Publications by authors named "Hong Ning Zhou"

Article Synopsis
  • Molecular surveillance is crucial for tracking arboviruses, using techniques like genus-specific RT-qPCR, but issues like false negatives have hindered effective monitoring.
  • The study improved RT-qPCR tests to accurately detect various alphaviruses, including chikungunya, achieving high sensitivity and specificity.
  • The improved assay identified three chikungunya cases from a 2019 outbreak in Yunnan, suggesting that imported infections from nearby countries played a role in that outbreak.
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To understand how malaria could be eliminated in the original hyperendmic area for malaria along international borders in Yunnan Province, malaria situation and control were described on the basis of seven phases. At last the experiences and lessons of the program that reduced border malaria from hyperendmicity to malaria-free status were summarized. Malaria control and elimination area were particularly difficult in the Yunnan border.

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Background: Cross-border malaria in Laiza City of Myanmar seriously affected Yingjiang County of China and compromised reaching the goal of malaria elimination by 2020. Since 2017, a pilot project on 3 + 1 strategy of joint cross-border malaria prevention and control was carried out for building a malaria buffer in these border areas. Here, 3 were the three preventive lines in China where different focalized approaches of malaria elimination were applied and + 1 was a defined border area in Myanmar where the integrated measures of malaria control were adopted.

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Article Synopsis
  • Malaria cases along the Myanmar border in China have seen a significant drop, thanks largely to the implementation of the 1-3-7 surveillance and response method.
  • Since 2017, there have been no reported indigenous malaria cases in China.
  • Areas in the middle and southern parts of the border remain at higher risk for the importation and reestablishment of malaria after its elimination.
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Background: Eliminating malaria and preventing re-establishment of malaria transmission in border areas requires universal coverage of malaria surveillance and a rapid response to any threats (i.e. malaria cues) of re-establishing transmission.

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  • - Chikungunya fever, caused by the chikungunya virus (CHIKV), leads to symptoms like fever, rash, and significant joint pain and has affected millions globally since its re-emergence in 2004.
  • - An outbreak occurred in Ruili, Yunnan Province, from September to December 2019, with 112 confirmed cases, predominantly local and among adults aged 20-60, showing higher rates in females.
  • - Clinical symptoms included joint pain, fever, and fatigue, with lab results indicating inflammation and changes in blood cell counts. The virus strain was linked to the Indian Ocean clade, suggesting imported cases from Myanmar played a role in the outbreak.
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Background: Eradication of infectious disease is the sanctified public health and sustainable development goal around the world.

Main Body: Three antimalarial barriers were developed to control imported malarial cases, and an effective surveillance strategy known as the "1-3-7 approach" was developed to eliminate malaria from the Chinese population. From 2011 to 2019, 5254 confirmed malaria cases were reported and treated in Yunnan Province, China.

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Yingjiang County, which is on the China-Myanmar border, is the main focus for malaria elimination in China. The epidemiological characteristics of malaria in Yingjiang County were analysed in a retrospective analysis. A total of 895 malaria cases were reported in Yingjiang County between 2013 and 2019.

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Background: Yunnan Province was considered the most difficult place in China for malaria elimination because of its complex malaria epidemiology, heterogeneous ecological features, relatively modest economic development, and long, porous border with three malaria endemic countries: Lao People's Democratic Republic, Myanmar, and Viet Nam.

Methods: Academic publications and grey literature relevant to malaria elimination in Yunnan covering the period from 1950 until 2020 inclusive were considered. The following academic indexes were searched: China Science Periodical Database, China National Knowledge Infrastructure Database, and MEDLINE.

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Background: Malaria cases have declined significantly along the China-Myanmar border in the past 10 years and this region is going through a process from control to elimination. The aim of this study is to investigate the epidemiology of malaria along the border, will identify challenges in the progress from control to elimination.

Methods: National reported malaria cases from China and Myanmar, along with the data of 18 Chinese border counties and 23 townships in Myanmar were obtained from a web-based diseases information reporting system in China and the national malaria control program of Myanmar, respectively.

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Article Synopsis
  • Dengue fever is a mosquito-borne illness primarily transmitted by the Aedes aegypti mosquito, which has significantly increased in Yunnan Province, China, due to urbanization.
  • Despite efforts to control the spread of dengue, especially in border areas, the disease has not been eradicated, highlighting the need for more research on the genetic diversity and population structure of these mosquito vectors.
  • A study analyzing eight Aedes aegypti populations found high genetic diversity and identified three distinct genetic groups, suggesting ongoing invasions could be contributing to the mosquito's prevalence in this region.
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Japanese encephalitis virus (JEV) is a flavivirus that causes Japanese encephalitis (JE), which has an unclear pathogenesis. Despite vaccination, thousands of deaths attributed to JE are reported annually. In this study, we report that mice deficient for Axl, a receptor tyrosine kinase that plays multiple roles in flaviviral infection, displayed greater mortality upon JEV infection.

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  • The porcine circovirus type 3 (PCV3) has been identified as a significant pathogen affecting pigs since its discovery in 2016, leading to major economic losses in the swine industry.
  • A study examined 269 mosquito samples from pig farms in China, revealing that 32.0% tested positive for PCV3, suggesting that mosquitoes could play a role in transmitting the virus.
  • Genome sequencing of PCV3 from mosquitoes and pigs showed a 100% similarity, with the virus categorized into two clades (PCV3a and PCV3b), further supporting the idea that mosquitoes may contribute to the virus's transmission cycle.
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  • Malaria poses a significant health threat in the China-Myanmar border area, and understanding the genetic diversity of the parasite Plasmodium falciparum can help improve control strategies.
  • The study collected blood samples from 2006 to 2011, analyzing various isolates of the malaria parasite using specific genetic techniques to reveal the presence of different allele types.
  • Results showed a dominance of specific families for the merozoite surface proteins (MSP1 and MSP2), high multiplicity of infections, and a positive correlation between multiplicity and parasite density, indicating substantial genetic variation among the malaria strains in the region.
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Background: The China-Myanmar border region presents a great challenge in malaria elimination in China, and it is essential to understand the relationship between malaria vulnerability and population mobility in this region.

Methods: A community-based, cross-sectional survey was performed in five villages of Yingjiang county during September 2016. Finger-prick blood samples were obtained to identify asymptomatic infections, and imported cases were identified in each village (between January 2013 and September 2016).

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Article Synopsis
  • Getah virus (GETV), isolated in Malaysia in 1955, has caused significant epidemics in horses and pigs, leading to substantial economic losses across Eurasia and Southeast Asia.
  • The virus has evolved into four distinct groups, with Group III being most prevalent among domestic animals, and its Most Recent Common Ancestor existing approximately 51 years ago.
  • Key amino acid mutations in the GETV E2 protein contribute to variations in the virus, which may explain its recent spread, prompting recommendations for enhanced viral screening and monitoring to mitigate economic impacts.
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In this study, we isolated a virus strain (YN12031) from specimens of Armigeres subalbatus collected in the China-Laos border. BHK-21 cells infected with YN12031 exhibited an evident cytopathic effect (CPE) 32 h post-infection. The virus particles were spherical, 70 nm in diameter, and enveloped; they also featured surface fibers.

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Objective: To understand the control status of malaria at hotspots in Yingjiang County and provide measures for malaria elimination in the China-Myanmar border areas of Yunnan Province.

Methods: A survey was made in 4 villages with indigenous malaria cases or imported cases in Nabang and Tongbiguan of Yingjiang County in Yunnan Province in June and July 2015. Peripheral blood samples were collected from the neighboring residents around patients and examined by malaria rapid diagnostic test (RDT).

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Background: Implementing effective interventions remain a lot of difficulties along all border regions. The emergence of artemisinin resistance of Plasmodium falciparum strains in the Greater Mekong Subregion is a matter of great concern. China has effectively controlled cross-border transmission of malaria and artemisinin resistance of P.

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Objective: To analyze blood samples from patients with falciparum malaria and vivax malaria in border areas of Yunnan Province, using 18S rRNA-based nested PCR, and compare 18S rRNA sequences.

Methods: Blood or filter blood samples with positive microscopic results for Plasmodium falciparum or P. vivax infection were collected from Laza, Nankajiang, Mangdong and Nawei of Myanmar, and from Mengla, Tengchong and Yingjiang of Yunnan Province between 2004 and 2011.

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  • The study examined the resistance levels of Culex tritaeniorhynchus mosquitoes to DDT and deltamethrin in Yunnan Province, China.
  • Through bioassay methods, adult mosquito samples were collected from multiple locations, revealing varied mortality rates when exposed to each insecticide.
  • Results indicated that these mosquitoes are resistant to both DDT and deltamethrin, highlighting the need for changes in insecticide strategies in the region.
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Objective: To understand the status of Toxoplasma gondii infection in the population of Pu'er City, so as to provide the evidence for formulating the strategy of toxoplasmosis control.

Methods: The population from Jingdong, Jinggu, and Menglian counties in Pu' er City was surveyed; IgG of T. gondii in serum was detected by ELISA.

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Background: Mosquito coils are the most commonly used household insecticidal product in the world with sales exceeding 50 billion coils, used by two billion people worldwide annually. Despite strong evidence that coils prevent mosquito bites a systematic review concluded that there is no evidence that burning mosquito coils prevents malaria acquisition. Therefore, the current trial was designed to measure and compare prevention of malaria infection by mosquito coils or long-lasting insecticidal net (LLIN) or a combination of the two in Yunnan, China in the Greater Mekong sub-region.

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From June to August 2012, the blood-sucking mosquitoes were captured around cattle-sheds and human houses in Yuanjiang County, Qiaojia County, Yongshan County, and Jinghong City of Yunan Province. Blood samples from mosquitoes were collected on filter paper. Multiplex PCR assay was used to detect the blood meal samples.

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