On the basis of classification of geographical properties a rolling develop-ment goal programming model is formulated in correspondence with the ecopatterngroup in Four-Lake Area. In this model, the control of schisto...On the basis of classification of geographical properties a rolling develop-ment goal programming model is formulated in correspondence with the ecopatterngroup in Four-Lake Area. In this model, the control of schistosomiasis and strengthen-ing of the drainage-storage function are both regarded as ecological measures duringthe process of multi-year(r_0) ecological economic rolling development to make theecoagricultural system in this area ioto a stably operating, ordered, and good cyclicsystem under the support of some controllable factors.展开更多
Over the last sixty years advances have been made in the control of schistosomiasis in P.R.China.There are,however,difficult challenges still to be met.This paper looks at the extent to which the health system offers ...Over the last sixty years advances have been made in the control of schistosomiasis in P.R.China.There are,however,difficult challenges still to be met.This paper looks at the extent to which the health system offers a positive environment for the control of the disease.It starts by tracing three phases in schistosomiasis control:disease elimination strategy through snail control(1950s-early 1980s);morbidity control strategy based on chemotherapy(mid 1980s to 2003);integrated control strategy(2004+).Each one of these phases took place in distinct policy-making environments.The paper partly draws on these phases to set out five issues of disease control and discusses them in the context of the health system and its recent trends.These cover the policy-making process,intersectoral action for health,equity and access to health services,funding for public goods and externalities,and strengthening resource management and planning.These issues form the basis of an agenda for integrating research and capacity strengthening in the Chinese health system with a view to creating a more positive enabling environment for schistosomiasis control.In so doing it is important to emphasize the role and integrity of the public sector against its commercialization,the underlying value of equity,a systems wide perspective,and the role of advocacy.展开更多
Schistosomiasis due to Schistosoma japonicum was once a disastrous parasitic disease in China. Before the founding of the People’s Republic of China and in the earlier phase of the national control programme in the 1...Schistosomiasis due to Schistosoma japonicum was once a disastrous parasitic disease in China. Before the founding of the People’s Republic of China and in the earlier phase of the national control programme in the 1950s, prevalence, morbidity and mortality rates due to 5. japonicum infection were considerably high. The endemic areas were found along the Yangtze River and extended southward, covering 10 provinces, the municipality of Shanghai and the autonomous region of Guangxi according to a nation-wide survey made in the 1950s. The number of infected persons and infected cattle were estimated to be 10 million and 1.2 million respectively, and the habitats of the intermediate host, Oncomelania snail, 14 billion m. Population at risk was greater than 100 million (Qian et al; Mao). Tens of thousands of people died every year due to heavy infection of 5. japonicum. Ascitic patients were very weak and lost their working capacity. Woman advanced cases in the child-bearing age were unable to get pregnancy. G展开更多
基金The work is supported by National Natural Science Foundation of China,Open Lab.of Management,Decision & Information System,Academia Sinice,and Young Scientist Lab.of Mathematical Physics,Wuhan.
文摘On the basis of classification of geographical properties a rolling develop-ment goal programming model is formulated in correspondence with the ecopatterngroup in Four-Lake Area. In this model, the control of schistosomiasis and strengthen-ing of the drainage-storage function are both regarded as ecological measures duringthe process of multi-year(r_0) ecological economic rolling development to make theecoagricultural system in this area ioto a stably operating, ordered, and good cyclicsystem under the support of some controllable factors.
文摘Over the last sixty years advances have been made in the control of schistosomiasis in P.R.China.There are,however,difficult challenges still to be met.This paper looks at the extent to which the health system offers a positive environment for the control of the disease.It starts by tracing three phases in schistosomiasis control:disease elimination strategy through snail control(1950s-early 1980s);morbidity control strategy based on chemotherapy(mid 1980s to 2003);integrated control strategy(2004+).Each one of these phases took place in distinct policy-making environments.The paper partly draws on these phases to set out five issues of disease control and discusses them in the context of the health system and its recent trends.These cover the policy-making process,intersectoral action for health,equity and access to health services,funding for public goods and externalities,and strengthening resource management and planning.These issues form the basis of an agenda for integrating research and capacity strengthening in the Chinese health system with a view to creating a more positive enabling environment for schistosomiasis control.In so doing it is important to emphasize the role and integrity of the public sector against its commercialization,the underlying value of equity,a systems wide perspective,and the role of advocacy.
文摘Schistosomiasis due to Schistosoma japonicum was once a disastrous parasitic disease in China. Before the founding of the People’s Republic of China and in the earlier phase of the national control programme in the 1950s, prevalence, morbidity and mortality rates due to 5. japonicum infection were considerably high. The endemic areas were found along the Yangtze River and extended southward, covering 10 provinces, the municipality of Shanghai and the autonomous region of Guangxi according to a nation-wide survey made in the 1950s. The number of infected persons and infected cattle were estimated to be 10 million and 1.2 million respectively, and the habitats of the intermediate host, Oncomelania snail, 14 billion m. Population at risk was greater than 100 million (Qian et al; Mao). Tens of thousands of people died every year due to heavy infection of 5. japonicum. Ascitic patients were very weak and lost their working capacity. Woman advanced cases in the child-bearing age were unable to get pregnancy. G
