开展精准防治 实现消除血吸虫病的目标

自2004年以来实施的以控制传染源为主的血吸虫病综合防治新策略,加速了我国血吸虫病控制进程。到2015年底,全国各流行县(市、区)达到了血吸虫病传播控制标准,如期实现了《全国预防控制血吸虫病中长期规划纲要(2004-2015年)》提出的总体目标。我国于2014年及时提出了到2025年实现消除血吸虫病的目标。要如期实现这一宏伟目标,需要突破难点、精确定位防治靶点、实施精准防治,才能彻底消除导致血吸虫病复燃的潜在因素,保障消除血吸虫病目标的如期实现。精准血防是基于精准医学的理念,并将其引入我国血防工作而发展出来的血防工作新思路,是精准医学在血防工作中的理论创新。本文阐述了精准血防的概念、措施以及在我国消除血吸虫病工作的作用,指出开展精准血防的前提是不断提升基层防治队伍和综合防控能力,精准血防是继续实施以控制传染源为主的综合防治策略的关键,精准血防是继续做好患者救治、把防治规划和措施落到实处的保障。

Implementation of precision control to achieve the goal of schistosomiasis elimination in China

The integrated strategy for schistosomiasis control with focus on infectious source control，which has been imple? mented since 2004，accelerated the progress towards schistosomiasis control in China，and achieved transmission control of the disease across the country by the end of 2015，which achieved the overall objective of the Mid? and Long?term National Plan for Prevention and Control of Schistosomiasis（2004-2015）on schedule. Then, the goal of schistosomiasis elimination by 2025 was proposed in China in 2014. To achieve this new goal on schedule, we have to address the key issues, and implement precision control measures with more precise identification of control targets, so that we are able to completely eradicate the po? tential factors leading to resurgence of schistosomiasis transmission and enable the achievement of schistosomiasis elimination on schedule. Precision schistosomiasis control，a theoretical innovation of precision medicine in schistosomiasis control，will pro? vide new insights into schistosomiasis control based on the conception of precision medicine. This paper describes the definition， interventions and the role of precision schistosomiasis control in the elimination of schistosomiasis in China，and demonstrates that sustainable improvement of professionals and integrated control capability at grass ?root level is a prerequisite to the imple? mentation of schistosomiasis control，precision schistosomiasis control is a key to the further implementation of the integrated strategy for schistosomiasis control with focus on infectious source control, and precision schistosomiasis control is a guarantee of curing schistosomiasis patients and implementing schistosomiasis control program and interventions.