Currently, the national schistosomiasis control program of China is moving from transmission interruption to elimination, and there are multiple challenges during the stage moving towards the progression of schistosomiasis elimination, including a high difficulty in shrinking snail-infested areas, unstable achievements for infectious source control, imperfect surveillance system and a reduction in schistosomiasis control and administration. Based on the core suggestions proposed in the 2022 WHO guideline on control and elimination of human schistosomiasis, recommendations on schistosomiasis surveillance system building, development of novel diagnostics, adjustment of the schistosomiasis control strategy and maintaining and improvements of the schistosomiasis control capability are proposed for the national schistosomiasis control program of China in the new era according to the actual status of schistosomiasis control in China. Formulation of the national schistosomiasis control strategy and goal from One Health perspective, verification of transmission interruption and elimination of schistosomiasis, precision implementation of schistosomiasis control interventions with adaptations to local circumstances, development and application of highly sensitive and specific diagnostics are recommended for elimination of schistosomiasis in China. In addition, the implementation of the 2022 WHO guideline on control and elimination of human schistosomiasis may guide the elimination of schistosomiasis in China.
［摘要］ 目前, 我国血吸虫病防治工作正处于从传播阻断迈向消除的关键阶段, 同时也面临进一步压缩钉螺面积难度 大、传染源控制成果不牢固、监测体系不完善、防治管理有所松懈等诸多问题和挑战。本文依据《WHO 控制和消除人体 血吸虫病指南》核心建议, 结合我国血吸虫病防治工作实际, 对新时期我国血吸虫病监测体系建设、检测新技术研发、防 治策略调整、防治能力维持和提高等提出了相应建议。要从全健康角度谋划我国血吸虫病防治策略和目标; 要适时对血 吸虫病传播阻断和消除进程开展验证; 要在充分评估的基础上因时因地调整防治策略, 精准实施血吸虫病防治措施; 要 重视和加强高敏感度、高特异度检测工具的开发和应用, 为消除血吸虫病提供技术支撑; 要借鉴和吸收《WHO 控制和消 除人体血吸虫病指南》精髓, 充分发挥其引导作用, 促进我国实现消除血吸虫病目标。.
Keywords: Elimination; Guideline; Integrated control; One Health; Precision control; Schistosomiasis.