Tropical diseases remain a major cause of morbidity and mortality in developing countries.Although combined health efforts brought about significant improvements over the past 20 years,communities in resource-constrai...Tropical diseases remain a major cause of morbidity and mortality in developing countries.Although combined health efforts brought about significant improvements over the past 20 years,communities in resource-constrained settings lack the means of strengthening their environment in directions that would provide less favourable conditions for pathogens.Still,the impact of infectious diseases is declining worldwide along with progress made regarding responses to basic health problems and improving health services delivery to the most vulnerable populations.The London Declaration on Neglected Tropical Diseases(NTDs),initiated by the World Health Organization’s NTD roadmap,set out the path towards control and eventual elimination of several tropical diseases by 2020,providing an impetus for local and regional disease elimination programmes.Tropical diseases are often patchy and erratic,and there are differing priorities in resources-limited and endemic countries at various levels of their public health systems.In order to identify and prioritize strategic research on elimination of tropical diseases,the‘First Forum on Surveillance-Response System Leading to Tropical Diseases Elimination’was convened in Shanghai in June 2012.Current strategies and the NTD roadmap were reviewed,followed by discussions on how to identify and critically examine prevailing challenges and opportunities,including inter-sectoral collaboration and approaches for elimination of several infectious,tropical diseases.A priority research agenda within a‘One Health-One World’frame of global health was developed,including(i)the establishment of a platform for resource-sharing and effective surveillance-response systems for Asia Pacific and Africa with an initial focus on elimination of lymphatic filariasis,malaria and schistosomiasis;(ii)development of new strategies,tools and approaches,such as improved diagnostics and antimalarial therapies;(iii)rigorous validation of surveillance-response systems;and(iv)designing pilot studies to transf展开更多
Background:Schistosomiasis was severely prevalent in Yunnan Province,and it is difficult to achieve its elimination by convention approaches due to complexity of the nature.We explored the comprehensive model to elimi...Background:Schistosomiasis was severely prevalent in Yunnan Province,and it is difficult to achieve its elimination by convention approaches due to complexity of the nature.We explored the comprehensive model to eliminate schistosomiasis in Eryuan County,Yunnan Province,the People’s Republic of China,through integration with the ecological protection programme in Erhai Lake,in order to promote an efficient elimination strategy.We expected that this model is able to be tailored to other local settings,which help achieve the goal of precisely eliminating the disease in Yunnan Province.Methods:Eryuan County of Yunnan Province was chosen as the study area,where the data on environmental protection activities in Erhai Lake and on the schistosomiasis control programme were collected through different departments of Erhai County government since 2015.System modelling was performed using system dynamics software to establish a simulation model in order to evaluate the effectiveness of intervention activities.Results:Ecological approaches to control schistosomiasis in Eryuan County consist of three major components:(i)implementing precise interventions to stop schistosomiasis transmission by means of controlling the source of infection,blocking the biological transmission chains and cutting off the route of disease transmission;(ii)employing ecological approaches to improve the co-effectiveness of environmental protection and schistosomiasis prevention in the study area;and(iii)strengthening the professional skills of personnel involving in the schistosomiasis control programme.Simulation results showed that this strategy could speed up the progress of schistosomiasis control programme moving from the control stage to the elimination stage.Conclusions:Ecological approaches implemented in schistosomiasis endemic areas of the Eryuan region are able to improve the co-effectiveness of environmental protection and schistosomiasis control,providing a new avenue for eliminating schistosomiasis thanks to the application of prec展开更多
基金The‘First Forum on Surveillance-Response System Leading to Tropical Diseases Elimination’was co-funded by the National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention,the Swiss Tropical and Public Health Institute and the World Health OrganizationThe research was partially supported by the National S&T Major Program(grant no.2012ZX10004220)+2 种基金the National S&T Supporting Project(grant no.2007BAC03A02)by supported by China UK Global Health Support Programme(grant no.GHSP-CS-OP1)Xiao-Nong Zhou was funded through a capacity building initiative for Ecohealth Research on Emerging Infectious Disease in Southeast Asia supported by the International Development Research Centre(IDRC),the Canadian International Development Agency(CIDA),and the Australian Agency for International Development(AusAID)in partnership with the Global Health Research Initiative(grant no.105509-00001002-023).
文摘Tropical diseases remain a major cause of morbidity and mortality in developing countries.Although combined health efforts brought about significant improvements over the past 20 years,communities in resource-constrained settings lack the means of strengthening their environment in directions that would provide less favourable conditions for pathogens.Still,the impact of infectious diseases is declining worldwide along with progress made regarding responses to basic health problems and improving health services delivery to the most vulnerable populations.The London Declaration on Neglected Tropical Diseases(NTDs),initiated by the World Health Organization’s NTD roadmap,set out the path towards control and eventual elimination of several tropical diseases by 2020,providing an impetus for local and regional disease elimination programmes.Tropical diseases are often patchy and erratic,and there are differing priorities in resources-limited and endemic countries at various levels of their public health systems.In order to identify and prioritize strategic research on elimination of tropical diseases,the‘First Forum on Surveillance-Response System Leading to Tropical Diseases Elimination’was convened in Shanghai in June 2012.Current strategies and the NTD roadmap were reviewed,followed by discussions on how to identify and critically examine prevailing challenges and opportunities,including inter-sectoral collaboration and approaches for elimination of several infectious,tropical diseases.A priority research agenda within a‘One Health-One World’frame of global health was developed,including(i)the establishment of a platform for resource-sharing and effective surveillance-response systems for Asia Pacific and Africa with an initial focus on elimination of lymphatic filariasis,malaria and schistosomiasis;(ii)development of new strategies,tools and approaches,such as improved diagnostics and antimalarial therapies;(iii)rigorous validation of surveillance-response systems;and(iv)designing pilot studies to transf
基金This study was financially supported by the National Key Research and Development Program of China(grant No.2016YFC1202000)by the International Development Research Center(IDRC),Canada(grant No.108100–001).
文摘Background:Schistosomiasis was severely prevalent in Yunnan Province,and it is difficult to achieve its elimination by convention approaches due to complexity of the nature.We explored the comprehensive model to eliminate schistosomiasis in Eryuan County,Yunnan Province,the People’s Republic of China,through integration with the ecological protection programme in Erhai Lake,in order to promote an efficient elimination strategy.We expected that this model is able to be tailored to other local settings,which help achieve the goal of precisely eliminating the disease in Yunnan Province.Methods:Eryuan County of Yunnan Province was chosen as the study area,where the data on environmental protection activities in Erhai Lake and on the schistosomiasis control programme were collected through different departments of Erhai County government since 2015.System modelling was performed using system dynamics software to establish a simulation model in order to evaluate the effectiveness of intervention activities.Results:Ecological approaches to control schistosomiasis in Eryuan County consist of three major components:(i)implementing precise interventions to stop schistosomiasis transmission by means of controlling the source of infection,blocking the biological transmission chains and cutting off the route of disease transmission;(ii)employing ecological approaches to improve the co-effectiveness of environmental protection and schistosomiasis prevention in the study area;and(iii)strengthening the professional skills of personnel involving in the schistosomiasis control programme.Simulation results showed that this strategy could speed up the progress of schistosomiasis control programme moving from the control stage to the elimination stage.Conclusions:Ecological approaches implemented in schistosomiasis endemic areas of the Eryuan region are able to improve the co-effectiveness of environmental protection and schistosomiasis control,providing a new avenue for eliminating schistosomiasis thanks to the application of prec
