Malaria outbreaks in China (1990–2013): a systematic review

Malaria Journal

Research

Yali Liu¹  Xu Wang²  Olaf Horstick³  Olaf Müller³  Guangyu Lu³  Shuisen Zhou⁴ 

[1] Evidence-Based Medicine Centre, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China;Key Laboratory of Clinical Translational Research and Evidence-Based Medicine of Gansu Province, Lanzhou, China;Institute of Global Health University College, University College London, London, UK;Institute of Public Health, Medical School, Ruprecht-Karls-University, INF 324, 69120, Heidelberg, Germany;National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (CDC), Shanghai, China;Key Laboratory of Parasite and Vector Biology, MOH, Shanghai, China;WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Shanghai, China;

关键词: Malaria;    Outbreak;    China;    Systematic review;   

DOI  :  10.1186/1475-2875-13-269

 received in 2014-05-22, accepted in 2014-07-08,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundChina has already achieved remarkable accomplishments in shrinking the malaria burden since the mid-20th Century. The country now plans to eliminate malaria by the year 2020. Looking at the dynamics of malaria outbreaks during the last decades might provide important information regarding the potential challenges of such an elimination strategy and might help to avoid mistakes of the past.MethodsA systematic review of the published literature (English and Chinese) was conducted to identify malaria outbreaks during the period 1990 until 2013 in China. The main causes of outbreaks as described in these papers were categorized according to whether they were related to population migration, environmental factors, vector and host related factors, and operational problems of the health services.ResultsThe review identified 36 malaria outbreaks over the 23-year study period, on which sufficient information was available. They mainly occurred in southern and central China involving 12 provinces/autonomous regions. More than half of all outbreaks (21/36, 58%) were attributed at least in part to population migration, with malaria importation to non- or low-endemic areas from high-endemic Chinese areas (13/15) or endemic countries (2/15) having been the most frequent reason (15/21, 71%). Other main causes were problems of the health services (15/36, 42%), in particular poor malaria case management (10/15, 67%), environmental factors (7/36, 19%), and vector and host related factors (5/36, 14%).ConclusionsBeside a number of other challenges, addressing population movement causing malaria appears to be of particular importance to the national malaria programme. Strengthening of surveillance for malaria and early radical treatment of cases should thus be considered among the most important tools for preventing malaria outbreaks and for the final goal of malaria elimination in China.

【 授权许可】

Unknown   
© Lu et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.