境外输入性疟疾引发中国本地传播的风险因素与防控策略

Risk Factors and Control Strategies for Local Transmission of malaria caused by imported cases in China

  • 摘要: 2021年6月30日,中国获得世界卫生组织(WHO)消除疟疾认证,标志着我国疟疾防控工作取得了里程碑式成就。然而,在全球疟疾流行依然严峻的背景下,我国持续面临境外输入病例引发本地再传播风险。本研究基于WHO传疟潜力分析框架,系统探讨了输入性疟疾在中国引发本地传播的风险因素,主要包括:持续的境外病例输入、部分地区存在的传疟媒介、医疗与监测系统的敏感性可能下降的挑战以及抗疟药耐药性的潜在威胁等。针对这些风险,本研究提出应坚持并强化政府领导与多部门协作机制、推动监测预警体系建设与媒介控制的“精准化”、加强科研创新与能力维持、深化跨境联防联控和国际合作,以构建可持续的防控屏障,巩固消除成果,为全球疟疾消除贡献中国智慧与力量。

     

    Abstract: On June 30, 2021, China was verified to be malaria free by the World Health Organization (WHO), indicating a milestone in the country's malaria prevention and control . However, in the context of the severe global malaria epidemic, China still face the risk for local transmission of malaria caused by imported cases. Based on the WHO malariogenic potential assessment framework, this paper systematically summarizes the risk factors for local transmission of malaria caused by imported cases in China, including the continuous malaria case importation, the existence of malaria vectors in some regions, potential declines in the sensitivity of healthcare and surveillance systems, and the potential threat of antimalarial drug resistance. Therefor, this paper suggests to strengthen government-led and multi-sectoral collaboration mechanisms, promote the development of surveillance and, early warning systems and precise vector control, improve scientific research innovation and capacity maintenance,and deepen cross-border joint prevention, control and international cooperation to establish a sustainable prevention and control barrier, keep malaria free status and contribute to global malaria elimination.

     

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