 全国血 吸虫病防治规划》既定目标基本实现。但日本血吸虫唯一中间宿主钉螺依然广泛存在且孳生环境复杂、血吸虫病传染源 种类多且牛羊等主要传染源管控困难、现有防治技术与当前防治需求不相适应、防治成果基础不牢等是我国血吸虫病消 除进程中面临的主要困难和挑战。“十四五” 时期是巩固我国血吸虫病防治成果、逐步解决上述困难的重要时期, 也是为 实现消除血吸虫病最终目标奠定基础的关键阶段。我们在认真总结前期血吸虫病防治经验和当前面临挑战基础上, 遵 循依法防治、科学防治和精准防治原则, 就《“十四五” 全国血吸虫病防治规划》中防治目标、防治策略、防治措施等方面达 成专家共识, 旨在为制定《“十四五” 全国血吸虫病防治规划》提供参考, 更好地发挥该规划对现场防治工作的政策指导和 引领作用。.