剖析新版WHO指南内容与特点加速推进中国消除血吸虫病步伐  

Analysis of the new WHO guideline to accelerate the progress towards elimination of schistosomiasis in China

作　　者：郭照宇 冯家鑫 张利娟 周艺彪[2] 周杰[3] 杨坤[4] 刘阳[5] 林丹丹 刘建兵[7] 董毅[8] 汪天平[9] 闻礼永 季旻珺[11] 吴忠道[12] 姜庆五[2] 梁松[13] 郭家钢 曹淳力 许静 吕山 李石柱 周晓农 GUO Zhao-yu;FENG Jia-xin;ZHANG Li-juan;ZHOU Yi-biao;ZHOU Jie;YANG Kun;LIU Yang;LIN Dan-dan;LIU Jianbing;DONG Yi;WANG Tian-ping;WEN Li-yong;JI Min-jun;WU Zhong-dao;JIANG Qing-wu;LIANG Song;GUO Jiagang;CAO Chun-li;XU Jing;LÜ Shan;LI Shi-zhu;ZHOU Xiao-nong(National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention(Chinese Center for Tropical Diseases Research),National Health Commission Key Laboratory of Parasite and Vector Biology,WHO Collaborating Centre for Tropical Diseases,National Center for International Research on Tropical Diseases,Shanghai 200025,China;School of Public Health,Fudan University,Key Laboratory of Public Health Safety,Ministry of Education,Tropical Disease Research Center,China;Hunan Institute of Schistosomiasis Control,China;Jiangsu Institute of Parasitic Diseases,China;Sichuan Provincial Center for Disease Control and Prevention,China;Jiangxi Institute of Parasitic Diseases,China;Hubei Provincial Center for Disease Control and Prevention,China;Yunnan Institute of Endemic Disease Control and Prevention,China;Anhui Institute of Schistosomiasis Control,China;Hangzhou Medical College,Zhejiang Provincial Center for Schistosomiasis Control,China;Nanjing Medical University,China;Zhongshan School of Medicine,Sun Yat-sen University,China;University of Florida,Gainesville,United States of America;Department of Control of Neglected Tropical Diseases,World Health Organization,Geneva,Switzerland;School of Global Health,Shanghai Jiao Tong University School of Medicine and Chinese Center for Tropical Diseases Research,Shanghai 200025,China)

机构地区：[1]中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心)、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室、WHO热带病合作中心、国家级热带病国际联合研究中心,上海200025 [2]复旦大学公共卫生学院、教育部公共卫生安全重点实验室、热带疾病研究中心 [3]湖南省血吸虫病防治所 [4]江苏省血吸虫病防治研究所 [5]四川省疾病预防控制中心 [6]江西省寄生虫病防治研究所 [7]湖北省疾病预防控制中心 [8]云南省地方病防治所 [9]安徽省血吸虫病防治研究所 [10]杭州医学院、浙江省血吸虫病防治中心 [11]南京医科大学 [12]中山大学中山医学院 [13]美国佛罗里达大学 [14]WHO被忽视热带病控制司 [15]上海交通大学医学院-国家热带病研究中心全球健康学院,上海200025

出　　处：《中国血吸虫病防治杂志》2022年第3期217-222,共6页Chinese Journal of Schistosomiasis Control

基　　金：国家自然科学基金(32161143036);国家重点研发计划(2021YFC2300800,2021YFC2300802)。

摘　　要：2022年2月,WHO基于循证医学框架发布了《WHO控制和消除人体血吸虫病指南》(以下简称WHO新指南),以指导血吸虫病流行国家和地区控制和消除这一公共卫生问题、促进阻断血吸虫病传播。WHO新指南以全健康理念为基础,提出了6项核心建议。本文旨在分析WHO新指南中的关键内容对我国血吸虫病防控工作的适用性,阐释其对我国血吸虫病防治工作后续发展的指导意义。目前,我国血吸虫病防控体系在实施层面上已基本体现全健康理念及其组成部分。基于WHO新指南,针对我国血吸虫病防治工作提出如下建议:加强系统性框架建设,推动跨部门共识的形成,建立高级别领导小组;优化现阶段我国血吸虫病防治策略中的人畜治疗措施;开发高敏感度和高特异度的检测工具和消除验证框架;通过整合其他寄生虫病防治项目,进一步推动血吸虫病和其他寄生虫病防控工作。On February 2022,WHO released the evidence-based guideline on control and elimination of human schistosomia⁃sis,with aims to guide the elimination of schistosomiasis as a public health problem in disease-endemic countries by 2030 and promote the interruption of schistosomiasis transmission across the world.Based on the One Health concept,six evidence-based recommendations were proposed in this guideline.This article aims to analyze the feasibility of key aspects of this guideline in Chinese national schistosomiasis control program and illustrate the significance to guide the future actions for Chinese national schistosomiasis control program.Currently,the One Health concept has been embodied in the Chinese national schistosomiasis control program.Based on this new WHO guideline,the following recommendations are proposed for the national schistosomiasis control program of China:(1)improving the systematic framework building,facilitating the agreement of the cross-sectoral consen⁃sus,and building a high-level leadership group;(2)optimizing the current human and livestock treatments in the national schisto⁃somiasis control program of China;(3)developing highly sensitive and specific diagnostics and the framework for verifying elimi⁃nation of schistosomiasis;(4)accelerating the progress towards elimination of schistosomiasis and other parasitic diseases through integrating the national control programs for other parasitic diseases.

关 键 词：血吸虫病 消除 指南 全健康 

分 类 号：R532.21[医药卫生—内科学]