我国寄生虫病防控面临的新挑战与新要求
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摘要
经过60多年的努力,我国在寄生虫病防治方面取得了显著的成就,形成了系统的防治策略与措施,许多过去广泛流行的寄生虫病已经消除或正在走向消除。进入新时代,随着社会和经济的发展,寄生虫病的流行特点与发展趋势也随之发生显著变化,传统寄生虫病如土源性线虫的感染率虽然显著下降,但土壤虫卵检出率仍较高,提示传播风险仍存在;由于自然、生物、社会等流行因素变化,新型寄生虫病如食源性寄生虫病、输入性寄生虫病及机会性寄生虫病等带来的食品安全、国家生物安全及人类健康等问题日益突出。因此,面对这些新问题、新挑战,在寄生虫病防控方面对我们提出新要求,我们应以"同一健康(one health)"、辨证的理念跨学科、跨领域、跨区域地开展寄生虫病的监测、防控和研究。
After more than 60 years of efforts, China has made remarkable achievements in the prevention and treatment of parasitic diseases,having formed a systematic control strategy and measures, many important parasitic diseases which used to be highly prevalent have been eliminated or is moving towards to elimination. After entering a new era, with the development of society and economy, the epidemic characteristics and trend of parasitic diseases have changed significantly.Although the infection rate of traditional parasitic diseases such as soil-transmitted nematodes has decreased sharply, the egg positive rate from soil sample remains a high, suggesting that the risk of transmission still exists; Due to changes in natural, biological, social factors, new parasitic diseases such as foodborne parasitic diseases,imported parasitic diseases and opportunistic parasitic diseases are becoming more and more prevalent, leading to concerns about food safety, national biosafety and human health. Therefore, faced with these new problems and new challenges, in prevention and control of parasitic diseases, we should put forward new requirements, which require us to inter-disciplinarily, cross-cuttingly and cross-regionally conduct surveillance, prevention and control, and research based on the dialectical concept of "one health".
After more than 60 years of efforts, China has made remarkable achievements in the prevention and treatment of parasitic diseases,having formed a systematic control strategy and measures, many important parasitic diseases which used to be highly prevalent have been eliminated or is moving towards to elimination. After entering a new era, with the development of society and economy, the epidemic characteristics and trend of parasitic diseases have changed significantly.Although the infection rate of traditional parasitic diseases such as soil-transmitted nematodes has decreased sharply, the egg positive rate from soil sample remains a high, suggesting that the risk of transmission still exists; Due to changes in natural, biological, social factors, new parasitic diseases such as foodborne parasitic diseases,imported parasitic diseases and opportunistic parasitic diseases are becoming more and more prevalent, leading to concerns about food safety, national biosafety and human health. Therefore, faced with these new problems and new challenges, in prevention and control of parasitic diseases, we should put forward new requirements, which require us to inter-disciplinarily, cross-cuttingly and cross-regionally conduct surveillance, prevention and control, and research based on the dialectical concept of "one health".
引文
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[14]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.
[15]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.
[16]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.
[17]曹淳力,郭家钢.“一带一路”建设中重要寄生虫病防控面临的挑战与对策[J].中国血吸虫病防治杂志,2018,30(2):111-116.
[18]张丽,丰俊,夏志贵.2013年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2014,32(6):407-413.
[19]张丽,周水森,丰俊,等.2014年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2015,33(5):319-326.
[20]张丽,丰俊,张少森,等.2015年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2016,34(6):477-481.
[21]张丽,丰俊,张少森,等.2016年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):515-519.
[22]朱淮民.机会性寄生虫病的研究进展[J].中国寄生虫学与寄生虫病杂志,2015,33(6):450-455.
[23]余洲,吴小兰,敬晓琴,等.慢加急乙型重型肝炎后发生播散性粪类原线虫感染1例[J].大医生,2017,2(9):111-112.
[24]范久波,李保安,刘海菊.结肠癌患者合并粪类圆线虫感染1例[J].中国寄生虫学与寄生虫病杂志,2016,34(3):281,289.
[25]刘亚乔,肖梦溪,李宇,等.宠物源性人兽共患寄生虫病的研究进展[J].畜禽业,2017,28(9):14-16.
[26]司炎辉,刘保池.艾滋病合并阿米巴肝脓肿及阿米巴肺脓肿一例[J].中华实验和临床感染病杂志:电子版,2015,9(4):555-556.
[2]Song LG,Zeng XD,Li YX,et al.Imported parasitic diseases in mainland China:current status and perspectives for better control and prevention[J].Infectious Diseases of Poverty,2018,7:78.
[3]Sun DJ,Deng XL,Duan JH.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 LG,Wu XY,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):4071-81.
[6]陈颖丹,臧炜.我国土源性线虫病监测现状及今后监测工作重点[J].中国血吸虫病防治杂志,2015,27(2):111-114.
[7]唐磊,邢智锋,葛涛,等.2015年黑龙江省人体重点寄生虫感染现状调查[J].中国寄生虫学与寄生虫病杂志,2018,36(4):388-391,398.
[8]何卓,唐阳,李正祥,等.2015年湖南省人体重点寄生虫病流行现状调查[J].实用预防医学,2017,24(3):291-296.
[9]金伟,郭见多,刘道华,等.安徽省人体重点寄生虫病现状调查报告[J].热带病与寄生虫学,2017,15(1):14-18,6.
[10]曾小军,李召军,姜唯声,等.2014年江西省人体重点寄生虫感染现状[J].中国血吸虫病防治杂志,2015,27(6):595-599.
[11]刘梦然,陈晓梅,黄少玉,等.2015年广东省人体重点寄生虫感染现状分析[J].中华地方病学杂志,2018,37(2):144-148.
[12]龚希,王光西.四川省人体寄生虫病流行特征和防治经验[J].中国卫生产业,2018,15(7):189-190.
[13]周晓农.2015年全国人体重点寄生虫病现状调查报告[M].北京:人民卫生出版社,2018.
[14]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.
[15]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.
[16]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.
[17]曹淳力,郭家钢.“一带一路”建设中重要寄生虫病防控面临的挑战与对策[J].中国血吸虫病防治杂志,2018,30(2):111-116.
[18]张丽,丰俊,夏志贵.2013年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2014,32(6):407-413.
[19]张丽,周水森,丰俊,等.2014年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2015,33(5):319-326.
[20]张丽,丰俊,张少森,等.2015年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2016,34(6):477-481.
[21]张丽,丰俊,张少森,等.2016年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):515-519.
[22]朱淮民.机会性寄生虫病的研究进展[J].中国寄生虫学与寄生虫病杂志,2015,33(6):450-455.
[23]余洲,吴小兰,敬晓琴,等.慢加急乙型重型肝炎后发生播散性粪类原线虫感染1例[J].大医生,2017,2(9):111-112.
[24]范久波,李保安,刘海菊.结肠癌患者合并粪类圆线虫感染1例[J].中国寄生虫学与寄生虫病杂志,2016,34(3):281,289.
[25]刘亚乔,肖梦溪,李宇,等.宠物源性人兽共患寄生虫病的研究进展[J].畜禽业,2017,28(9):14-16.
[26]司炎辉,刘保池.艾滋病合并阿米巴肝脓肿及阿米巴肺脓肿一例[J].中华实验和临床感染病杂志:电子版,2015,9(4):555-556.