Assessment of control strategies against Clonorchis sinensis infection based on a multi-group dynamic transmission model.,PLOS Neglected Tropical Diseases

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Assessment of control strategies against Clonorchis sinensis infection based on a multi-group dynamic transmission model.
PLOS Neglected Tropical Diseases ( IF 3.4 ) Pub Date : 2020-03-27 , DOI: 10.1371/journal.pntd.0008152
Xiao-Hong Huang ₁ , Men-Bao Qian _{2,

3} , Guang-Hu Zhu ₄ , Yue-Yi Fang ₅ , Yuan-Tao Hao _{1,

6} , Ying-Si Lai _{1,

6}

Affiliation

Clonorchiasis is one of the most important food-borne trematodiases affecting millions of people. Strategies were recommended by different organizations and control programmes were implemented but mostly in short-time periods. It's important to assess the long-term benefits and sustainability of possible control strategies on morbidity control of the disease. We developed a multi-group transmission model to describe the dynamics of C. sinensis transmission among different groups of people with different raw-fish-consumption behaviors, based on which, a full model with interventions was proposed and three common control measures (i.e., preventive chemotherapy, information, education, and communication (IEC) and environmental modification) and their possible combinations were considered. Under a typical setting of C. sinensis transmission, we simulated interventions according to different strategies and with a series of values of intervention parameters. We found that combinations of measures were much beneficial than those singly applied; higher coverages of measures had better effects; and strategies targeted on whole population performed better than that on at-risk population with raw-fish-consumption behaviors. The strategy recommended by the government of Guangdong Province, China shows good and sustainable effects, under which, the infection control (with human prevalence <5%) could be achieved within 7.84 years (95% CI: 5.78-12.16 years) in our study setting (with original observed prevalence 33.67%). Several sustainable strategies were provided, which could lead to infection control within 10 years. This study makes the effort to quantitatively assess the long-term effects of possible control strategies against C. sinensis infection under a typical transmission setting, with application of a multi-group dynamic transmission model. The proposed model is easily facilitated with other transmission settings and the simulation outputs provide useful information to support the decision-making of control strategies on clonorchiasis.

更新日期：2020-03-27

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