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. 1998;76(4):361–372.

Eradication of schistosomiasis in Guangxi, China. Part 1: Setting, strategies, operations, and outcomes, 1953-92.

A Sleigh 1, X Li 1, S Jackson 1, K Huang 1
PMCID: PMC2305772  PMID: 9803587

Abstract

Reported are the results of an analysis of a 40-year programme leading to eradication of schistosomiasis in Guangxi, China, a large, poor autonomous region of the country that had the heaviest global burden of the disease. We used historical county data and maps showing the initial distribution and density of Oncomelania snails and the initial prevalence of schistosomiasis to assess the correlation between snail occurrence and human infection. All annual county schistosomiasis reports were collected and analysed, including information on snail abundance and infection, human and animal infection control, stool examinations and patient treatments, clinical and serology examinations, skin test surveillance, patient follow-up, patient treatments, animal examinations, water supply and sanitation, and environmental modification. The findings bear witness to the laborious, systematic and scientific basis of the control programme and how it changed over the 40 years. Of note is the continual search for and treatment of cases, the killing of snails, and the permanent alteration of their habitats using mass community participation and methods adapted to local conditions. The programme has freed more than 10 million people from the risk of schistosomiasis and boosted rural economic development and health. The persistence, good record keeping, evolving and locally flexible strategies, and the clear focus of the control programme were crucial to its eventual success.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cen L. P. A short review of the previous and current epidemiological situation of schistosomiasis in China. Rev Soc Bras Med Trop. 1997 Jan-Feb;30(1):57–60. doi: 10.1590/s0037-86821997000100011. [DOI] [PubMed] [Google Scholar]
  2. Chen M. G. Progress and problems in schistosomiasis control in China. Trop Med Parasitol. 1989 Jun;40(2):174–176. [PubMed] [Google Scholar]
  3. Chen M. G. Schistosomiasis control program in the People's Republic of China: a review. Southeast Asian J Trop Med Public Health. 1989 Dec;20(4):511–517. [PubMed] [Google Scholar]
  4. Cheng T. H. Shistosomiasis in mainland China. A review of research and control programs since 1949. Am J Trop Med Hyg. 1971 Jan;20(1):26–53. [PubMed] [Google Scholar]
  5. Mao S. P. Epidemiology and control of schistosomiasis in the People's Republic of China. Mem Inst Oswaldo Cruz. 1987;82 (Suppl 4):77–82. doi: 10.1590/s0074-02761987000800012. [DOI] [PubMed] [Google Scholar]
  6. Mao S. P., Shao B. R. Schistosomiasis control in the people's Republic of China. Am J Trop Med Hyg. 1982 Jan;31(1):92–99. [PubMed] [Google Scholar]
  7. McGarvey S. T., Wu G., Zhang S., Wang Y., Peters P., Olds G. R., Wiest P. M. Child growth, nutritional status, and schistosomiasis japonica in Jiangxi, People's Republic of China. Am J Trop Med Hyg. 1993 Apr;48(4):547–553. doi: 10.4269/ajtmh.1993.48.547. [DOI] [PubMed] [Google Scholar]
  8. Yuan H. C. Epidemiological features and control strategies of schistosomiasis japonica in China. Chin Med J (Engl) 1993 Aug;106(8):563–568. [PubMed] [Google Scholar]
  9. Yuan H. C. Schistosomiasis control in China. Mem Inst Oswaldo Cruz. 1995 Mar-Apr;90(2):297–301. doi: 10.1590/s0074-02761995000200031. [DOI] [PubMed] [Google Scholar]

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