The burden of schistosomiasis remains a global public health problem,especially in sub-Saharan Africa despite progress in terms of morbidity control.Successful control efforts achieved by China in the last six decades...The burden of schistosomiasis remains a global public health problem,especially in sub-Saharan Africa despite progress in terms of morbidity control.Successful control efforts achieved by China in the last six decades came with considerable experience and lessons that could benefit schistosomiasis control programs in other endemic countries.China's role and commitment to global health cooperation has become increasingly important;this has created a platform for partnership with developing partners for the establishment of Forum on China-Africa health cooperation which prioritizes the pursuit of global elimination target for schistosomiasis and malaria,control of HIV/AIDS,and improved access to reproductive health care.Chinese government's commitment towards achieving schistosomiasis elimination in Africa prompted the establishment of Institution-based Network on China-Africa Cooperation for Schistosomiasis Elimination (INCAS),by the National Institute of Parasitic Diseases to promote schistosomiasis elimination in Africa.Schistosomiasis experts from six provincial institutions and counterparts from 10 African countries participated in the first workshop on China-Africa cooperation for Schistosomiasis Elimination in Africa at Lilongwe,Malawi,in 2015.Experts at the inaugural meeting shared experiences from their national schistosomiasis control programs,as well as identified areas for collaborative synergy targeting schistosomiasis elimination in Africa.The establishment of INCAS,which comprises of 28 member-institutions from China and Africa,was proposed at this meeting.We,therefore,provide information on INCAS activities,cooperation mechanism,as well as assess the strengths,weaknesses,opportunities,and threats as we target schistosomiasis elimination in Africa using the INCAS platform.展开更多
Schistosomiasis was one of the most prevalent severe infectious diseases in China.Most ot the control plans implemented were based on local settings;thus,the national schistosomiasis control program involved different...Schistosomiasis was one of the most prevalent severe infectious diseases in China.Most ot the control plans implemented were based on local settings;thus,the national schistosomiasis control program involved different control phases.These included a working mechanism based on multisectoral cooperation which involved government at all levels,communities,and professionals.It also involved updating the technical strategies and interventions through intensive research,to provide adequate support for programs at different stageswith changing natural and social features.To commemorate the 61st anniversary of publishing Chairman Mao Zedong's two poems titled Farewell to the God of Plague,we have distilled lessons leamt from national schistosomiasis control programs,which could be transferred to other endemic countries.Based on this work,we published a series of articles to demonstrate the successive programs in different areas or levels in China,and also discussed how best to apply those successive experiences into African countries where schistosomiasis is still a public health problem.There are three major lessons learnt from the Chinese national schistosomiasis control program over the last six decades:(1) sustained commitment by the Chinese governments,from central to local levels;(2) continuous update of control strategies and interventions applied at the village level,based on local settings;and (3) maintaining surveillance-response systems implementation in programs at all levels.With sustained efforts,only 37,000 patients including 2.9% advanced patient cases were found in the country,with six provinces out of the 12 endemic provinces yet to achieve transmission interruption,based on the epidemiological report in 2017.Therefore,Chinese experiences in disease control program are sufficient to promote disease control programs in other developing countries,which would also improve the visibility of Chinese contribution to the world disease control programs.Pursuit of this global engagement will also provide the impetus to maintain our surveillance-response capacity in the post-elimination stage.展开更多
Background:The number of pulmonary tuberculosis(PTB)cases in China ranks third in the world.A continuous increase in cases has recently been recorded in Zhaotong prefecture-level city,which is located in the northeast...Background:The number of pulmonary tuberculosis(PTB)cases in China ranks third in the world.A continuous increase in cases has recently been recorded in Zhaotong prefecture-level city,which is located in the northeastern part of Yunnan province.This study explored the space-time dynamics of PTB cases in Zhaotong to provide useful information that will help guide policymakers to formulate effective regional prevention and control strategies.Methods:The data on PTB cases were extracted from the nationwide tuberculosis online registration system.Time series and spatial cluster analyses were applied to detect PTB temporal trends and spatial patterns at the town level between 2011 and 2015 in Zhaotong.Three indicators of PTB treatment registration history were used:initial treatment registration rate,re-treatment registration rate,and total PTB registration rate.Results:Seasonal trends were detected with an apparent symptom onset peak during the winter season and a registration peak during the spring season.A most likely cluster and six secondary clusters were identified for the total PTB registration rate,one most likely cluster and five secondary clusters for the initial treatment registration rate,and one most likely cluster for the re-treatment registration rate.The most likely cluster of the three indicators had a similar spatial distribution and size in Zhenxiong County,which is characterised by a poor socio-economic level and the largest population in Yunnan.Conclusion:This study identified temporal and spatial distribution of PTB in a high PTB burden area using existing health data.The results of the study provide useful information on the prevailing epidemiological situation of PTB in Zhaotong and could be used to develop strategies for more effective PTB control at the town level.The cluster that overlapped the three PTB indicators falls within the geographic areas where PTB control efforts should be prioritised.展开更多
Background:Pulmonary tuberculosis(PTB,both smear positive and smear negative)is an airborne infectious disease of major public health concern in China and other parts of the world where PTB endemicity is reported.This...Background:Pulmonary tuberculosis(PTB,both smear positive and smear negative)is an airborne infectious disease of major public health concern in China and other parts of the world where PTB endemicity is reported.This study aims at identifying PTB spatio-temporal clusters and associated risk factors in Zhaotong prefecture-level city,located in southwest China,where the PTB notification rate was higher than the average rate in the entire country.Methods:Space-time scan statistics were carried out using PTB registered data in the nationwide TB online registration system from 2011 to 2015,to identify spatial clusters.PTB patients diagnosed between October 2015 and February 2016 were selected and a structured questionnaire was administered to collect a set of variables that includes socio-economic status,behavioural characteristics,local environmental and biological characteristics.Based on the discovery of detailed town-level spatio-temporal PTB clusters,we divided selected subjects into two groups including the cases that resides within and outside identified clusters.Then,logistic regression analysis was applied comparing the results of variables between the two groups.Results:A total of 1508 subjects consented and participated in the survey.Clusters for PTB cases were identified in 38 towns distributed over south-western Zhaotong.Logistic regression analysis showed that history of chronic bronchitis(OR=3.683,95%CI:2.180-6.223),living in an urban area(OR=5.876,95%CI:2.381-14.502)and using coal as the main fuel(OR=9.356,95%CI:5.620-15.576)were independently associated with clustering.While,not smoking(OR=0.340,95%CI:0.137-0.843)is the protection factor of spatial clustering.Conclusions:We found PTB specially clustered in south-western Zhaotong.The strong associated factors influencing the PTB spatial cluster including:the history of chronic bronchitis,living in the urban area,smoking and the use of coal as the main fuel for cooking and heating.Therefore,efforts should be made to curtail these associated factors.展开更多
Background:The development of agenda for global schistosomiasis elimination as a public health problem generates enthusiasms among global health communities,motivating great interests in both research and practice.Rec...Background:The development of agenda for global schistosomiasis elimination as a public health problem generates enthusiasms among global health communities,motivating great interests in both research and practice.Recent China-Africa schistosomiasis control initiatives,aiming to enhance collaboration on disease control in African countries,reflect in part that momentum.Yet there is a pressing need to know whether the Chinese experiences can be translated and applied in African settings.Main body:China’s remarkable achievements in schistosomiasis control programme,associated experiences and lessons,have much to offer to those combating the disease.Central to the success of China’s control programmes is a strategy termed“integrated control”-integrating environmental approaches(e.g.improved sanitation,agricultural and hydrological development and management),which target different phases of the parasite transmission system,to chemical-based drug treatment and mollusciciding.Yet,despite significant measurable public health benefits,such integration is usually based on field experience and remains largely uncharacterized in an ecological context.This has limited our knowledge on relative contributions of varying components of the integrated control programme to the suppression of disease transmission,making it challenging to generalize the strategy elsewhere.In this opinion article,we have described and discussed these challenges,along with opportunities and research needs to move forward.Conclusions:There is an urgent need to formalize an ecological framework for the integrated control programme that would allow research towards improved mechanistic understanding,quantification,and prediction of the control efforts.展开更多
Background:Snail intermediate hosts play active roles in the transmission of snail-borne trematode infections in Africa.A good knowledge of snail-borne diseases epidemiology particularly snail intermediate host popula...Background:Snail intermediate hosts play active roles in the transmission of snail-borne trematode infections in Africa.A good knowledge of snail-borne diseases epidemiology particularly snail intermediate host populations would provide the necessary impetus to complementing existing control strategy.Main body:This review highlights the importance of molecular approaches in differentiating snail hosts population structure and the need to provide adequate information on snail host populations by updating snail hosts genome database for Africa,in order to equip different stakeholders with adequate information on the ecology of snail intermediate hosts and their roles in the transmission of different diseases.Also,we identify the gaps and areas where there is need for urgent intervention to facilitate effective integrated control of schistosomiasis and other snail-borne trematode infections.Conclusions:Prioritizing snail studies,especially snail differentiation using molecular tools will boost disease surveillance and also enhance efficient schistosomaisis control programme in Africa.展开更多
Background:China has made progress in malaria control and aims to eliminate malaria nationwide,but implementing effective interventions along the border regions remain a huge task.The Plasmodium falciparum cases impor...Background:China has made progress in malaria control and aims to eliminate malaria nationwide,but implementing effective interventions along the border regions remain a huge task.The Plasmodium falciparum cases imported from Southeast Asia has frequently reported especially in the China-Myanmar border(CMB)area.Though,information is scant on P.falciparum genetic variability in this area.Methods:This study reported P.falciparum isolates genome sequence of six clinical isolates in the CMB area.Furthermore,we estimated the nucleotide diversity,Watterson’s estimator and Tajima’s D value for the whole genome mutation rate in slide window.Results:Our data were aligned onto 96.05-98.61%of the reference 3D7 genome in high fold coverages.Principal component analysis result showed that P.falciparum clustered generally according to their geographic origin.A total of 91 genes were identified as positive selection with Ka/Ks ratio significantly higher than 1,and most of them were multigene families encoding variant surface antigens(VSAs)such as var,rif and stevor.The enrichment of the positive selection on VSA genes implied that the environment complexity subjected CMB’s P.falciparum to more pressure for survival.Conclusions:Our research suggests that greater genetic diversity in CMB area and the positive selection signals in VSA genes,which allow P.falciparum to fit the host immune system well and aggravate the difficulty of treatment.Meanwhile,results obtained from this study will provide the fundamental basis for P.falciparum population genomic research in CMB area.展开更多
Background:Interventions are currently being used against‘infectious diseases of poverty’,which remain highly debilitating and deadly in most endemic countries,especially malaria,schistosomiasis,echinococcosis and A...Background:Interventions are currently being used against‘infectious diseases of poverty’,which remain highly debilitating and deadly in most endemic countries,especially malaria,schistosomiasis,echinococcosis and African sleeping sickness.However,major limitations of current‘traditional’methods for diagnosis are neither simple nor convenient for population surveillance,and showed low sensitivity and specificity.Access to novel technologies for the development of adequate and reliable tools are expressly needed.A collaborative project between African Network for Drugs and Diagnostics Innovation and partner institutions in Africa and China aims to screen suitable serological biomarkers for diagnostic pipelines against these‘diseases of the poor’.Methods:Parasite-specific exposed versus unexposed individuals were screened and sera or urine/stools were collected through case-control studies in China and African countries.Target genes/open reading frames were selected,then will be cloned and cell-free expressed,quantified and immuno-detected.Target antigens/epitopes will be probed and screened with sera from exposed or unexposed individuals using a high-throughput antigen screening platform as the study progresses.The specificity and sensitivity of highly immunoreactive biomarkers will be evaluated as well,using enzyme-linked immunosorbent assays or dipsticks.Discussion:This roadmap explicitly unfolds the integrated operating procedures with focus on malaria and schistosomiasis,for the identification of suitable biomarkers that will aid the prioritization of diagnostics for population use.However,there is need to further validate any new diagnostic through comparison with standard methods in field deployable tests for each region.Our expectations for the future are to seek regulatory approval and promote the use of diagnostics in endemic areas.展开更多
Background:The prevalence of schistosomiasis remains a key public health issue in China.Jiangling County in Hubei Province is a typical lake and marshland endemic area.The pattern analysis of schistosomiasis prevalenc...Background:The prevalence of schistosomiasis remains a key public health issue in China.Jiangling County in Hubei Province is a typical lake and marshland endemic area.The pattern analysis of schistosomiasis prevalence in Jiangling County is of significant importance for promoting schistosomiasis surveillance and control in the similar endemic areas.Methods:The dataset was constructed based on the annual schistosomiasis surveillance as well the socio-economic data in Jiangling County covering the years from 2009 to 2013.A village clustering method modified from the K-mean algorithm was used to identify different types of endemic villages.For these identified village clusters,a matrix-based predictive model was developed by means of exploring the one-step backward temporal correlation inference algorithm aiming to estimate the predicative correlations of schistosomiasis prevalence among different years.Field sampling of faeces from domestic animals,as an indicator of potential schistosomiasis prevalence,was carried out and the results were used to validate the results of proposed models and methods.Results:The prevalence of schistosomiasis in Jiangling County declined year by year.The total of 198 endemic villages in Jiangling County can be divided into four clusters with reference to the 5 years’occurrences of schistosomiasis in human,cattle and snail populations.For each identified village cluster,a predictive matrix was generated to characterize the relationships of schistosomiasis prevalence with the historic infection level as well as their associated impact factors.Furthermore,the results of sampling faeces from the front field agreed with the results of the identified clusters of endemic villages.Conclusion:The results of village clusters and the predictive matrix can be regard as the basis to conduct targeted measures for schistosomiasis surveillance and control.Furthermore,the proposed models and methods can be modified to investigate the schistosomiasis prevalence in other regions as well as be used for investigating other parasitic diseases.展开更多
文摘The burden of schistosomiasis remains a global public health problem,especially in sub-Saharan Africa despite progress in terms of morbidity control.Successful control efforts achieved by China in the last six decades came with considerable experience and lessons that could benefit schistosomiasis control programs in other endemic countries.China's role and commitment to global health cooperation has become increasingly important;this has created a platform for partnership with developing partners for the establishment of Forum on China-Africa health cooperation which prioritizes the pursuit of global elimination target for schistosomiasis and malaria,control of HIV/AIDS,and improved access to reproductive health care.Chinese government's commitment towards achieving schistosomiasis elimination in Africa prompted the establishment of Institution-based Network on China-Africa Cooperation for Schistosomiasis Elimination (INCAS),by the National Institute of Parasitic Diseases to promote schistosomiasis elimination in Africa.Schistosomiasis experts from six provincial institutions and counterparts from 10 African countries participated in the first workshop on China-Africa cooperation for Schistosomiasis Elimination in Africa at Lilongwe,Malawi,in 2015.Experts at the inaugural meeting shared experiences from their national schistosomiasis control programs,as well as identified areas for collaborative synergy targeting schistosomiasis elimination in Africa.The establishment of INCAS,which comprises of 28 member-institutions from China and Africa,was proposed at this meeting.We,therefore,provide information on INCAS activities,cooperation mechanism,as well as assess the strengths,weaknesses,opportunities,and threats as we target schistosomiasis elimination in Africa using the INCAS platform.
文摘Schistosomiasis was one of the most prevalent severe infectious diseases in China.Most ot the control plans implemented were based on local settings;thus,the national schistosomiasis control program involved different control phases.These included a working mechanism based on multisectoral cooperation which involved government at all levels,communities,and professionals.It also involved updating the technical strategies and interventions through intensive research,to provide adequate support for programs at different stageswith changing natural and social features.To commemorate the 61st anniversary of publishing Chairman Mao Zedong's two poems titled Farewell to the God of Plague,we have distilled lessons leamt from national schistosomiasis control programs,which could be transferred to other endemic countries.Based on this work,we published a series of articles to demonstrate the successive programs in different areas or levels in China,and also discussed how best to apply those successive experiences into African countries where schistosomiasis is still a public health problem.There are three major lessons learnt from the Chinese national schistosomiasis control program over the last six decades:(1) sustained commitment by the Chinese governments,from central to local levels;(2) continuous update of control strategies and interventions applied at the village level,based on local settings;and (3) maintaining surveillance-response systems implementation in programs at all levels.With sustained efforts,only 37,000 patients including 2.9% advanced patient cases were found in the country,with six provinces out of the 12 endemic provinces yet to achieve transmission interruption,based on the epidemiological report in 2017.Therefore,Chinese experiences in disease control program are sufficient to promote disease control programs in other developing countries,which would also improve the visibility of Chinese contribution to the world disease control programs.Pursuit of this global engagement will also provide the impetus to maintain our surveillance-response capacity in the post-elimination stage.
基金This study was supported by the National Special Science and Technology Project for Major Infectious Diseases of China(Grant No.2012ZX10004-220,2016ZX10004222-006)the China-UK Global Health Support Programme(Grant No.:GHSP-CS-OP1-01)+1 种基金The Forth Round of Three-Year Public Health Action Plan of Shanghai,China(No.15GWZK0101,GWIV-29)The funders had no role in the study design,data collection and analysis,decision to publish,or preparation of the paper。
文摘Background:The number of pulmonary tuberculosis(PTB)cases in China ranks third in the world.A continuous increase in cases has recently been recorded in Zhaotong prefecture-level city,which is located in the northeastern part of Yunnan province.This study explored the space-time dynamics of PTB cases in Zhaotong to provide useful information that will help guide policymakers to formulate effective regional prevention and control strategies.Methods:The data on PTB cases were extracted from the nationwide tuberculosis online registration system.Time series and spatial cluster analyses were applied to detect PTB temporal trends and spatial patterns at the town level between 2011 and 2015 in Zhaotong.Three indicators of PTB treatment registration history were used:initial treatment registration rate,re-treatment registration rate,and total PTB registration rate.Results:Seasonal trends were detected with an apparent symptom onset peak during the winter season and a registration peak during the spring season.A most likely cluster and six secondary clusters were identified for the total PTB registration rate,one most likely cluster and five secondary clusters for the initial treatment registration rate,and one most likely cluster for the re-treatment registration rate.The most likely cluster of the three indicators had a similar spatial distribution and size in Zhenxiong County,which is characterised by a poor socio-economic level and the largest population in Yunnan.Conclusion:This study identified temporal and spatial distribution of PTB in a high PTB burden area using existing health data.The results of the study provide useful information on the prevailing epidemiological situation of PTB in Zhaotong and could be used to develop strategies for more effective PTB control at the town level.The cluster that overlapped the three PTB indicators falls within the geographic areas where PTB control efforts should be prioritised.
基金This study was supported by the National Special Science and Technology Project for Major Infectious Diseases of China(Grant No.2012ZX10004–220,2016ZX10004222–006)the China-UK Global Health Support Programme(Grant No.GHSP-CS-OP1–01)+1 种基金The Forth Round of Three-Year Public Health Action Plan of Shanghai,China(No.15GWZK0101,GWIV-29)The funders had no role in the study design,data collection and analysis,decision to publish,or preparation of the paper.
文摘Background:Pulmonary tuberculosis(PTB,both smear positive and smear negative)is an airborne infectious disease of major public health concern in China and other parts of the world where PTB endemicity is reported.This study aims at identifying PTB spatio-temporal clusters and associated risk factors in Zhaotong prefecture-level city,located in southwest China,where the PTB notification rate was higher than the average rate in the entire country.Methods:Space-time scan statistics were carried out using PTB registered data in the nationwide TB online registration system from 2011 to 2015,to identify spatial clusters.PTB patients diagnosed between October 2015 and February 2016 were selected and a structured questionnaire was administered to collect a set of variables that includes socio-economic status,behavioural characteristics,local environmental and biological characteristics.Based on the discovery of detailed town-level spatio-temporal PTB clusters,we divided selected subjects into two groups including the cases that resides within and outside identified clusters.Then,logistic regression analysis was applied comparing the results of variables between the two groups.Results:A total of 1508 subjects consented and participated in the survey.Clusters for PTB cases were identified in 38 towns distributed over south-western Zhaotong.Logistic regression analysis showed that history of chronic bronchitis(OR=3.683,95%CI:2.180-6.223),living in an urban area(OR=5.876,95%CI:2.381-14.502)and using coal as the main fuel(OR=9.356,95%CI:5.620-15.576)were independently associated with clustering.While,not smoking(OR=0.340,95%CI:0.137-0.843)is the protection factor of spatial clustering.Conclusions:We found PTB specially clustered in south-western Zhaotong.The strong associated factors influencing the PTB spatial cluster including:the history of chronic bronchitis,living in the urban area,smoking and the use of coal as the main fuel for cooking and heating.Therefore,efforts should be made to curtail these associated factors.
基金This work was supported by the National Key Research and Development Program of China(No.2016YFC1202001)the International Development Research Center(IDRC)+2 种基金Canada(grant No.108100–001)as well as by the China-UK Global Health Support Programme funded by UK DFID(fund code:GHSP-CS-OP4-D02)Song Liang is supported in part by the National Institutes of Health grant R01AI125842Eniola Michael Abe and Xiao-Nong Zhou were financially supported by the Fourth Round of Three-Year Public Health Action Plan(2015–2017)in Shanghai(grant No.GWTD2015S06).
文摘Background:The development of agenda for global schistosomiasis elimination as a public health problem generates enthusiasms among global health communities,motivating great interests in both research and practice.Recent China-Africa schistosomiasis control initiatives,aiming to enhance collaboration on disease control in African countries,reflect in part that momentum.Yet there is a pressing need to know whether the Chinese experiences can be translated and applied in African settings.Main body:China’s remarkable achievements in schistosomiasis control programme,associated experiences and lessons,have much to offer to those combating the disease.Central to the success of China’s control programmes is a strategy termed“integrated control”-integrating environmental approaches(e.g.improved sanitation,agricultural and hydrological development and management),which target different phases of the parasite transmission system,to chemical-based drug treatment and mollusciciding.Yet,despite significant measurable public health benefits,such integration is usually based on field experience and remains largely uncharacterized in an ecological context.This has limited our knowledge on relative contributions of varying components of the integrated control programme to the suppression of disease transmission,making it challenging to generalize the strategy elsewhere.In this opinion article,we have described and discussed these challenges,along with opportunities and research needs to move forward.Conclusions:There is an urgent need to formalize an ecological framework for the integrated control programme that would allow research towards improved mechanistic understanding,quantification,and prediction of the control efforts.
基金The study is supported by Chinese National Science and Technology Major Program(grant no.2016ZX10004222-004)The funders played no role in the study design,data collection,and data analysis or interpretation。
文摘Background:Snail intermediate hosts play active roles in the transmission of snail-borne trematode infections in Africa.A good knowledge of snail-borne diseases epidemiology particularly snail intermediate host populations would provide the necessary impetus to complementing existing control strategy.Main body:This review highlights the importance of molecular approaches in differentiating snail hosts population structure and the need to provide adequate information on snail host populations by updating snail hosts genome database for Africa,in order to equip different stakeholders with adequate information on the ecology of snail intermediate hosts and their roles in the transmission of different diseases.Also,we identify the gaps and areas where there is need for urgent intervention to facilitate effective integrated control of schistosomiasis and other snail-borne trematode infections.Conclusions:Prioritizing snail studies,especially snail differentiation using molecular tools will boost disease surveillance and also enhance efficient schistosomaisis control programme in Africa.
基金This work was supported by the National Research and Development Plan of China(Grant No.2016YFC1202000 and 2016YFC1200500)the National Natural Science Foundation of China(Grant No.81702032 and 81101266)+2 种基金the Zhejiang Provincial Natural Science Foundation of China(Grant No.LY17H190005)the Open Project of Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education(Grant No.GMU-2017-HJZ-002)the National Sharing Service Platform for Parasite Resources(Grant No.TDRC-22).
文摘Background:China has made progress in malaria control and aims to eliminate malaria nationwide,but implementing effective interventions along the border regions remain a huge task.The Plasmodium falciparum cases imported from Southeast Asia has frequently reported especially in the China-Myanmar border(CMB)area.Though,information is scant on P.falciparum genetic variability in this area.Methods:This study reported P.falciparum isolates genome sequence of six clinical isolates in the CMB area.Furthermore,we estimated the nucleotide diversity,Watterson’s estimator and Tajima’s D value for the whole genome mutation rate in slide window.Results:Our data were aligned onto 96.05-98.61%of the reference 3D7 genome in high fold coverages.Principal component analysis result showed that P.falciparum clustered generally according to their geographic origin.A total of 91 genes were identified as positive selection with Ka/Ks ratio significantly higher than 1,and most of them were multigene families encoding variant surface antigens(VSAs)such as var,rif and stevor.The enrichment of the positive selection on VSA genes implied that the environment complexity subjected CMB’s P.falciparum to more pressure for survival.Conclusions:Our research suggests that greater genetic diversity in CMB area and the positive selection signals in VSA genes,which allow P.falciparum to fit the host immune system well and aggravate the difficulty of treatment.Meanwhile,results obtained from this study will provide the fundamental basis for P.falciparum population genomic research in CMB area.
基金On behalf of the WHA-WHO Demonstration Project,this work was granted by the United Nations Office for Project Services(UNOPS),in the context of the implementation of‘Development for Easy to Use and Affordable Biomarkers as Diagnostics for Types II and III Diseases’(Grant No.UNOPS/ANDI/G/2016/01)It has also received the support of the National Key Research and Development Program of China(Grant No.2016YFC1202000,2016YFC1202003 and 2016YFC1200500)+1 种基金the National Natural Science Foundation of China(Grant No.81101266)the Fourth Round of Three-Year Public Health Action Plan(2015-2017)in Shanghai(Grant No.GWIV-29 and 15GWZK0101).
文摘Background:Interventions are currently being used against‘infectious diseases of poverty’,which remain highly debilitating and deadly in most endemic countries,especially malaria,schistosomiasis,echinococcosis and African sleeping sickness.However,major limitations of current‘traditional’methods for diagnosis are neither simple nor convenient for population surveillance,and showed low sensitivity and specificity.Access to novel technologies for the development of adequate and reliable tools are expressly needed.A collaborative project between African Network for Drugs and Diagnostics Innovation and partner institutions in Africa and China aims to screen suitable serological biomarkers for diagnostic pipelines against these‘diseases of the poor’.Methods:Parasite-specific exposed versus unexposed individuals were screened and sera or urine/stools were collected through case-control studies in China and African countries.Target genes/open reading frames were selected,then will be cloned and cell-free expressed,quantified and immuno-detected.Target antigens/epitopes will be probed and screened with sera from exposed or unexposed individuals using a high-throughput antigen screening platform as the study progresses.The specificity and sensitivity of highly immunoreactive biomarkers will be evaluated as well,using enzyme-linked immunosorbent assays or dipsticks.Discussion:This roadmap explicitly unfolds the integrated operating procedures with focus on malaria and schistosomiasis,for the identification of suitable biomarkers that will aid the prioritization of diagnostics for population use.However,there is need to further validate any new diagnostic through comparison with standard methods in field deployable tests for each region.Our expectations for the future are to seek regulatory approval and promote the use of diagnostics in endemic areas.
基金This work was supported by the National Natural Science Foundation of China(No.81101280)by the National Special Science and Technology Project for Major Infectious Diseases of China(Grant Nos.2012ZX10004-220,2016ZX10004222-004)+3 种基金the China UK Global Health Support Programme(GHSP-CS-OP101)the Forth Round of Three-Year Public Health Action Plan of Shanghai,China(No.15GWZK0101,GWIV-29)High Resolution Remote Sensing Monitoring Progect(No.10-Y30B11-9001-14/16)The open project from Key Laboratory of Parasite and Vector Biology,Ministry of Health.The funders had no role in study design,data collection and analysis,decision to publish,or preparation of the manuscript.
文摘Background:The prevalence of schistosomiasis remains a key public health issue in China.Jiangling County in Hubei Province is a typical lake and marshland endemic area.The pattern analysis of schistosomiasis prevalence in Jiangling County is of significant importance for promoting schistosomiasis surveillance and control in the similar endemic areas.Methods:The dataset was constructed based on the annual schistosomiasis surveillance as well the socio-economic data in Jiangling County covering the years from 2009 to 2013.A village clustering method modified from the K-mean algorithm was used to identify different types of endemic villages.For these identified village clusters,a matrix-based predictive model was developed by means of exploring the one-step backward temporal correlation inference algorithm aiming to estimate the predicative correlations of schistosomiasis prevalence among different years.Field sampling of faeces from domestic animals,as an indicator of potential schistosomiasis prevalence,was carried out and the results were used to validate the results of proposed models and methods.Results:The prevalence of schistosomiasis in Jiangling County declined year by year.The total of 198 endemic villages in Jiangling County can be divided into four clusters with reference to the 5 years’occurrences of schistosomiasis in human,cattle and snail populations.For each identified village cluster,a predictive matrix was generated to characterize the relationships of schistosomiasis prevalence with the historic infection level as well as their associated impact factors.Furthermore,the results of sampling faeces from the front field agreed with the results of the identified clusters of endemic villages.Conclusion:The results of village clusters and the predictive matrix can be regard as the basis to conduct targeted measures for schistosomiasis surveillance and control.Furthermore,the proposed models and methods can be modified to investigate the schistosomiasis prevalence in other regions as well as be used for investigating other parasitic diseases.
