摘要
地方病作为特定地理区域内的高发疾病, 可严重威胁公共卫生安全。本文系统梳理了日本主要地方病(血吸虫病、信州心肌病、碘缺乏病、地方性氟中毒)的流行病学、病因学研究及防治措施, 通过对比分析中日两国地方病异同发现, 日本通过灭螺工程、硒补充、碘盐推广及改水降氟等综合干预手段, 成功控制了血吸虫病、信州心肌病、碘缺乏病及地方性氟中毒的流行;而我国在地方病防治领域亦取得持续消除的显著成效。两国在地方病病种分布、流行因素及防治经验上既有共性又存在差异, 日本在精细化公共卫生管理方面的经验值得我国借鉴, 而我国的大规模防控网络建设亦可为日本地方病防治提供参考。
As a highly prevalent disease in a specific geographical area,endemic diseases pose a serious challenge to public health.This article systematically reviews the epidemiology,etiology,and preventive and control measures of major endemic diseases in Japan,such as schistosomiasis,Shinshu cardiomyopathy,iodine deficiency disorders,and endemic fluorosis,and compares and analyzes the similarities and differences in endemic diseases between China and Japan.Research has found that Japan has successfully controlled the prevalence of schistosomiasis,Shinshu cardiomyopathy,iodine deficiency disorders,and endemic fluorosis through comprehensive intervention measures such as snail control projects,selenium supplementation,iodized salt promotion,and water improvement to reduce fluoride levels.China has also accomplished remarkable feats in the continuous elimination of endemic diseases.The two countries have both similarities and differences in the distribution of endemic disease,epidemic factors,and prevention and control experience.Japan's experience in refined public health management is worth learning from,and China's large-scale prevention and control network construction also provides reference for Japan.
作者
刘立志
孙殿军
Liu Lizhi;Sun Dianjun(Center for Endemic Disease Control,Chinese Center for Disease Control and Prevention,Harbin Medical University,Harbin 150081,China)
出处
《中华地方病学杂志》
北大核心
2025年第9期762-766,共5页
Chinese Journal of Endemiology
关键词
地方病
特征
中日对比
防治历史
公共卫生
Endemic disease
Feature
Sino-Japan comparison
History of research and control
Public health
