A long way to go-the prevalence, prevention, and control of plague in the contemporary era
- Author:
WANG Xin
;
JING Huaiqi
;
KAN Biao
- Publication Type:Review
- Keywords:
Plague;
human case;
epidemic;
animal surveillance
- From:
China Tropical Medicine
2024;24(1):22-
- CountryChina
- Language:Chinese
-
Abstract:
Plague is an animal-sourced infectious disease of caused by Yersinia pestis, listed asa Class A notifiable infectious disease in China and an international quarantine infectious disease. It has caused three plague world pandemics in human history. Currently, the natural plague foci are distributed in all continents except Antarctica and Oceania. Madagascar and the Democratic Republic of the Congo (DRC) currently have the highest level of human plague epidemic in the world. In the middle of 20th century, human plague was prevalent in China, with an average of 1 400.8 reported cases per year from 1950 to 1954. After 1955, large-scale outbreaks of human plague were effectively controlled, with an average of 24.7 reported cases per year from 1955 to 1999. From 2000 to the present, human cases have not yet disappeared with a cumulative total of 514 cases had been reported. The plague control strategy based on the One Health concept is a more optimal solution, mainly reflected in the "ecological animal surveillance" and "early diagnosis and disposal of human cases" dual approach. Effective animal surveillance can provide accurate prediction and early warning of the risk that may be spread to humans, while early diagnosis and early treatment of human cases can availably control the spread of the epidemic and effectively reduce the case fatality rate simultaneously.
- Full text:20250109101705108295. A long way to go-the prevalence, prevention, and control of plague in the contemporary era.pdf
