我国人体寄生虫病防治的新挑战:食源性寄生虫病的防治
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摘要
经过六十多年的努力,许多过去广泛流行的寄生虫病已经消除或正在走向消除,但食源性寄生虫病问题突出,已成为不容忽视的重要公共卫生问题之一。食源性寄生虫病主要是经口感染,与饮食习惯关系密切。华支睾吸虫病是当前我国流行最为严重的食源性寄生虫病,局部地区人群感染率达23%以上。在积极加强健康教育的同时,应该加强对食源性寄生虫病防治基础研究,开展早期诊断技术、溯源和监测技术以及传播阻断疫苗等研究,为有效防控食源性寄生虫病提供关键技术支撑。
After more than 60 years of efforts, many of the past widespread parasitic diseases have been eliminated or areheading for elimination. However, in some areas, the problem of food-borne parasitic diseases is prominent and has becomeone of the important public health problems that can not be ignored. Food-borne parasitic diseases are mainly oral infections,which are closely related to dietary habits. Clonorchiasis sinensis infection is the most serious food-borne parasitic diseaseprevalent in China at present. The infection rate of local population is over 23% in some endemic areas. While strengtheninghealth education actively, we should strengthen basic research on the prevention and control of food-borne parasitic diseases,carry out research on early diagnosis, traceability and monitoring technologies, and dissemination of blocking vaccines, so as toprovide key technical support for effective prevention and control of food-borne parasitic diseases.
After more than 60 years of efforts, many of the past widespread parasitic diseases have been eliminated or areheading for elimination. However, in some areas, the problem of food-borne parasitic diseases is prominent and has becomeone of the important public health problems that can not be ignored. Food-borne parasitic diseases are mainly oral infections,which are closely related to dietary habits. Clonorchiasis sinensis infection is the most serious food-borne parasitic diseaseprevalent in China at present. The infection rate of local population is over 23% in some endemic areas. While strengtheninghealth education actively, we should strengthen basic research on the prevention and control of food-borne parasitic diseases,carry out research on early diagnosis, traceability and monitoring technologies, and dissemination of blocking vaccines, so as toprovide key technical support for effective prevention and control of food-borne parasitic diseases.
引文
[1]WANG J L, LI T T, HUANG S Y, et al. Major parasitic diseases of poverty in mainland China:perspectives for better control[J]. Infect Dis Poverty, 2016, 5:67.
[2]SONG L G, ZENG X D, LI Y X, et al. Imported parasitic diseases in mainland China:current status and perspectives for better control and prevention[J]. Infectious Diseases of Poverty, 2018, 7(1):1-11.
[3]SUN D J, DENG X L, DUAN J H. The history of the elimination of lymphatic filariasis in China[J]. Infect Dis Poverty, 2013, 2:30.
[4]张丽,丰俊,张少森,等.2017年全国消除疟疾进展及疫情特征分析[J].中国寄生虫学与寄生虫病杂志,2018,36(3):201-209.
[5]SONG L G, WU X Y, SACKO M, et al. History of schistosomiasis epidemiology, current status, and challenges in China:on the road to schistosomiasis elimination[J]. Parasitol Res, 2016,115(11):4071-4081.
[6]周晓农. 2015年全国人体重点寄生虫病现状报告[M].北京:人民卫生出版社, 2018.
[7]雷世鑫,杨亮.我国食源性寄生虫感染特点及防控探讨[J].中国农村卫生事业管理,2016,36(3):352-354.
[8]TANG Z L, HUANG Y, YU X B. Current status and perspectives of Clonorchis sinensis and clonorchiasis:epidemiology, pathogenesis,omics, prevention and control[J]. Infect Dis Poverty, 2016, 5(1):71.
[9]吴观陵.人体寄生虫学[M]. 4版.北京:人民卫生出版社, 2013.
[10]TONG-SOO K, JHANG H P, JONG-BO K, et al. Clonorchissinensis, an oriental liver fluke, as a human biological agent of cholangiocarcinoma:a brief review[J]. BMB Rep, 2016, 49(11):590-597.
[11]张诚武,石海梅,郭鄂平.食物源性寄生虫病感染途径及防治对策研究[J].世界最新医学信息文摘, 2018,18(64):174,176.
[12]陈庭金,黄艳,余新炳.肝吸虫病:严峻挑战与防治对策的思考[J].中华疾病控制杂志, 2016, 20(1):1-4,12.
[13]WANG X Y, CHEN W J, HUANG Y, et al. The draft genome of the carcinogenic human liver fluke Clonorchis sinensis[J]. Genome Biol,2011, 12(10):R107.
[2]SONG L G, ZENG X D, LI Y X, et al. Imported parasitic diseases in mainland China:current status and perspectives for better control and prevention[J]. Infectious Diseases of Poverty, 2018, 7(1):1-11.
[3]SUN D J, DENG X L, DUAN J H. The history of the elimination of lymphatic filariasis in China[J]. Infect Dis Poverty, 2013, 2:30.
[4]张丽,丰俊,张少森,等.2017年全国消除疟疾进展及疫情特征分析[J].中国寄生虫学与寄生虫病杂志,2018,36(3):201-209.
[5]SONG L G, WU X Y, SACKO M, et al. History of schistosomiasis epidemiology, current status, and challenges in China:on the road to schistosomiasis elimination[J]. Parasitol Res, 2016,115(11):4071-4081.
[6]周晓农. 2015年全国人体重点寄生虫病现状报告[M].北京:人民卫生出版社, 2018.
[7]雷世鑫,杨亮.我国食源性寄生虫感染特点及防控探讨[J].中国农村卫生事业管理,2016,36(3):352-354.
[8]TANG Z L, HUANG Y, YU X B. Current status and perspectives of Clonorchis sinensis and clonorchiasis:epidemiology, pathogenesis,omics, prevention and control[J]. Infect Dis Poverty, 2016, 5(1):71.
[9]吴观陵.人体寄生虫学[M]. 4版.北京:人民卫生出版社, 2013.
[10]TONG-SOO K, JHANG H P, JONG-BO K, et al. Clonorchissinensis, an oriental liver fluke, as a human biological agent of cholangiocarcinoma:a brief review[J]. BMB Rep, 2016, 49(11):590-597.
[11]张诚武,石海梅,郭鄂平.食物源性寄生虫病感染途径及防治对策研究[J].世界最新医学信息文摘, 2018,18(64):174,176.
[12]陈庭金,黄艳,余新炳.肝吸虫病:严峻挑战与防治对策的思考[J].中华疾病控制杂志, 2016, 20(1):1-4,12.
[13]WANG X Y, CHEN W J, HUANG Y, et al. The draft genome of the carcinogenic human liver fluke Clonorchis sinensis[J]. Genome Biol,2011, 12(10):R107.