我国棘球蚴病流行现状及重点防治工作思考

doi:10.12140/j.issn.1000-7423.2025.01.001

中国寄生虫学与寄生虫病杂志 ›› 2025, Vol. 43 ›› Issue (1): 1-5.doi: 10.12140/j.issn.1000-7423.2025.01.001

我国棘球蚴病流行现状及重点防治工作思考

韩帅()(), 李石柱^*()()

中国疾病预防控制中心寄生虫病预防控制所（国家热带病研究中心）；传染病溯源预警与智能决策全国重点实验室；国家卫生健康委员会寄生虫病原与媒介生物学重点实验室；世界卫生组织热带病合作中心；科技部国家级热带病国际联合研究中心，上海 200025

收稿日期:2024-09-24 修回日期:2024-11-18 出版日期:2025-02-28 发布日期:2025-03-26
通讯作者: *李石柱（ORCID：0000-0003-3172-5218），男，博士，研究员，从事寄生虫病流行病学研究。E-mail: lisz@chinacdc.cn
作者简介:韩帅（ORCID：0009-0001-2729-9642），男，硕士，副研究员，从事寄生虫病防治工作。E-mail：hanshuai@nipd.chinacdc.cn
基金资助:
国家自然科学基金(32161143036);国家自然科学基金(82473688);上海市加强公共卫生体系建设三年行动计划（2023—2025年）重点学科项目(GWVI-11.1-12)

Echinococcosis in China: current status and future disease control priorities

HAN Shuai()(), LI Shizhu^*()()

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases; Key Laboratory on Parasite and Vector Biology, National Health Commission; WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai 200025, China

Received:2024-09-24 Revised:2024-11-18 Online:2025-02-28 Published:2025-03-26
Contact: *E-mail: lisz@chinacdc.cn
Supported by:
National Natural Science Foundation of China(32161143036);National Natural Science Foundation of China(82473688);Three-Year Initiative Plan for Strengthening Public Health System Construction in Shanghai (2023-2025) Key Discipline Project(GWVI-11.1-12)

摘要/Abstract

摘要：

自2005年实施中央财政转移支付地方包虫病防治项目以来，我国棘球蚴病防治成效显著，从当前基本控制棘球蚴病流行，向疫情控制和消除目标推进。本文分析了近年来棘球蚴病的流行态势、问题与挑战，提出了下一步重点工作建议，为优化棘球蚴病防治策略措施、实现全国疫情控制和消除目标提供参考依据。

关键词: 棘球蚴病, 疫情形势, 控制, 挑战

Abstract:

Since the initiation of the central government fiscal transfer payment program for echinococcosis control in 2005, great strides have been achieved in echinococcosis control in China, progressing from currently basically controlling the transmission of echinococcosis to infection control and elimination. This article analyzes the recent epidemiology of echinococcosis and challenges in the national echinococcosis control program, and proposes future disease control priorities, so as to provide insights into optimization of the echinococcosis control strategy and achieving the goal of infection control and elimination of echinococcosis in China.

Key words: Echinococcosis, Endemic situation, Control, Challenge

中图分类号:

R532.32

韩帅, 李石柱. 我国棘球蚴病流行现状及重点防治工作思考[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 1-5.

HAN Shuai, LI Shizhu. Echinococcosis in China: current status and future disease control priorities[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2025, 43(1): 1-5.

参考文献 35

[1]	Jenkins DJ. WHO/OIE manual on echinococcosis in humans and animals: A public health problem of global concern[J]. Int J Parasitol, 2001, 31(14): 1717-1718.
[2]	Wen H, Vuitton L, Tuxun T, et al. Echinococcosis: Advances in the 21st century[J]. Clin Microbiol Rev, 2019, 32(2): e00075-18.
[3]	Wang Q, Yang L, Wang YF, et al. Disease burden of echinococcosis in Tibetan communities: A significant public health issue in an underdeveloped region of western China[J]. Acta Trop, 2020, 203: 105283.
[4]	World Health Organization. Ending the neglect to attain the sustainable development goals: A strategic framework for integrated control and management of skin-related neglected tropical diseases[R/OL]. Geneva: World Health Organization, 2022: 112[2024-09-20]. https://iris.who.int/bitstream/handle/10665/355448/9789240051423-eng.pdf.
[5]	World Health Organization. The World Health Organization estimates of the global burden of foodborne dieseases: Foodborne disease burden epidemiology reference group 2007-2015[R/OL]. Geneva: World Health Organization, 2015[2024-09-20]. http://www.who.int/foodsafety/areas_work/foodborne-diseases/ferg/en/.
[6]	伍卫平, 王虎, 王谦, 等. 2012—2016年中国棘球蚴病抽样调查分析[J]. 中国寄生虫学与寄生虫病杂志, 2018, 36(1): 1-14.
	Wu WP, Wang H, Wang Q, et al. A nationwide sampling survey on echinococcosis in China during 2012-2016[J]. Chin J Parasitol Parasit Dis, 2018, 36(1): 1-14. (in Chinese)
[7]	韩帅, 蒉嫣, 薛垂召, 等. 2004—2020年全国棘球蚴病疫情分析[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(4): 475-480. doi: 10.12140/j.issn.1000-7423.2022.04.009
	Han S, Kui Y, Xue CZ, et al. The endemic status of echinococcosis in China from 2004 to 2020[J]. Chin J Parasitol Parasit Dis, 2022, 40(4): 475-480. (in Chinese)
[8]	卫生部. 2006—2015年全国重点寄生虫病防治规划. 卫疾控发〔2006〕107号[Z]. 北京: 卫生部, 2006: 1-3.
	Ministry of Health. National Program for Prevention and Control of Key Parasitic Diseases (2006-2015). Ministry of Health Disease Control Bureau letter [2006] no. 107[Z]. Beijing: Ministry of Health, 2006: 1-3. (in Chinese)
[9]	卫生部. 防治包虫病行动计划(2010—2015年). 卫疾控发〔2010〕100号[Z]. 北京: 卫生部, 2010: 1-7.
	Ministry of Health. Action Plan for the Prevention and Control of Hydatid Disease (2010-2015). Ministry of Health Disease Control Bureau letter [2010] no. 100[Z]. Beijing: Ministry of Health, 2010: 1-7. (in Chinese)
[10]	国家卫生和计划生育委员会. 全国包虫病等重点寄生虫病防治规划(2016—2020年). 国卫疾控发〔2016〕58号[Z]. 北京: 国家卫生和计划生育委员会, 2016: 1-15.
	National Health and Family Planning Commission. National Program for the Prevention and Control of Key Parasitic Diseases Including Hydatidosis (2016-2020). National Health and Family Planning Commission Disease Control Bureau letter [2016] no. 58[Z]. Beijing: National Health and Family Planning Commission, 2016: 1-15. (in Chinese)
[11]	国家疾病预防控制局. 全国包虫病等重点寄生虫病防治规划(2016—2020年). 国卫疾控发〔2016〕58号[Z]. 北京: 国家疾病预防控制局, 2024: 1-24.
	National Disease Control and Prevention Administration. Implementation Plan for the Comprehensive Prevention and Control of Echinococcosis and Other Major Parasitic Diseases (2024-2030). National Disease Control and Prevention Administration Health and Immunization Bureau letter [2024] no. 8[Z]. Beijing: National Disease Control and Prevention Administration, 2024: 1-24. (in Chinese)
[12]	Fu MH, Wang X, Han S, et al. Advances in research on echinococcoses epidemiology in China[J]. Acta Trop 2021, 219: 105921.
[13]	伍卫平. 我国包虫病的流行与防治工作进展[J]. 中国动物保健, 2016, 18(10): 12-14.
	Wu WP. Progress in the prevalence and control of echinococcosis in China[J]. China Anim Health, 2016, 18(10): 12-14. (in Chinese)
[14]	Torgerson PR, Keller K, Magnotta M, et al. The global burden of alveolar echinococcosis[J]. PLoS Negl Trop Dis, 2010, 4(6): e722.
[15]	Budke CM, Deplazes P, Torgerson PR. Global socioeconomic impact of cystic echinococcosis[J]. Emerg Infect Dis, 2006, 12(2): 296-303. doi: 10.3201/eid1202.050499 pmid: 16494758
[16]	严俊, 胡桃, 雷正龙. 全国重点寄生虫病的防控形势与挑战[J]. 中国寄生虫学与寄生虫病杂志, 2015, 33(6): 412-417.
	Yan J, Hu T, Lei ZL. The endemic situation and challenges of major parasitic diseases in China[J]. Chin J Parasitol Parasit Dis, 2015, 33(6): 412-417. (in Chinese)
[17]	刘白雪, 蒉嫣, 薛垂召, 等. 2023年全国棘球蚴病防治工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 6-13.
	Liu BX, Kui Y, Xue CZ, et al. Progress of echinococcosis control in China, 2023[J]. Chin J Parasitol Parasit Dis, 2025, 43(1): 6-13. (in Chinese)
[18]	中国疾病预防控制中心. 2023年中国传染病监测报告[R]. 北京: 中国疾病预防控制中心, 2024: 317-325.
	Chinese Center for Disease control and Prevention. Annual report on surveillance of infectious disease in China, 2023[R]. Beijing: Chinese Center for Disease Control and Prevention, 2024: 317-325. (in Chinese)
[19]	王强, 许静, 夏志贵, 等. 我国重点寄生虫病疫情形势及防控工作重点[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(1): 1-7. doi: 10.12140/j.issn.1000-7423.2024.01.001
	Wang Q, Xu J, Xia ZG, et al. Epidemic status and key tasks for the control and elimination of key parasitic diseases in China[J]. Chin J Parasitol Parasit Dis, 2024, 42(1): 1-7. (in Chinese)
[20]	蒉嫣, 薛垂召, 王旭, 等. 2022年全国棘球蚴病防治工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(1): 8-16. doi: 10.12140/j.issn.1000-7423.2024.01.002
	Kui Y, Xue CZ, Wang X, et al. Progress of echinococcosis control in China, 2022[J]. Chin J Parasitol Parasit Dis, 2024, 42(1): 8-16. (in Chinese)
[21]	Kern P, Menezes da Silva A, Akhan O, et al. The echinococcosis: Diagnosis, clinical management and burden of disease[J]. Adv Parasitol, 2017, 96: 259-369.
[22]	He YW, Cui QQ, Hu ZY. Modeling and analysis of the transmission dynamics of cystic echinococcosis: Effects of increasing the number of sheep[J]. Math Biosci Eng, 2023, 20(8): 14596-14615. doi: 10.3934/mbe.2023653 pmid: 37679150
[23]	Kachani M, Heath D. Dog population management for the control of human echinococcosis[J]. Acta Trop, 2014, 139: 99-108. doi: 10.1016/j.actatropica.2014.05.011 pmid: 25046696
[24]	Kui Y, Liu BX, Wang X, et al. Epidemiological characteristics of echinococcosis in non-endemic PLADs―China, 2017-2020[J]. China CDC Wkly, 2021, 3(51): 1084-1088.
[25]	Kui Y, Han S, Zhang XJ, et al. Analysis of epidemiological and issues encountered in case reports on echinococcosis―China, 2022[J]. China CDC Wkly, 2024, 6(6): 100-104.
[26]	Wang Q, Xu J, Hao YW, et al. Assessment on the diagnostic capacity for parasitic diseases of health facilities―China, 2019[J]. China CDC Wkly, 2021, 3(35): 731-735.
[27]	周晓农. 以全健康理念推进人兽共患病预防与控制[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(1): 12-19. doi: 10.12140/j.issn.1000-7423.2022.01.002
	Zhou XN. Advancing the prevention and control of zoonoses supported by One Health approach[J]. Chin J Parasitol Parasit Dis, 2022, 40(1): 12-19. (in Chinese)
[28]	肖洁, 余红梅, 杨义, 等. 基于基尼系数的棘球蚴病防治卫生人力资源配置公平性分析[J]. 中国血吸虫病防治杂志, 2022, 34(3): 292-299.
	Xiao J, Yu HM, Yang Y, et al. Analysis of the equity of health human resource allocation for echinococcosis control based on Gini index[J]. Chin J Schisto Control, 2022, 34(3): 292-299. (in Chinese)
[29]	周明华, 邵茂, 何思长, 等. 四川省疾病预防控制中心人力资源发展状况分析[J]. 医学与社会, 2021, 34(1): 29-33.
	Zhou MH, Shao M, He SZ, et al. Analysis of human resources development status of Sichuan Center for Disease Control and Prevention[J]. Med Soc, 2021, 34(1): 29-33. (in Chinese)
[30]	胡晗, 江世英, 梁鑫鑫. 2016—2018年内蒙古疾控机构人力资源配置状况及公平性分析[J]. 医学与社会, 2021, 34(9): 22-26, 43.
	Hu H, Jiang SY, Liang XX. Analysis on status and equity of human resource allocation of disease prevention and control institutions in Inner Mongolia from 2016-2018[J]. Med Soc, 2021, 34(9): 22-26, 43. (in Chinese)
[31]	沈新秀, 周权, 罗文伟, 等. 2020年阿克苏地区疾控机构人力资源现状分析[J]. 疾病预防控制通报, 2021, 36(4): 79-81.
	Shen XX, Zhou Q, Luo WW, et al. Analysis on the present situation of human resources of disease control institutions in Aksu Region in 2020[J]. Bull Dis Contr Prev China, 2021, 36(4): 79-81. (in Chinese)
[32]	邹佳彤, 郭颖, 陈勇, 等. 疾病预防控制机构人力资源现况及存在问题分析[J]. 上海预防医学, 2021, 33(1): 6-12.
	Zou JT, Guo Y, Chen Y, et al. Current situation of human resources in disease control and prevention institutions[J]. Shanghai J Prev Med, 2021, 33(1): 6-12. (in Chinese)
[33]	林小丹, 徐碧霞, 王冬, 等. 我国专业公共卫生机构人力资源分布特征及预测分析[J]. 中国卫生事业管理, 2021, 38(12): 904-908, 949.
	Lin XD, Xu BX, Wang D, et al. Distribution characteristics and prediction analysis of human resources in professional public health institutions in China[J]. Chin Health Serv Manag, 2021, 38(12): 904-908, 949. (in Chinese)
[34]	朱泽林, 田添, 郝瑜琬, 等. 我国国家级寄生虫病防治科研基地建设现状与挑战[J]. 热带病与寄生虫学, 2022, 20(3): 170-173, 180.
	Zhu ZL, Tian T, Hao YW, et al. Current situation and challenges in constructing national research base for parasitic disease prevention and control in China[J]. J Trop Dis Parasitol, 2022, 20(3): 170-173, 180. (in Chinese)
[35]	Hao YW, Wang Q, Cao CL, et al. Construction and application of surveillance and response systems for parasitic diseases in China, led by NIPD-CTDR[J]. Adv Parasitol, 2020,110: 349-371.

我国棘球蚴病流行现状及重点防治工作思考

Echinococcosis in China: current status and future disease control priorities

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献 35

相关文章 15

编辑推荐

Metrics

本文评价

[1]	王莹, 刘白雪, 王旭, 王立英, 薛垂召, 蒉嫣, 杨诗杰, 伍卫平, 韩帅. 全国棘球蚴病参比实验室网络建设进展[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 119-123.
[2]	周檀芳, 朱江, 徐心路, 祖力皮喀尔·图孙尼亚孜, 卡力比夏提·艾木拉江, 温浩. Toll样受体介导的宿主免疫应答在棘球蚴病中的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 124-128.
[3]	廖沙, 张仲双, 杨柳, 喻文杰, 何伟, 张光葭, 姚人新, 李汭芮, 黄燕, 王谦. 2021—2023年四川省棘球蚴病监测结果分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 14-19.
[4]	罗文博, 雷霞, 韩松, 张宇耕, 燕鸽, 跃华, 姜晓峰. 内蒙古2015—2023年棘球蚴病病例特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 140-142.
[5]	刘校伸, 王灏, 杜磊, 樊海宁, 郭新建, 马倩源, 任利. 误诊为胰腺浆液性囊腺瘤的胰腺细粒棘球蚴病1例[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 152-154.
[6]	李奔福, 吴方伟, 字金荣, 严信留, 彭佳, 王正青, 李建雄, 徐倩, 李永飞, 杨亚明. 2017—2023年云南省棘球蚴病综合防治措施实施效果分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 20-25.
[7]	韩松, 雷霞, 聂莉, 罗文博, 姜晓峰. 内蒙古自治区棘球蚴病流行基线抽样调查与分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 26-29.
[8]	吴向林, 刘煊, 马国良, 段红菊, 马天宝, 田慧芳, 王志平, 齐蓉婷, 闫芳. 宁夏多房棘球蚴病流行区流浪犬和野外犬科动物驱虫方法的探索与效果评估[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 30-36.
[9]	张仲双, 张光葭, 姚人新, 杨柳, 喻文杰, 何伟, 廖沙, 黄燕, 王谦. 四川省棘球蚴病疫点传播风险评估体系构建研究[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 37-43.
[10]	雷家希, 贡桑曲珍, 王立英, 杨频, 程茜茜, 王芝依, 姜明哲. 2015—2022年西藏棘球蚴病人群筛查和患者治疗成本效果分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 44-51.
[11]	刘白雪, 蒉嫣, 薛垂召, 王旭, 王莹, 王立英, 杨诗杰, 韩帅, 许学年. 2023年全国棘球蚴病防治工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 6-13.
[12]	邓冰清, 阿迪莱·多力坤, 李寅时, 阿比旦·艾尼瓦尔, 孙胜, 肖雯颖, 葛聪蕙, 唐娜, 姜涛, 王慧, 张传山, 李静. 多房棘球蚴感染小鼠腹膜腔免疫细胞迁移及其功能变化[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 76-83.
[13]	赵陆源, 黄继磊, 周长海, 诸廷俊, 朱慧慧, 周晓农, 李石柱, 钱门宝. 2021年全国土源性线虫感染监测结果分析[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(6): 687-693.
[14]	李振伟, 王成, 王志鑫, 刘津铭, 赵乾, 王海久, 谢智. 基于三维可视化技术指导肝多房棘球蚴病手术方案的应用研究[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(6): 737-743.
[15]	祖力皮喀尔·图孙尼亚孜, 蒋铁民, 温浩. 肝多房棘球蚴病的手术治疗进展[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(6): 783-789.