Health Worlds

Abstract: The World Health Organization is an international WHO, it has a lot of collaborating centers around the world. Shandong Institute of Parasitic Diseases from the government in June 1980 was officially appointed as the WHO Collaborating Centre for lymphatic filariasis, as of September 1997, has been appointed 5, the time span of 17 years. In the past 17 years, the Institute carried out fruitful cooperation with the WHO to develop a large number of outstanding young researchers, adding a lot of equipment, the introduction of advanced technology and methods in prevention and treatment, research, clinical and other aspects have made significant results, and obtained a series of scientific research. In the prevention and treatment of parasitic diseases, the first in the country basically eliminated the provincial units of the filariasis, malaria and other major parasitic diseases, effectively promoted the development of parasite control. To this end, WHO timely in the fifth term, but also expand the appointment as sash / cysticercosis Cooperation Center, making it the only area of the sash in the West / cysticercosis Collaborating Centre. Recalling the achievements made since the cooperation, the future prospects to further strengthening of foreign scientific and technological cooperation and exchanges, so that prevention and treatment of parasitic diseases in China business to a new level.
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d the national lymphatic filariasis elimination program of the South China Sea after the monitoring network, 20 : 52 Network of the Chinese government:
General Office of Ministry of Health issued
"After the nationwide monitoring of lymphatic filariasis elimination program," the notice
Health Office of Disease Control issued 2010 146
Provinces, autonomous regions and municipalities health bureau, health bureau of Xinjiang Production and Construction Corps: In order to consolidate the results of elimination of filariasis, to strengthen surveillance after filariasis elimination work, according to "People's Republic of Infectious Diseases Prevention Law," "sudden infectious diseases of public health event monitoring and reporting of information management approach "and" filariasis diagnostic criteria (WS260-2006) "the relevant provisions, the Department organized experts to develop the" elimination of lymphatic filariasis in the country after the monitoring program. " Is issued to you, please with local conditions, conscientiously implemented.
August 25, 2010
After the elimination of lymphatic filariasis national monitoring program
To consolidate the results of elimination of filariasis, to strengthen surveillance after filariasis elimination work, according to "People's Republic of Infectious Diseases Prevention Law," "public health emergencies and infectious diseases surveillance information reporting management approach" and "wire echinococcosis diagnostic criteria (WS260-2006) "the relevant provisions of the development of the program.
First, for monitoring purposes
To detect possible residual and the input of the of infection, prevent further spof filariasis.
Second, the content and methods of monitoring
(A) case definition.
1. Suspected cases: with acute lymphangitis, lymphadenitis, orchitis, epididymitis, spermatic cord inflammation, or nearly 2 years, emerging hydrocele, chyluria and lymph edema and other symptoms and signs, and the exclusion of bacterial, congenital sexual, familial, trauma, surgery, tuberculosis, cancer or other causes of the disease.
2. Clinically diagnosed cases: suspected cases and has a filariasis endemic areas in foreign or domestic living history of the original filariasis endemic area, or a combination of serological test results positive for filariasis.
3. Confirmed cases: that blood tests microfilaria positive cases.
(B) case report.
Various medical institutions at all levels, disease prevention and control (hereinafter referred to as CDC) institutions and their staff perform their duties, quarantine officers, CDC found that case, shall complete the report cards of infectious diseases, within 24 hours through the disease surveillance information Report management system reports. Temporarily with direct reporting network conditions shall within 24 hours after diagnosis CDC sent to the county level (send) a disease report cards. CDC received reports of infectious diseases at the county level shall, immediately after the network card, direct report.
(C) cases for verification.
1. Report information verification. Province, cities divided into districts and county level information on disease control agencies in disease surveillance reporting management system found with suspected cases of filariasis reported clinical cases and confirmed cases diagnosed after the county level must promptly notify the patient disease control agencies and reporting units , check each item on the report and fill out the case study (Annex 3), submitted to the provincial CDC.
2. Specimen collection and testing. Cases at the county level by the CDC is responsible for blood specimen collection. Collected daily from 21:00 to 2:00 the following morning for 3 days. Each time blood samples were collected onto two slides, made of thick blood film smears (hereinafter referred to as blood spots), and immediately sent (sent) to the provincial CDC. The provincial disease control agency is responsible for staining of blood slides and microscopic examination, and proper preservation of blood films, to prepare for random re.
3. Confirmation. Provincial CDC within 24 hours of required blood tests microfilaria positive, suspected positive cases microscopic examination of blood films and related materials submitted photo Parasitic Diseases Chinese Center for Disease Control and Prevention, organized by the experts responsible to confirm, and confirm the positive results reported within 12 hours, the Ministry of Health Bureau of Disease Control and Prevention.
4. Cases revised. Verified by the provincial disease control institutions of all reported cases, cases at the county level by the CDC is responsible for disease surveillance information in the report management system revised. Microfilaria positive blood test, revised to confirmed cases, blood tests microfilaria negative, in the remarks column marked "not found microfilariae by microscopic examination."
Third, epidemic investigation and handling cases
(A) of the cases investigated.
1. Case investigation. Provincial CDC found that blood tests microfilaria positive or suspected positive cases, it shall within 48 hours to carry out epidemiological investigation of cases to identify cases of infection or outside the local imported cases, and timely reporting of findings disease in China The parasitic disease control center.
2. Population survey. Recognized as a local infection of microfilaria positive cases, the provincial disease control institutions must live in their villages (or living quarters) to carry out population surveys, survey the resident population over the age of 2. Can first use the rapid immunochromatographic test (ICT) method of screening, positive blood tests for microfilaria, or direct pathogen detection methods used for testing.
Recognized as foreign input of microfilaria positive cases, returning officers to be on the same batch of blood tests microfilaria.
In addition, some located in remote and inaccessible, control phase of the history of relatively weak re-endemic areas, the provincial disease control agency in accordance with local conditions, from time to time to carry out population surveys to detect possible residual of infection.
(B) of the epidemic treatment. Investigation on the population than was found in 1 case villages microfilaria positive patients, treatment measures should be undertaken in the following epidemic.
1. Pathogen treatment. Microfilaria positive use of diethylcarbamazine (sea Qun) for treatment. Each case to be re-treated for 3 courses, more than half of each interval of duration of treatment. Pregnant women, lactating women and patients with severe disease should be exempt from relief treatment or therapy.
Bancroftian microfilaria positive treatment of adult total dose of diethylcarbamazine 4.2g, each 0.2g, 3 times a day for 7 days for treatment; children at a total dose of 70mg/kg body weight per day 3 times for 7 days for treatment.
Malay microfilaria positive treatment of adult total dose of diethylcarbamazine 1.8g, each 0.2g, 3 times a day, even for 3 days for treatment; children at a total dose of 30mg/kg body weight per day 3 times, even for 3 days for treatment.
2. Investigation and Control of the media. Recognized as a local infection of microfilaria positive, the provincial disease control agency responsible for the organization of their villages are living (or living quarters) to carry out vector surveys and control measures. Transmission season, in the person room to capture Culex pipiens / Culex or Anopheles over 1000 / more than 500 Anopheles, mosquitoes were dissected of all, check whether the infection of immature mosquitoes in filarial, fill in the mosquito-borne Category questionnaire (Annex 4) and natural infection of mosquito-borne filarial child questionnaire (Annex 5). Mosquitoes also carry out control of breeding sites, minimizing exposure to mosquitoes and other related anti-mosquito work.
The identified of infection for the imported cases, the provincial disease control agency responsible for the organization of the same batch of returnees are concentrated media to carry out investigations, such as juvenile filarial infection in mosquitoes found to carry out the appropriate anti-mosquito work.
Fourth, quality control
(A) Training. Parasitic Diseases Chinese Center for Disease Control every 2 years by the provincial disease control and prevention of filariasis control technology backbone of the training instituti, the provincial disease control institutions districts every 2 years in the city and county to monitor the work of the filariasis staff rotation (B) supervision. China CDC is responsible for organizing the expert group parasitic diseases have reported cases of the year the provincial (autonomous regions and municipalities) for inspection and supervision, spot checks saved the provincial CDC survey of all cases and blood film. That year the provincial disease control agency has reported cases of the city, county disease control institutions supervision, survey sampling and retention of all cases of blood film. Provincial CDC report found and confirmed cases of the units and individuals shall be commended or rewarded.
V. Organization and Management
The Ministry of Health is responsible for monitoring the country after the elimination of filariasis in the organization and leadership. Health administrative departments at all levels to eliminate filariasis in the region after the monitoring of organizational leadership and coordination.
China CDC is responsible for monitoring the country after the elimination of filariasis in the organization and coordination and technical guidance. Parasitic Diseases Chinese Center for Disease Control is responsible for providing appropriate technical support, including the organization of expert group on the blood tests positive for microfilaria positive and suspected cases affirm, technical guidance on monitoring, professional training at the provincial level, and carrying out quality control and data summary analysis.
CDC is responsible for the province provincial (autonomous regions and municipalities), after elimination of filariasis in the concrete implementation of monitoring, responsible for the area to verify the reported cases, data collection, meta-analysis, responsible for the city (county) level of supervision and training . County-level disease control agency reported cases of blood specimen collection and case investigation and disease control agencies to assist the provincial epidemic investigation and handling cases related to work.
Various medical institutions at all levels is responsible for reporting and management of cases.
Annex: 1. Pathogen detection methods (thick blood film)4. Mosquito classification survey
5. Natural infection of immature mosquito-borne filarial survey Network Editor South China Sea: Sea Palace


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