Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China
Background: Leptospirosis, which is an easily overlooked zoonotic disease, was once widespread in Guangzhou, China. However, due to the implementation of control measures, the number of cases is decreasing. Based on the characteristics of leptospirosis cases in Guangzhou, China, between 1955 and 202...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
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| Series: | One Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352771423000617 |
| _version_ | 1797805849116147712 |
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| author | Ziyi Zeng Haiyan Chen Jianmin Xu Hao Zhang Conghui Xu Lirui Fan Shouyi Chen Kuncai Chen Zhicong Yang Yuehong Wei |
| author_facet | Ziyi Zeng Haiyan Chen Jianmin Xu Hao Zhang Conghui Xu Lirui Fan Shouyi Chen Kuncai Chen Zhicong Yang Yuehong Wei |
| author_sort | Ziyi Zeng |
| collection | DOAJ |
| description | Background: Leptospirosis, which is an easily overlooked zoonotic disease, was once widespread in Guangzhou, China. However, due to the implementation of control measures, the number of cases is decreasing. Based on the characteristics of leptospirosis cases in Guangzhou, China, between 1955 and 2020, we describe the changes and achievements in prevention and control management strategies over that period. Methods: The development of the leptospirosis control system in Guangzhou occurred over three periods: Period I: 1955–1978; Period II: 1979–2000; and Period III: 2001–2020. Data about leptospirosis cases were obtained from the Guangzhou Center for Disease Control and Prevention (CDC) and national health departments. The demographic characteristics of leptospirosis patients were analyzed using descriptive statistics. Results: During Period I, only the Guangzhou CDC and medical institutions at every level participated in the leptospirosis control system. During Period II, additional types of organizations, including local CDCs, countryside committees, community committees, and the Patriotic Health Movement Commission, were involved in the control system. Additionally, strong links were established between different organizations. After entering Period III, an increasing number of departments joined the cooperation, and the management of human patients was expanded to include the management of host animals, and thus, the prevalence of leptospirosis was monitored and controlled in various ways. The leptospirosis control system in Guangzhou has been further improved. From 1955 to 2020, a total of 2501 leptospirosis cases were recorded in Guangzhou, and the number of cases decreased significantly over time, from 1608 (Period I) to 744 (Period II) and then to 149 (Period III). Conclusion: The improvements of the leptospirosis control system in Guangzhou that occurred over decades were associated with a marked decrease in the number of leptospirosis cases. Guangzhou's experience can provide guidance for other countries or cities around the world facing similar challenges. |
| first_indexed | 2024-03-13T05:58:18Z |
| format | Article |
| id | doaj.art-bea58711bb5e47a8a02a7ee852d1e6f3 |
| institution | Directory Open Access Journal |
| issn | 2352-7714 |
| language | English |
| last_indexed | 2024-03-13T05:58:18Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | One Health |
| spelling | doaj.art-bea58711bb5e47a8a02a7ee852d1e6f32023-06-13T04:12:27ZengElsevierOne Health2352-77142023-06-0116100541Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, ChinaZiyi Zeng0Haiyan Chen1Jianmin Xu2Hao Zhang3Conghui Xu4Lirui Fan5Shouyi Chen6Kuncai Chen7Zhicong Yang8Yuehong Wei9Guangzhou Center for Disease Control and Prevention, Guangzhou, China; Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Center for Disease Control and Prevention, Guangzhou, China; Institute of Public Health, Guangzhou Medical University, Guangzhou, China; Corresponding author at: Guangzhou Center for Disease Control and Prevention, Guangzhou, China.Background: Leptospirosis, which is an easily overlooked zoonotic disease, was once widespread in Guangzhou, China. However, due to the implementation of control measures, the number of cases is decreasing. Based on the characteristics of leptospirosis cases in Guangzhou, China, between 1955 and 2020, we describe the changes and achievements in prevention and control management strategies over that period. Methods: The development of the leptospirosis control system in Guangzhou occurred over three periods: Period I: 1955–1978; Period II: 1979–2000; and Period III: 2001–2020. Data about leptospirosis cases were obtained from the Guangzhou Center for Disease Control and Prevention (CDC) and national health departments. The demographic characteristics of leptospirosis patients were analyzed using descriptive statistics. Results: During Period I, only the Guangzhou CDC and medical institutions at every level participated in the leptospirosis control system. During Period II, additional types of organizations, including local CDCs, countryside committees, community committees, and the Patriotic Health Movement Commission, were involved in the control system. Additionally, strong links were established between different organizations. After entering Period III, an increasing number of departments joined the cooperation, and the management of human patients was expanded to include the management of host animals, and thus, the prevalence of leptospirosis was monitored and controlled in various ways. The leptospirosis control system in Guangzhou has been further improved. From 1955 to 2020, a total of 2501 leptospirosis cases were recorded in Guangzhou, and the number of cases decreased significantly over time, from 1608 (Period I) to 744 (Period II) and then to 149 (Period III). Conclusion: The improvements of the leptospirosis control system in Guangzhou that occurred over decades were associated with a marked decrease in the number of leptospirosis cases. Guangzhou's experience can provide guidance for other countries or cities around the world facing similar challenges.http://www.sciencedirect.com/science/article/pii/S2352771423000617LeptospirosisZoonotic diseaseEpidemiologyControl strategiesPublic health |
| spellingShingle | Ziyi Zeng Haiyan Chen Jianmin Xu Hao Zhang Conghui Xu Lirui Fan Shouyi Chen Kuncai Chen Zhicong Yang Yuehong Wei Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China One Health Leptospirosis Zoonotic disease Epidemiology Control strategies Public health |
| title | Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China |
| title_full | Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China |
| title_fullStr | Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China |
| title_full_unstemmed | Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China |
| title_short | Characteristics of leptospirosis cases, prevention and control managements 1955–2020, Guangzhou, China |
| title_sort | characteristics of leptospirosis cases prevention and control managements 1955 2020 guangzhou china |
| topic | Leptospirosis Zoonotic disease Epidemiology Control strategies Public health |
| url | http://www.sciencedirect.com/science/article/pii/S2352771423000617 |
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