ABSTRACT
OBJECTIVE: To clarify the role of socio-economy and management in the sustainable schistosomiasis-control in Taoyuan County, an endemic area in hilly region, Hunan Province, China. METHODS: From 1996 to 2011, the data of socio-economy, the management of schistosomiasis control organizations, environment, and the changes in schistosomiasis prevalence were collected in Taoyuan County where schistosomiasis transmission had been controlled since 2008. A sampling survey of schistosomiasis prevalence of human and bovine was performed in 2011 to verify the current status of schistosomiasis transmission. All the data were analyzed statistically to evaluate the role of socio-economy and management in the sustainable schistosomiasis control. RESULTS: During the period from 1998 to 2012, the socio-economy including the residents' productive mode and daily life in Taoyuan County improved dramatically, but the recurrence risk of schistosomiasis endemic still existed due to the retuning of out-going workers and the migrating population. Moreover, the introduction of exotic species of plants and animals may increase the risk. The low running cost of schistosomiasis control organization as well as the efficient and adequate resource allocation in the county was in line with the national requirement to strengthen the rural grass-roots public health system. CONCLUSION: The harmonious development of socio-economy and the scientific and efficient health system in Taoyuan County are the key factors for the sustainable transmission control of schistosomiasis.
Subject(s)
Communicable Disease Control/methods , Economic Development/statistics & numerical data , Public Health Administration/statistics & numerical data , Schistosomiasis/prevention & control , Schistosomiasis/transmission , Adolescent , Animals , Cattle , Child , China , Endemic Diseases/prevention & control , Health Knowledge, Attitudes, Practice , Humans , Rural Population/statistics & numerical data , Schistosomiasis/epidemiologyABSTRACT
From the perspective of public administration and epidemiology, on the combination of the governance cases in the central and local government of China, the author explores ten modes of the provision of public goods and services in schistosomiasis control services, discusses seven main government instruments, and points out its pluralism, complexity and the slight changes of government' s preference. This paper also explores the approach to help the relevant government make schistosomiasis control work more practicable in field.
Subject(s)
Communicable Disease Control/methods , Communicable Disease Control/organization & administration , Schistosomiasis/prevention & control , China/epidemiology , Communicable Disease Control/economics , Government , Humans , Schistosomiasis/economics , Schistosomiasis/epidemiologyABSTRACT
OBJECTIVE: To understand the status of persons of export of labor services infected with Schistosoma haematobium. METHODS: A total of 184 suspected hospitalized patients infected with S. haematobium were investigated retrospectively. RESULTS: Among the patients, 111 used to work in Angola (60.3%) and 57 in Mozambique (31.0%). Pathogenic examinations were done in 13 cases, and S. haematobium eggs were found in 6 subjects. Totally 96.7% of patients showed antibody positive by the tests of IHA and ELISA. A total of 112 subjects (60.9%) had urinary tract symptoms, and 52 had fatigue. However, 72 subjects (39.1%) did not have any signs and symptoms. CONCLUSIONS: There are some persons of export of labor services who are infected with S. haematobium. Therefore, we suggest that the authority should establish a program for prevention and treatment of schistosomiasis haematobia and schistosomiasis mansoni in persons of export of labor services.
