OBJECTIVETo understand the risk factors of schistosomiasis transmission in the Three Gorges Reservoir Area (TGRA) and to provide evidence for the development of control strategy.

METHODSApproaches including epidemiology, immunology and field survey were applied to investigate the potential risk factors which would involve the importation of infectious resources live mobile and migrant population, and livestock in the reservoir area. Meanwhile, observation on survival and reproductive status of snail under simulation habitats was also carried out, using ecological methods on snails. Strategy in preventing the spread of snail as infectious resources was also provided.

RESULTS175 mobile people from schistosomaisis endemic area of were tested and one person showed immunology tests positive with indirect hemagglutination test (IHA) and circumoral precipitin test (COPT), with a positive rate of 0.57%. Through the two-year period under observation, data showed that the snails with ribbon/smooth shells could survive and reproduce under habitats of simulation.

CONCLUSIONSOnce the infectious resource of schistosomiasis was introduced into the TGRA, the area became a new schistosomiasis epidemic area in TGRA which called for countermeasures to be taken.

Animals ; China ; epidemiology ; Disease Reservoirs ; Humans ; Risk Factors ; Schistosomiasis japonica ; epidemiology ; prevention & control ; transmission ; Snails ; parasitology

A mathematical model for transmission of schistosomes is useful to predict effects of various control measures on suppression of these parasites. This review focuses on epidemiological and environmental factors in Schistosoma japonicum and Schistosoma mekongi infections and recent advances in mathematical models of Schistosoma transmission.
Animals ; Asia, Southeastern/epidemiology ; *Communicable Disease Control ; Disease Reservoirs/parasitology ; Humans ; Models, Theoretical ; Schistosoma/*physiology ; Schistosomiasis/epidemiology/parasitology/*transmission

OBJECTIVETo analyze the impact of water transfer project from the Yangtze River to the Huaihe River on schistosomiasis transmission, and to evaluate the risk of the disease input to the potential endemic area in Anhui Province, namely the Chaohu Lake region.

METHODSFrom 2008 to 2012, 1 fixed and 3 mobile surveillance sites in the Chaohu Lake area were selected, and the schistosomiasis infection situation of 615 local residents in the fix surveillance site was investigated in autumn of 2008 and 2012, while the schistosomiasis infection situation of 1603 mobile population in the 3 mobile surveillance sites were investigated in autumn of 2008 to 2012. All people were screened by indirect hemagglutination assay (IHA), and the positive ones were then examined by sedimentation method. 303 local livestock and livestock from schistosomiasis endemic areas were examined by stool hatching method in autumn of 2008 to 2012. From 2008 to 2012, the distribution of Oncomelania snails was investigated in risk areas and suspicious areas, and the snail spreading pattern was conducted through salvaging floaters in rivers connected with the Yangtze River. In addition, the Oncomelania snails were raised in the cages on the beaches of the Chaohu Lake, a control area, from 2007 to 2010, and their survival and reproduction capacity was observed.

RESULTSIn 2008 and 2012, 301 and 314 local residents were detected by IHA, but there were no positive found. From 2008 to 2012, a total of 1603 mobile population were examined by IHA, and the positive rate of antibody was 3.1% (49/1603); 75 individuals were examined by sedimentation method, and the positive rate was 36.00% (27/75). A total of 303 livestock were examined by stool hatching method, but no one showed positive. A total of 1630 km(2) in risk areas and 3551 km(2) in suspicious areas were surveyed, but there were no Oncomelania snails found. A total of 457.6 kg floating debris were investigated, and 11 Oncomelania snails were found. From 2007 to 2010, the survival rate of Oncomelania snails in two trail areas in the Chaohu Lake and in the control area was 88% (86/98), 51% (45/89), 30% (25/71), 24% (20/84) and 92% (85/92), 54% (50/92), 23% (12/52), 17% (13/79) and 96% (85/89), 52% (44/85), 26% (18/69), 18% (14/76), respectively, there were no statistical significance between the trial areas and the control area (χ1(2) = 3.78, P > 0.01; χ2(2) = 0.27, P > 0.01; χ3(2) = 2.51, P > 0.01; χ4(2) = 1.50, P > 0.01), and filial generation snails were found in each observation area from 2008 to 2010, the number was 156-312.

CONCLUSIONThe imported infectious sources of schistosomiasis have been found in the Chaohu Lake region, the possibility of imported exogenous Oncomelania snails spreading into the Lake and surviving and reproducing there is high. The risk of schistosomiasis input to the potential endemic area in Anhui Province is predicted to be high.

Animals ; Cross-Sectional Studies ; Environmental Monitoring ; Humans ; Lakes ; parasitology ; Risk Assessment ; Rivers ; parasitology ; Schistosomiasis japonica ; epidemiology ; prevention & control ; transmission ; Snails ; parasitology

OBJECTIVETo establish a minimum medical geographic information systems (GIS) database as a spatial decision supporting system (SDSS), and to use the database into public health practice in China.

METHODSSpatial data collected from different sources were standardized as decimal degree format, including: (1) satellite images covering areas of China; (2) digital maps of China in vector files; (3) diseases database and relevant models.

RESULTSNecessary satellite images for the database have been collected from NOAA AVHRR, Landsat TM, etc., including the normalized difference vegetation index (NDVI) images from AVHRR, earth surface temperature images from AVHRR, GTOPO30 DEM images from USGS and landuse images from USGS. The digital vector files for GIS analysis were collected including political (county, provinces, country) boundaries file, environmental (drainage, land cover, soil type) vector file, population data and climate data; Data on diseases mainly generated from survey or case reporting. Relevant models on transmission of Schistosoma japonicum and Plasmodium vivax, and models of Oncomelania hupensis and Anophores sinansis were developed, and the relevant environmental factors related to incidence of cancers were mapped, to test and verify those database.

CONCLUSIONThe database unified the data from different sources for users. Minimum medical data included in the database could be used in the practice of public health. It is expected that this database be used in a wider range.

Animals ; Anopheles ; parasitology ; China ; epidemiology ; Databases, Factual ; Disease Reservoirs ; Disease Vectors ; Ecology ; Geographic Information Systems ; Humans ; Malaria ; epidemiology ; prevention & control ; transmission ; Plasmodium vivax ; Satellite Communications ; Schistosomiasis japonica ; epidemiology ; prevention & control ; transmission ; Snails ; parasitology

OBJECTIVETo analyze the relationship between the normalized difference vegetation index (NDVI) and the snail distribution in marshland of Jiangning county in Jiangsu province, and to explore the utility of Terra-MODIS image map in the small scale snail habitats surveillance.

METHODSNDVI were extracted from MODIS image by vector chart of the snail distribution using ArcView 8.1 and ERDAS 8.5 software. The relationship between NDVI and the snail distribution were Investigated using Bivariate correlations and stepwise linear regression.

RESULTSThe snail density on marshland was positively correlated with the mean NDVI in the first ten-day of May and the maximum NDVI (N(20max)) in the last ten-day of May. Incidence of pixel with the live snail on marshland was positively correlated with the mean NDVI (N(2mean)) in the first ten-day of May. An equation Y(1) = 0.009 47 x N(20max) (R(2) = 0.73), Y(2) = 0.018 6 x N(2mean) (R(2) = 0.906) was established.

CONCLUSIONThis study showed that the Terra-MODIS satellite images reflecting the status of the vegetation on marshland in Jiangning county could be applied to the study to supervise the snail habitat. The results suggested that MODIS images could be used to survey the small scale snail habitats on marshland.

Animals ; Breeding ; China ; epidemiology ; Ecology ; Environmental Monitoring ; Epidemiological Monitoring ; Humans ; Satellite Communications ; Schistosomiasis japonica ; epidemiology ; transmission ; Seasons ; Snails ; growth & development ; parasitology ; physiology

OBJECTIVETo use a mathematical model and computer simulation to study transmission dynamics and control of schistosomiasis in mountainous regions of Sichuan.

METHODSBased on studies of schistosomiasis japonica transmission in 20 villages in mountainous regions of Sichuan, a mathematical model was developed to characterize the impact of local environmental factors on transmission intensity. The model integrated site-specific factors and was calibrated to field epidemiological data from 3 subset villages. The dichotomic method was then used to predict different control measures.

RESULTSThe study showed high variations in prevalence of infection and infection intensity across villages, ranging between 3%-73%, 0.1-100 epg (eggs per gram stool), respectively. Important factors including occupation of local residents, exposure to contaminated water, microclimatic characteristics were integrated in the model. The predictions of dichotomic models showed that continuing chemotherapy (coverage between 50%-60%) could reduce infection intensities to 30%-80%, but could not change local transmission potential; therefore, the termination of chemotherapy would be followed by bouncing back of transmission. Sustaining targeted environmental interventions through snail and parasite oval control at certain coverage (30%-50%, respectively) could reduce the transmission to relatively stable levels. The model predictions showed that an integrated control (e.g., including both chemotherapy and environmental interventions) could suppress the transmission to an undetectable level even interruption of transmission between 5-10 years.

CONCLUSIONThe study demonstrated the feasibility of using a dynamic model, calibrated to local data, to gain insights into complicated processes underlying the transmission and informing site-specific control strategies.

Adolescent ; Adult ; Animals ; Child ; Child, Preschool ; China ; Environment ; Humans ; Middle Aged ; Models, Theoretical ; Schistosoma japonicum ; Schistosomiasis japonica ; epidemiology ; prevention & control ; transmission ; Snails ; parasitology

Schistosomiasis is a kind of common disease around the riverside or lakeside areas, especially popular in rural areas, and causes huge economic loss. Based on existing schistosomiasis dynamic models and data, a new method of working out coefficients, and an improved model were provided in our study. The improved model can be applied to the study of the characteristics of transmission of schistosomiasis, and the effect of new control methods for schistosomiasis was evaluated.
Animals ; Cattle ; China ; Computer Simulation ; Humans ; Models, Theoretical ; Numerical Analysis, Computer-Assisted ; Schistosoma japonicum ; isolation & purification ; Schistosomiasis japonica ; epidemiology ; prevention & control ; transmission ; Snails ; parasitology

OBJECTIVETo explore the vegetation landscapes in marshland snail habitats using satellite image.

METHODSThe false-color composition image from band 2, 3 and 4 of LANDSAT ETM + images was classified in the ERDAS IMAGINE 8.5 to analyze the vegetation types in the marshland of Jiangning county, using the unsupervised classification. The efficiency of classification was evaluated by the transformed divergence. The overlaid layers of the classified vegetation image and the vector layer of snail habitats distribution were used to analyze the relationship between the snail distribution and the landscape types.

RESULTSThe land-cover of marshland in LANDSAT ETM234 image in Jiangning county could be classified into 10 types, including water, bare soil, sandy and other landscapes while the transformed divergence analysis showed that there were misclassified pixes between some types especially for the non-continuous types. The study indicated that through adding the NDVI image in the process of classification efficiency of classification and eliminate misclassification in the non-continuous type could be improved. Analysis on the overlaid layer of the vector of snail distribution and the classified image proved that the vegetation covers in marshland snail habitats in Jiangning mainly belonged to type 3, 5 and 6, that responded to the beach with sparse vegetation, exuberant weed and bulrush respectively. The density of snails in the bulrush was higher than that in other 2 landscapes.

CONCLUSIONThe vegetation type in the marshland snail habitats could be distinguished from the satellite image, which was helpful for the surveillance of snail habitat in marshland and for the prevention of schistosomiasis.

Animals ; Breeding ; China ; epidemiology ; Disease Vectors ; Ecology ; Environmental Monitoring ; Epidemiological Monitoring ; Humans ; Plants ; Satellite Communications ; instrumentation ; Schistosoma japonicum ; classification ; growth & development ; Schistosomiasis japonica ; epidemiology ; transmission ; Snails ; growth & development ; parasitology ; physiology

OBJECTIVETo clarify the change of vegetation types and its relationship between the density of alive-snails in the areas of "breaking dikes or opening sluice for water store" in Jicheng.

METHODSSynthesized false color images of Jicheng before and after 1998 (1994 and 2003) were classified without supervision and results were compared. Vegetation types were identified on the spot.

RESULTSNormalized difference vegetation index (NDVI) of snail habitats before 1998 were between 126 and 183 in Jicheng, whose vegetation types were mainly paddy, cotton and cabbage. NDVI of snail habitats in Jicheng after 1998 were between 152 and 193 whose vegetation types were mainly poplar forest, bulrush and grass. Areas of snail habitats increased from 64.64% to 66.47%. Snail habitats were mostly composed of mixed vegetation types and mono-typed vegetation was hardly found. According to the density of alive-snails orders from high to low were poplar forest and bulrush, poplar forest and grass, bulrush.

CONCLUSIONVegetation types would not be identified by unsupervised classification only. Poplar forest, bulrush and grass were closedly related to the density of alive-snails.

Animals ; Breeding ; China ; epidemiology ; Disease Vectors ; Ecology ; Environmental Monitoring ; Epidemiological Monitoring ; Fresh Water ; Plants ; Satellite Communications ; instrumentation ; Schistosoma japonicum ; isolation & purification ; Schistosomiasis japonica ; epidemiology ; transmission ; Snails ; growth & development ; parasitology ; physiology