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. 2013 Jul 29;2:15. doi: 10.1186/2049-9957-2-15

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.