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首页> 美国卫生研究院文献>Emerging Themes in Epidemiology >Surveillance systems for neglected tropical diseases: global lessons from China’s evolving schistosomiasis reporting systems 1949–2014
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Surveillance systems for neglected tropical diseases: global lessons from China’s evolving schistosomiasis reporting systems 1949–2014

机译：被忽视的热带病的监测系统：1949-2014年中国不断发展的血吸虫病报告系统的全球教训

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摘要

Though it has been a focus of the country’s public health surveillance systems since the 1950s, schistosomiasis represents an ongoing public health challenge in China. Parallel, schistosomiasis-specific surveillance systems have been essential to China’s decades-long campaign to reduce the prevalence of the disease, and have contributed to the successful elimination in five of China’s twelve historically endemic provinces, and to the achievement of morbidity and transmission control in the other seven. More recently, an ambitious goal of achieving nation-wide transmission interruption by 2020 has been proposed. This paper details how schistosomiasis surveillance systems have been structured and restructured within China’s evolving public health system, and how parallel surveillance activities have provided an information system that has been integral to the characterization of, response to, and control of the disease. With the ongoing threat of re-emergence of schistosomiasis in areas previously considered to have achieved transmission control, a critical examination of China’s current surveillance capabilities is needed to direct future investments in health information systems and to enable improved coordination between systems in support of ongoing control. Lessons drawn from China’s experience are applied to the current global movement to reduce the burden of helminthiases, where surveillance capacity based on improved diagnostics is urgently needed.
机译：尽管自1950年代以来，血吸虫病一直是中国公共卫生监测系统的重点，但血吸虫病仍是中国持续面临的公共卫生挑战。平行的血吸虫病特有的监测系统对于中国数十年来为减少该疾病的流行而开展的运动至关重要，并已为在中国的十二个历史流行省份中的五个省份的成功消灭，以及在中国实现发病率和传播控制做出了贡献其他七个。最近，提出了一个雄心勃勃的目标，即到2020年实现全国范围的输电中断。本文详细介绍了在中国不断发展的公共卫生系统中血吸虫病监测系统是如何构建和重组的，以及平行监测活动如何提供了对疾病的特征，反应和控制必不可少的信息系统。鉴于以前被认为已实现传播控制的地区血吸虫病再度出现的威胁，有必要对中国目前的监测能力进行严格审查，以指导未来对卫生信息系统的投资，并加强各系统之间的协调以支持持续控制。从中国的经验中汲取的经验教训已被应用到当前的全球运动中，以减轻蠕虫病的负担，在这种情况下，迫切需要基于改进的诊断方法的监视能力。

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