Publications by authors named "Guo Jia-Gang"

Article Synopsis
  • Schistosomiasis is a significant health challenge in sub-Saharan Africa, where 95% of global cases are found, leading to an increased demand for praziquantel (PZQ) for treatment among all age groups at risk.
  • The study analyzed research from 1991 to 2022 to determine the relationship between the prevalence of schistosomiasis in humans and its presence in intermediate snail hosts, using a statistical model for pooled prevalence estimates.
  • Results indicated that schistosomiasis affects about 27.5% of humans, with certain snail species demonstrating infection rates of 8.6%, and a modest correlation (0.3) was found between infections in snails and humans, suggesting snails could
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Being a zoonotic parasitic disease, schistosomiasis was widely spread in 12 provinces of Southern China in the 1950s, severly harming human health and hindering economic development. The National Institute of Parasitic Diseases at the Chinese Center for Diseases Control and Prevention, and Chinese Center for Tropical Diseases Research (NIPD-CTDR), as the only professional institution focussing on parasitic diseases at the national level, has played an important role in schistosomiasis control in the country. In this article, we look back at the changes of schistosomiasis endemicity and the contribution of NIPD-CTDR to the national schistosomiasis control programme.

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World Bank Loan Project (WBLP) for schistosomiasis control conducted from 1992 to 2001, resulted in significant reduction of schistosomiasis morbidity and mortality in People's Republic of China (P.R. China), with implementation of morbidity control.

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Despite significant progress, China faces the challenge of re-emerging schistosomiasis transmission in currently controlled areas due, in part, to the presence of a range of animal reservoirs, notably water buffalo and cattle, which can harbor infections. Environmental, ecological and social-demographic changes in China, shown to affect the distribution of oncomelanid snails, can also impact future schistosomiasis transmission. In light of their importance in the , lifecycle, vaccination has been proposed as a means to reduce the excretion of egg from cattle and buffalo, thereby interrupting transmission from these reservoir hosts to snails.

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Background: In the roadmap on the neglected tropical diseases (NTD) the World Health Organization (WHO) aims at attaining at least 75% coverage of preventive chemotherapy in pre-school and school-age children by 2020. A randomized controlled trial was used to compare the effectiveness of praziquantel in treating Schistosoma haematobium in Africa using two different sources for the drug, Merck Limited Partnership (KgaA), Germany and Nanjing Pharmaceutical Factory (NPF), China.

Methods: More than 6,000 participants testing positive for S.

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Objective: To develop a bionic animal skin and evaluate its detective effect of cercariae so as to provide a new technique for the monitoring of the schistosome susceptibility water body.

Methods: A bionic animal skin was made with pigskin and the experiments were carried out for evaluating its detective effects of cercariae in laboratory and simulate fields, and at the same time, the sentinel mouse method was used as the control.

Results: In the laboratory, the cercariae were found in 10-, 30-, 60-cercaria subgroups in the bionic animal skin group after 1 and 2 hours, but the cercariae were found only in the 60-cercaria subgroup in the sentinel mouse group.

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China was once a country with the heaviest burden of parasitic diseases. Under the leadership of the Communist Party and national authority, after more than 60 years' efforts of prevention and control, the remarkable results have been achieved in China. However, affected by the social and economic development and environmental changes, the prevention and control of parasitic diseases, especially imported parasitic diseases, are facing new challenges, and the parasitic diseases, such as malaria, schistosomiasis, leishmaniasis, filariasis and trypanosomiasis, appear increasingly.

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Objective: To set up and apply the evaluation standards for photography of schistosomiasis control theme, so as to offer the scientific advice for enriching the health information carrier of schistosomiasis control.

Methods: Through the literature review and expert consultation, the evaluation standard for photography of schistosomiasis control theme was formulated. The themes were divided into 4 projects, such as new construction, natural scenery, working scene, and control achievements.

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Schistosomiasis remains an important public health issue, with a large number of cases reported across sub-Saharan Africa, and parts of Asia and Latin America. China was once highly endemic, but has made substantial progress and is moving towards elimination of schistosomiasis. Meanwhile, despite long-term, repeated, school-based chemotherapy in many African countries, more than 90% of all schistosomiasis cases are concentrated in Africa, and hence, this continent constitutes the key challenge for schistosomiasis control.

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Article Synopsis
  • The study aimed to understand how the calcium cyanamide synthetic drug affects the morphology of Schistosoma japonicum eggs, with the goal of exploring the drug's mechanism against schistosome eggs.
  • Researchers mixed the drug with cattle feces containing the eggs and monitored changes over a week, comparing treated samples with blank controls.
  • Results showed that the treatment caused significant damage to the eggs, including color changes, atrophy of miracidia, and thickening of egg shells, with the effects worsening over time.
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Objective: To evaluate the schistosomiasis control effect of the measures of replacing cattle with machine for cultivation and forbidding depasturage of livestock on marshlands in marshland and lake regions.

Methods: The retrospective review and field survey were implemented in the Jiangling and Gongan counties of Hubei Province where were implemented with the measure of replacing cattle with machine for cultivation, and Yuanjiang and Huarong counties of Hunan Province where were implemented with the measure of forbidding the depasturage of livestock on marshlands. The schistosome infection status of human, cattle, and Oncomelania hupensis snails, and schistosome-infested field excreta were surveyed from 2007 to 2013.

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Article Synopsis
  • - The study highlights the growing concern over the role of migrants in the transmission of schistosomiasis in China, particularly in regions like Hunan where the disease is endemic, despite control efforts.
  • - A survey revealed that migrants represent a significant portion of the population in these areas (53.6%) and have a higher infection rate compared to permanent residents, mainly due to less awareness and lack of protective measures.
  • - The findings suggest that current schistosomiasis control programs fail to adequately include migrants, especially since they are often absent during health interventions, which could contribute to continued disease transmission.
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Objective: To investigate the schistosomiasis japonica infection and preventive knowledge of immigration population in Jinshan District, Shanghai so as to provide the evidence for improving the control work.

Methods: The immigration population from schistosomiasis endemic provinces and local people were screened by serum IHA screening for schistosome infection, and the positives were further examined by Kato-Katz technique and the miracidium hatching method. The schistosomiasis preventive knowledge and behaviors were investigated by questionnaires.

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Objective: To analyze the time and space aggregation of acute schistosome infections in marshland and lake areas in five provinces (Jiangsu, Anhui, Jiangxi, Hubei and Hunan province) from 2005 to 2012, so as to provide the evidence for establishing control strategies and taking effective control measures.

Methods: The data of patients with acute schistosome infection in marshland and lake areas in five provinces from 2005 to 2012 were collected and analyzed with the concentration ratio and circular distribution methods for the epidemic season features and time aggregation of the infection, and with the spatial autocorrelation analysis for the space aggregation of the infected cases.

Results: According to the concentration ratio, the occurrence of acute schistosome infection had strong seasonality, and the concentration ratio was 0.

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Tropical diseases remain a major cause of morbidity and mortality in developing countries. Although combined health efforts brought about significant improvements over the past 20 years, communities in resource-constrained settings lack the means of strengthening their environment in directions that would provide less favourable conditions for pathogens. Still, the impact of infectious diseases is declining worldwide along with progress made regarding responses to basic health problems and improving health services delivery to the most vulnerable populations.

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Article Synopsis
  • Diagnosing Schistosoma japonicum infection in low prevalence areas in China is difficult due to the limited effectiveness of current detection methods, which can lead to underestimating the disease.
  • A study comparing the miracidium hatching test (MHT), the modified Kato-Katz method (KK), and their combination (KK-MHT) found that the combined method was more effective in detecting infections.
  • The combination method revealed high missed detection rates, especially in light prevalence areas, highlighting that relying solely on the KK method can significantly underestimate the actual burden of Sj infection.
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Despite major successes in its control over the past 50years, schistosomiasis japonica continues to be a public health problem in the People's Republic of China (P.R. China).

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Background: Despite significant, steady progress in schistosomiasis control in the People's Republic of China over the past 50 years, available data suggest that the disease has re-emerged with several outbreaks of acute infections in the early new century. In response, a new integrated strategy was introduced.

Methods: This retrospective study was conducted between Jan 2005 and Dec 2012, to explore the effectiveness of a new integrated control strategy that was implemented by the national control program since 2004.

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This report showed the endemic status of schistosomiasis in P. R. China at national level in 2012.

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This article expatiates the epidemiological characteristics, the evolution process of control and prevention strategies and measures in hilly regions with schistosomiasis endemic, especially the research progress and obstacle factors existed in the implementation process of the comprehensive strategy focused on controlling infection source, aiming at providing references for the hilly regions to reach transmission interrupted standard.

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Objective: To establish the measures of schistosomiasis field survey and evaluate the efficacy of their application according to the content of indexes of rapid assessment system to high transmission risks in schistosomiasis endemic areas of lake regions.

Methods: In 2012, based on the analysis of Oncomelania hupensis snail situation, and schistosomiasis epidemic data of human and cattle from 2008-2010, 60 villages from Hunan, Hubei, Jiangxi and Anhui provinces were selected and investigated, and the content of the investigation included the field feces, snail status, and epidemic situation of human and cattle. The systemic sampling was applied for snail investigation; the feces collected from snail investigation field were examined by the hatching test (3 bottles for 1 sample).

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Schistosomiasis japonica remains a significant public-health problem in China. This study evaluated cost-effectiveness of a comprehensive schistosomiasis control program (2003-2006). The comprehensive control program was implemented in Zhangjia and Jianwu (cases); while standard interventions continued in Koutou and Xiajia (controls).

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Schistosomiasis is a tropical disease, which could do serious damage to the people's health, and it hinders the development of the social economy but may be neglected. After a positive control, some countries and regions have blocked the spread of schistosomiasis. However, in the past few years, with the development of social economy, due to the global movement of people, schistosomiasis not only poses a threat to control areas, but also may cause new endemic areas.

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