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Table of Content

    30 December 2015, Volume 33 Issue 6
    Propagating the Culture of Schistosomiasis Control and Promoting Its Sustainable Development in China
    WU Guan-ling
    2015, 33(6):  1-399-403. 
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    Great achievements have been gained in schistosomiasis control in China due to the last half-century endeavor. These achievements not only indicate the success in disease control, but also represent a particularly successful social practice with a unique cultural property. Inspite of the accumulating reports on schistosomiasis prevention and control experience, there is a need to sublimate the experience to the “cultural” level, as historically the value of cultural and spiritual merits goes far beyond that of the achievements. Although the strategy and technology will be enriched with time, the cultural spirit remains especially important for the long-term promotion of schistosomiasis control. This paper materially dissected the meaning of “China′s culture for schistosomiasis control”, i.e., people-first, government-oriented, science-respected, collective wisdom and efforts, and diversity-embracing.

    Post-transmission Schistosomiasis: the Problem of Hepatic Fibrosis
    WANG Yong *
    2015, 33(6):  2-404-406. 
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    Hepatic fibrosis caused by schistosomiasis japonica is becoming an important issue in areas where the transmission of schitosomiasis has been interrupted. Schistosomiasis control programme should therefore be adjusted to involve the routine monitoring and intervention of hepatic fibrosis of schistosomiasis in those areas with effective transmission control, to inhibit the development of advanced schistosomiasis.

    Gaps on China′s Engagement in Global Governance of Neglected Tropical Diseases
    DING Wei, ZHOU Xiao-nong*, GUAN Ya-yi, YAO Jia-wen, XIAO Ning
    2015, 33(6):  3-407-411. 
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    In this review, we used gap analysis to find out the inadeqency of China′s engagement in global elimination and control of neglected tropical diseases(NTDs). Meanwhile, important facets on which our work should concentrate and some abilities that need to be improved were proposed, in the aim to stimulate the progress of global prevention and control of NTDs.

    The Endemic Situation and Challenges of Major Parasitic Diseases in China
    YAN Jun, HU Tao, LEI Zheng-long
    2015, 33(6):  4-412-417. 
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    During the twelfth “Five-year Plan” period, the Chinese government further strengthened the implementation of several medium and long-term plans on disease control, which resulted in the acceleration of the control of schistosomiasis, malaria and echinococcosis. To further elucidate the endemic status and control experience during the stage, this article described current situation on the major parasitic diseases and put forward the challenges and consequent countermeasures for planning the control programs in the next five years and laying a foundation for the next Five-year Planning.

    Research Progress on Artemisinin Resistance in Plasmodium falciparum
    ZHANG Yi-long, PAN Wei-qing*
    2015, 33(6):  5-418-424. 
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    Artemisinin(ART) is a novel and effective antimalarial drug discovered in China. As recommended by the World Health Organization, the ART-based combination therapies (ACTs) have become the first-line drugs for the treatment of falciparum malaria. ART and its derivatives have contributed greatly to the effective control of malaria globally, leading to yearly decrease of malaria morbidity and mortality. However, there have recently been several reports on the resistance of Plasmodium falciparum to ART in Southeast Asia. This is deemed a serious threat to the global malaria control programs. In this paper, we reviewed recent research progress on ART resistance to P. falciparum, including new tools for resistance measurement, resistance-associated molecular markers, and the origin and spread of the ART-resistant parasite strains.

    Opportunities, Challenges and Strategies for Malaria Elimination in the Tibet Autonomous Region of China
    ZHOU Shui-sen1*, YAN Jun2, XIA Zhi-gui1, FENG Jun1,HU Tao2, TANG Lin-hua1, ZHOU Xiao-nong1
    2015, 33(6):  6-425-428. 
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    This review summarizes the endemic characteristics and influencing factors of malaria in the Tibet Autonomous Region of China, as well as the opportunities and challenges for malaria elimination in this region. Recommendations on strategies for malaria control are also made.

    Genotypes and Main Effectors of Toxoplasma gondii and Their Pathogenic Mechanisms
    SHEN Ji-long1*,WANG Lin2
    2015, 33(6):  7-429-435. 
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    Toxoplasma gondii is an intracellular Apicomplexan parasite that infects a wide range of warm blooded animals, including human, and has complex life cycle and pathogenic mechanisms. Although T. gondii is the only species recognized in the Toxoplasma genus, research on population genetic structure has shown its geographic genetic diversity. So far 232 genotypes have been identified by multilocus polymerase chain reaction-restriction fragment length polymorphism or microsatellite genotyping from both animals and human. T. gondii strains in North America typically possess types 2, 3 and 12 (found mainly in wild animals) clonal lineages, while types 2, 3, and 1 are common in Europe, and types 2 and 3 are common in Africa. These findings suggest a strongly clonal population structure in these regions. However, strains in South America are genetically more diverse, predominated by types BrⅠ, BrⅡ, BrⅢ, and BrⅣ. Recent research has shown that the Chinese 1(ToxoDB#9) genotype is dominantly circulating in the mainland of China, and shares the polymorphic ROP16I/Ⅲ with types 1 and 3, and GRA15II with type 2. In this review, we summarized geographically the genotypes, host immune responses, and the pathogenic mechanisms of T. gondii strains, to provide basis for further research on genotype/effector-related pathogenic mechanism as well as biological and epidemiological studies of T. gondii.

    Endemic, Trend, Research and Direction of Food-borne Parasitic Diseases
    HUANG Yan, YU Xin-bing*
    2015, 33(6):  8-436-442. 
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    Food-borne parasitic diseases are exhibiting new epidemiological characteristics in such society that is filled with economic development, ecological environmental changes, more frequent population flow, as well as diversities of dietary source and style. The food-borne parasitic diseases have become a major risk factor for food safety and health care, and a global public health problem. In this review, we will give an overview on the epidemiological information of some major food-borne parasitic diseases both in China and in the world, and summarize their emerging characteristics and epidemiological trends. Research on the prevention techniques and pathogenesis of the diseases is reviewed as well. Finally, perspectives are given on the diagnosis/detection, basic mechanisms of the diseases, and the strategies for prevention and transmission interruption.

    Research Development of Diagnostic Techniques for Tropical Infectious Diseases
    ZHANG Dong-mei*
    2015, 33(6):  9-443-449. 
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    Tropical infectious diseases remain predominant among emerging infectious diseases, and some of those are showing a spreading trend worldwide. Improvement of diagnostic techniques is a key to the control of tropical diseases. In this review, we provide an overview on research development of diagnostic techniques for the diseases, especially the development of immunological and molecular detection techniques.

    Research Progress on Opportunistic Parasitic Infections
    ZHU Huai-min
    2015, 33(6):  10-450-455. 
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    The incidence of opportunistic parasitic infections is increasing as a result of the growing population with immune deficiency. Currently, studies on opportunistic parasitic infections are limited by the lack of animal models, due to the limited biological knowledge on the opportunistic parasitic pathogens as well as the small number of studies on species identification and typing, epidemiologic status, as well as the source and route of infection. The prevalence of HIV has promoted the research and understanding of opportunistic parasitic infections, which, in turn, has greatly reduced the morbidity and mortality of opportunistic infections. However, there still exists a bottleneck for the control and prevention of infectious diseases, i.e., the lack of sensitive and specific diagnostic methods and effective therapy, due to the complicated clinical manifestations and insufficient notification by clinical physicians. Supported by accumulating basic research, the discovery of diagnostic and therapeutic molecular targets is the key to overcome these problems.

    Demand for and the Development of Detection Techniques for Source of Schistosome Infection in China
    WANG Shi-ping*, HE Xin, ZHOU Yun-fei
    2015, 33(6):  11-456-460. 
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    Schistosomiasis is a type of zoonotic parasitosis that severely impairs human health. Rapid detection of infection sources is a key to the control of schistosomiasis. With the effective control of schistosomiasis in China, the detection techniques for infection sources have also been developed. The rate and the intensity of infection among humans and livestocks have been significantly decreased in China, as the control program has entered the transmission control stage in most of the endemic areas. Under this situation, the traditional etiological diagnosing techniques and common immunological methods can not afford rapid detection of infection sources of schistosomiasis. Instead, we are calling for detection methods with higher sensitivity, specificity and stability while being less time-consuming, more convenient and less costing. In recent years, many improved or novel detection methods have been applied for the epidemiological surveillance of schistosomiasis, such as the automatic scanning microscopic image acquisition system, PCR-ELISA, immunosensors, loop-mediated isothermal amplification, etc. The development of new monitoring techniques can facilitate rapid detection of schistosome infection sources in endemic areas.

    Application of Big Data Mining Technology in Monitoring and Early-warning of Schistosomiasis
    YANG Kun1*, LI Shi-zhu2
    2015, 33(6):  12-461-465. 
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    The prevalence of schistosomiasis will soon be controlled to a low level in China. It is therefore imperative to establish a more sensitive and effective early warning system for schistosomiasis, so as to consolidate the achievements of the disease control. By covering four topics including the importance of early warning system for schistosomiasis and its research direction, as well as recent development in big data mining and its application in monitoring and early-warning of schistosomiasis, this review discusses the feasibility of data mining technology for monitoring and early warning of the disease. It is hoped that this technology would increase the efficacy of studies on monitoring and early warning, and promote the elimination of schistosomiasis in China.

    Research Achievements and Challenges for Echinococcosis Control
    WEN Hao*, TUERGANAILI Aji, SHAO Ying-mei, LIN Ren-yong, LI Hai-tao, TUERHONGJIANG Tuxun, LV Guo-dong, ZHANG Wen-bao
    2015, 33(6):  13-466-471. 
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     Echinococcosis is an important communicable disease that has remarkable impacts on the global health. The disease is highly endemic in western China. In the last decades, achievements were obtained for the surgery and drug therapies for echinococcosis, as well as for studies on genomics, signaling pathways, and liver proliferation and injury of the intermediate hosts. Although steps have entered vaccine development, challenges remain in immunodiagnosis and drug treatment for intermediate hosts, and in vaccine development for definitive hosts. This paper gives an overview on the current achievements and challenges for echinococcosis control.

    Prevalence and Control of Parasitic Zoonoses
    WANG Tian-ping*
    2015, 33(6):  14-472-476. 
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    At present, parasitic zoonoses in China are characterized by the reappearance of traditional parasitic zoonoses and constant emergence of new ones, which makes the prevention and control more difficult. In this review, we introduce the classification, epidemiological features, the endemic factors of the infection, as well as the principles and strategies for control, in the aim to provide hints on the control of such diseases in the future.