Interruption of schistosomiasis transmission in mountainous and hilly regions with an integrated strategy:a longitudinal case study in Sichuan,China

Background:Schistosomiasis remains a major public health concern in China.Since 2004,an integrated strategy was developed to control the transmission of Schistosoma japonicum in China.However,the long-term effectiveness of this integrated strategy for the interruption of schistosomiasis transmission remains unknown in the mountainous and hilly regions of China until now.This longitudinal study aims to evaluate the effectiveness of the integrated strategy on transmission interruption of schistosomiasis in Sichuan Province from 2005 through 2014.Methods:The data regarding replacement of bovines with machines,improved sanitation,access to clean water,construction of public toilets and household latrines,snail control,chemotherapy,and health education were captured from the annual report of the schistosomiasis control programmes in Sichuan Province from 2005 to 2014,and S.japonicum infection in humans,bovines and snails were estimated to evaluate the effectiveness of the integrated strategy.Results:During the 10-year period from 2005 through 2014,a total of 536568 machines were used to replace bovines,and 3284333 household lavatories and 15523 public latrines were built.Tap water was supplied to 19116344 residents living in the endemic villages.A total of 230098 hm2 snail habitats were given molluscicide treatment,and 357233 hm2 snail habitats received environmental improvements.There were 7268138 humans and 840845 bovines given praziquantel chemotherapy.During the 10-year study period,information,education and communication(IEC)materials were provided to village officers,teachers and schoolchildren.The 10-year implementation of the integrated strategy resulted in a great reduction in S.japonicum infection in humans,bovines and snails.Since 2007,no acute infection was detected,and no schistosomiasis cases or infected bovines were identified since 2012.In addition,the snail habitats reduced by 62.39%in 2014 as compared to that in 2005,and no S.japonicum infection was identified in snails since 2007.By 2014,88.9%of the endemic counties achieved the transmission interruption of schistosomiasis and transmission control of schistosmiasis was achieved in the whole province in 2008.Conclusion:The government-directed and multi-department integrated strategy is effective for interrupting the transmission of schistosomiasis in the mountainous and hilly regions of China.

Relationship Between Soil and Water Conservation Practices and Soil Conditions in Low Mountain and Hilly Region of Northeast China

The soil and water conservation practices of ecological restoration(ER),fish scale pit(FP),furrow and ridge tillage across the slope(FR),shrub strips(SS),and vegetation-covered ridge(VR)are characteristic of the Jixing small watershed of the low mountain and hilly region of Jilin Province,Northeast China.This study aims to elucidate the effects of soil and water conservation practices on soil conditions after the short-term implementation of practices.Soil samples were collected from five soil and water conservation sites(ER,FP,FR,SS,and VR)and two controls(BL and CT)to investigate their properties.To evaluate the influence of soil and water conservation practices on soil quality,an integrated quantitative index,soil quality index(QI),was developed to compare the soil quality under the different soil and water conservation practices.The results show that not all soil and water conservation practices can improve the soil conditions and not all soil properties,especially soil organic carbon(SOC),can be recovered under soil and water conservation practice in short-term.Moreover,the QI in the five soil and water conservation practices and two controls was in the following order:ER>VR>BL>FR>CT>SS>FP.ER exhibited a higher soil quality value on a slope scale.In the low mountain and hilly region of Northeast China,ER is a better choice than the conversion of farmlands to planted grasslands and woodlands early in the soil and water conservation program.