Table 5.
Recommendations for overcome gaps of control capacity and diagnostic/drug development reported in this article
| Diseases | Research area of gaps | Specific gaps | Recommendation for overcome gaps |
|---|---|---|---|
| Malaria |
Epidemic control |
Need more active surveillance for early detection |
More precise prediction by statistical model and geographical information systems (GIS). Set up active surveillance and response system to prevent reestablishment of transmission. |
| No appropriate techniques to evaluate elimination |
Set up clonal germplasm repository for plasmodium and its vectors. Find specific biomarker to distinguish different geographic strain. |
||
| Diagnosis |
Need new diagnosis method for asymptomatic patient |
Find new candidate biomarkers. Quality sampling for diagnostic kits before large-scale testing in field. |
|
| Chemotherapy |
Need innovative and safer drugs |
Accelerate the validation and standardization for candidate drugs. Strengthen international cooperation in new drug development. |
|
| Schistosomiasis japonica |
Epidemic control |
Need effective tools for Oncomelania sp. snail control |
Develop diagnostic assays for the large-scale screening of specific snails. Use GIS for prediction of snail distribution. Develop new snail interventions. |
| Need policy support to protect the execution of control strategy |
Coordinate by local government. Give full administration enforcement rights to the Chinese Center for Disease Control and Prevention. |
||
| Diagnosis |
Need more sensitive and cheaper diagnostic test for large population sampling. |
Find new candidate biomarkers. Focus on innovation of immune complex dissociation procedure to increase the sensitivity of detection. |
|
| Chemotherapy |
Need new drugs in addition to praziquantel. |
Accelerate the validation and standardization for candidate drugs. Strengthen international cooperation in new drug development. |
|
| Echinococcosis |
Epidemic control |
The execution for control echinococcosis is not satisfying. |
Coordinate by local government. Give proper administration enforcement right to the Chinese Center for Disease Control and Prevention. |
| Manpower restrictions in echinococcosis control |
Larger personnel force for echinococcosis control. More professional training for echinococcosis control. |
||
| Not enough support for hygiene and sanitation in epidemic areas. |
Government increase in financial support on hygiene and sanitation improvement in these areas. Strengthen health education on echinococcosis prevention. |
||
| Diagnosis |
Need more sensitive test for early diagnosis |
Undertake a comparative study of all the available antibody detection to form guidelines for large-scale scanning. Find new candidate biomarkers. |
|
| Chemotherapy | Need more effective drug for short-term treatment | Accelerate the validation and standardization for candidate drugs. Focus to develop new form of benzimidazole to improve its bioavailability. Strengthen international cooperation in new drug development. |