Frequent Import and Multiple Sources of Dengue Fever have Changed the Epidemic Situation of the Disease in Fujian Province,China

Objective The aim of this study was to update the epidemic situation of dengue fever(DF) and provide new insights for the consideration of disease control in Fujian province,China.Methods Details about DF cases in Fujian reported during 2004–2017 were collected and analyzed.The envelope(E) genes of isolates of dengue virus(DENV) were sequenced for phylogenetic analysis.Results The number of imported DF cases had increased dramatically since 2013,and the source regions expanded from Southeast Asia to South Asia,America,Oceania,and Africa,as well as the surrounding provinces.This resulted in local outbreaks and indigenous cases of DF that occurred more frequently,with 10 of 13 local outbreaks and 85.9%(1,252/1,458) of indigenous cases reported in2013–2017.Compared with only two coastal cities before 2013,four coastal and one inland city in 2013–2017 experienced the local DF outbreaks.The phylogenetic analysis of E genes confirmed that the import of DENV,not only from abroad but also from the surrounding provinces,played an important role in dissemination and local outbreaks of DF in Fujian.Conclusions The frequent import of DF cases from not only abroad but also the surrounding provinces resulted in increased incidence,frequent local outbreaks,and expansion of distribution in Fujian in recent years.There is a need for urgent measures to improve disease control in this province.

Characteristics of Mumps Outbreaks in Four Fujian Province Schools

Mumps is a prevalent respiratory infectious disease caused by the mumps virus and is characterized by swollen salivary glands,fever,and pain[1].The most effective preventive measure against this illness is vaccination with a live attenuated mumps-containing vaccine(MuCV).The globally preferred option is the trivalent measles,mumps,and rubella(MMR)vaccine,protecting against the mentioned diseases[2].Since 2008,China has incorporated MMR vaccination into its national immunization program;the Fujian Province implemented this strategy on April 1,2008,via introducing a one-dose MMR vaccination policy for children aged 18-24 months.This initiative has significantly decreased the incidence of mumps in Fujian Province[3],with rates stabilizing at approximately 7.8-8.0 cases per 100,000 individuals between 2018 and 2019,which translates to roughly 3,000 cases reported annually.

Dynamics of a Stochastic Epidemic Model with Age-group

A stochastic epidemic model with two age groups is established in this study,in which the susceptible(S),the exposed(E),the infected(I),the hospitalized(H)and the recovered(R)are involved within the total population,the aging rates between two age groups are set to be constant.The existence-and-uniqueness of global positive solution is firstly showed.Then,by constructing several appropriate Lyapunov functions and using the high-dimensional Itô’s formula,the sufficient conditions for the stochastic extinction and stochastic persistence of the exposed individuals and the infected individuals are obtained.The stochastic extinction indicator and the stochastic persistence indicator are less-valued expressions compared with the basic reproduction number.Meanwhile,the main results of this study are modified into multi-age groups.Furthermore,by using the surveillance data for Fujian Provincial Center for Disease Control and Prevention,Fuzhou COVID-19 epidemic is chosen to carry out the numerical simulations,which show that the age group of the population plays the vital role when studying infectious diseases.

Dynamic evolution of an SVEIR model with variants and non-pharmaceutical interventions for controlling COVID-19

The epidemiological characteristics and distributions of two epidemics in Fujian Province of Southeast China were attributed to the complex interactions among variant,host,and non-pharmaceutical interventions(NPIs).All reported cases in the Putian epidemic(September 8–October 2,2021,Delta variant B.1.617.2)and Fuzhou epidemic(October 22–November 18,2022,Omicron variant BA.5.2)were classified by sex,age group,occupation,and location in this study.Using surveillance data from the Fujian Provincial Center for Disease Control and Prevention,we established a virus-oriented SVEIR(Susceptible–Vaccinated–Exposed–Infected–Recovered)model to investigate the dynamic evolution features of these two variants and the effects of NPIs.The optimal simulations were carried out with variants and scenario investigations.The scenario investigations showed that NPIs significantly reduced the transmission risk and infection scales of COVID-19,and that the Omicron variant was more infectious than the Delta variant.Moreover,the dynamic investigations revealed the increasing tendencies from Delta to Omicron,such as the basic reproduction number,infection rate,percentage of high-risk cases,and the growth rate.Decreasing tendencies were also identified,such as the average recovery period,the awareness delay,and the percentage of symptomatic cases.This study highlighted that NPIs played critical roles in successfully containing the two epidemics.Such interventions are strongly recommended to public health policymakers.

Assessment of disability weights at the provincial and city levels based on 93,254 respondents in Fujian,China:Findings from the Fujian disability weight measurement study

To the Editor:Disability weights(DWs)are essential factors to quantify health losses relating to non-fatal outcomes for estimates of disability-adjusted life years(DALYs).Although national and subnational sets of DWs were published recently in the Chinese mainland,[1]data from only 4925 participants who responded to population health equivalence(PHE)questions used to anchor the 0-1 DWs scale did not include participants from Fujian province.Moreover,it remains unknown whether people living in different cities share the same DWs.This study provided an alternative approach using non-parametric regression to locate the DWs scale,as used in European surveys,[2]aimed at measuring DWs at the provincial and subprovincial levels in Fujian.

An SEIHR model with age group and social contact for analysis of Fuzhou COVID-19 large wave

The main epidemiological features such as basic reproduction number,effective reproduction number and sensitivity analysis were extensively discussed for multi-age groups SEIHR model in this study.Firstly,by using of the next generation matrix method,basic reproduction number R0 of the total population was estimated as 1.57 using parameter values of four age groups of Fuzhou COVID-19 large wave.Given age group k,the values of R_(0k)(age group k to age group k),the values of R_(o)^(k)(an infected of age group k to the total population)and the values of R_(o)^(k)>R_(0k)>R_(o)^(k)(an infected of the total population to age group k)were also estimated,in which the explorations of the impacts of age groups revealed that the relationship was valid.Then,the fluctuating tendencies of effective reproduction number Rt were demonstrated by using two approaches(the surveillance data and the SEIHR model)for Fuzhou COVID-19 large wave,during which high-risk group(G4 group)mainly contributed the infection scale due to high susceptibility to infection and high risks to basic diseases.Further,the sensitivity analysis using two approaches(the sensitivity index and the PRCC values)revealed that susceptibility to infection of age groups played the vital roles,while the numerical simulation showed that infection scale varied with the changes of social contacts of age groups.The results of this study claimed that the high-risk group out of the total population was concerned by the local government with the highest susceptibility to infection against COVID-19.Conclusions This study verified that the partition structure of age groups of the total population,the susceptibility to infection of age groups,the social contacts among age groups were the important contributors of infection scale.The less social contacts and adequate hospital beds for high-risk group were profitable to control the spread of COVID-19.To avoid the emergence of medical runs against new variant in the future,the policymakers from local government were suggested to decline social contacts when hospital beds were limited.

Characteristics of Settings and Etiologic Agents of Foodborne Disease Outbreaks—China,2020

Introduction:Foodborne diseases are a growing public health problem and have caused a large burden of disease in China.This study analyzed epidemiological characteristics of foodborne diseases in China in 2020 to provide a scientific basis for prevention and control measures.Methods:Data were collected from 30 of 31 provincial-level administrative divisions(PLADs)in the mainland of China,excluding Xizang(Tibet)Autonomous Region,via the National Foodborne Disease Outbreaks Surveillance System・The number and proportion of outbreaks,illnesses,hospitalizations,deaths by setting,pathogen-food category pairs and etiology were calculated.Results:In 2020,7,073 foodborne disease outbreaks were reported,resulting in 37,454 illnesses and 143 deaths.Among the identified pathogens,microbial pathogens were the most common confirmed etiology,accounting for 41.7%of illnesses.Poisonous mushrooms caused the largest proportion of outbreaks(58.0%)and deaths(57.6%).For venues where foodborne disease outbreaks occur,household had the highest number of outbreaks(4,140)and deaths(128),and catering service locations caused the largest proportion of illnesses(59.9%).Outbreaks occurring between June and September accounted for 62.8%of total outbreaks.Conclusions:Foodborne disease outbreaks mainly occurred in households・Microbial pathogens remained the top cause of outbreak-associated illnesses.Poisonous mushrooms were ranked the top cause of deaths in private homes in China.The supervision and management of food safety and health education should be strengthened to reduce the burden of foodborne diseases・Publicity should be increased to reduce the incidence of mushroom poisonings in families,and supervision and management of food should be strengthened to reduce microbial contamination.

Simulating potential outbreaks of Delta and Omicron variants based on contact-tracing data:A modelling study in Fujian Province,China

Although studies have compared the relative severity of Omicron and Delta variants by assessing the relative risks,there are still gaps in the knowledge of the potential COVID-19 burden these variations may cause.And the contact patterns in Fujian Province,China,have not been described.We identified 8969 transmission pairs in Fujian,China,by analyzing a contact-tracing database that recorded a SARS-CoV-2 outbreak in September 2021.We estimated the waning vaccine effectiveness against Delta variant infection,contact patterns,and epidemiology distributions,then simulated potential outbreaks of Delta and Omicron variants using a multi-group mathematical model.For instance,in the contact setting without stringent lockdowns,we estimated that in a potential Omicron wave,only 4.7%of infections would occur in Fujian Province among individuals aged>60 years.In comparison,58.75%of the death toll would occur in unvaccinated individuals aged>60 years.Compared with no strict lockdowns,combining school or factory closure alone reduced cumulative deaths of Delta and Omicron by 28.5%and 6.1%,respectively.In conclusion,this study validates the need for continuous mass immunization,especially among elderly aged over 60 years old.And it confirms that the effect of lockdowns alone in reducing infections or deaths is minimal.However,these measurements will still contribute to lowering peak daily incidence and delaying the epidemic,easing the healthcare system's burden.

Serological Investigation of Laboratory-Confirmed and Suspected Ebola Virus Disease Patients During the Late Phase of the Ebola Outbreak in Sierra Leone

This study aimed to investigate the serological characteristics of Ebola virus(EBOV) infection during the late phase of the Ebola outbreak in Sierra Leone. In total, 877 blood samples from 694 suspected Ebola virus disease(EVD) cases assessed from March to December 2015, were analyzed via real-time reverse transcription polymerase chain reaction(RT-PCR) for viral RNA and enzyme-linked immunosorbent assay(ELISA) and Luminex to detect antibodies against EBOV. Viral load and EBOV-specific IgM/IgG titers displayed a declining trend during March to December 2015. Viral RNA load decreased rapidly at earlier stages after disease onset, while EBOV-specific IgM and IgG still persisted in 58.1%(18/31) and 93.5%(29/31) of the confirmed EVD patients and in 3.8%(25/663) and 17.8%(118/663) of the RNA-negative suspected patients in the later phase, respectively. Dynamic analysis of longitudinally collected samples from eight EVD patients revealed typically reversed trends of declining viral load and increasing IgM and/or IgG titers in response to the EBOV infection.The present results indicate that certain populations of Sierra Leone developed immunity to an EBOV infection in the late phase of the outbreak, providing novel insights into the risk assessment of EBOV infections among human populations.

Foodborne Pathogens in Retail Oysters in South China

Objective To investigate the occurrence of important foodbome pathogens in shellstock Pacific oysters in the food markets in South China. Methods From July 2007 to June 2008, retail oysters were collected in different seasons from South China and analyzed for the prevalence and levels of Listeria monocytogenes, Vibrio vulnificus and Vibrio parahaemolyticus. Results None of L. monocytogenes could be detected in any of the 202 oyster samples tested, while E vulnificus and E parahaemolyticus could be detected in 67 （54.9%） and 109 （89.3%） of the 122 oyster samples analyzed, respectively, with an MPN （most probable number） value greater than or equal to 3. V. wdnificus and Eparahaemolyticus with a more than 102 MPN/g were found in 36 （29.5%） and 59 （48.4%） of the 122 oyster samples, respectively. The tdh and trh genes were detected in 4 （0.3%） and 8 （0.6%） of the 1 349 V. parahaemolyticus isolates, respectively. Of the 122 samples, 4 （3.3%） was positive for either tdh or trh. The levels of E vulnificus and total V. parahaemolyticus in oysters in South China varied in different seasons. Conclusion V. vulnificus and pathogenic V. parahaemolyticus are frequently found in oysters in south China, which may pose a potential threat to public health. Data presented here will be useful for the microbiological risk assessment in oysters in China.

Advancing Underlying Cause of Death Inference Through Wide and Deep Model

Introduction:Accurately filling out death certificates is essential for death surveillance.However,manually determining the underlying cause of death is often imprecise.In this study,we investigate the Wide and Deep framework as a method to improve the accuracy and reliability of inferring the underlying cause of death.Methods:Death report data from national-level cause of death surveillance sites in Fujian Province from 2016 to 2022,involving 403,547 deaths,were analyzed.The Wide and Deep embedded with Convolutional Neural Networks(CNN)was developed.Model performance was assessed using weighted accuracy,weighted precision,weighted recall,and weighted area under the curve(AUC).A comparison was made with XGBoost,CNN,Gated Recurrent Unit(GRU),Transformer,and GRU with Attention.Results:The Wide and Deep achieved strong performance metrics on the test set:precision of 95.75%,recall of 92.08%,F1 Score of 93.78%,and an AUC of 95.99%.The model also displayed specific F1 Scores for different cause-of-death chain lengths:97.13%for single causes,95.08%for double causes,91.24%for triple causes,and 79.50%for quadruple causes.Conclusions:The Wide and Deep significantly enhances the ability to determine the root causes of death,providing a valuable tool for improving causeof-death surveillance quality.Integrating artificial intelligence(AI)in this field is anticipated to streamline death registration and reporting procedures,thereby boosting the precision of public health data.

Spatial-temporal analysis of hepatitis B in Fujian Province,China in 2012-2021

Background:Fujian Province has one of the highest reported incidences of hepatitis B virus infection in China.This study aimed to provide a theoretical framework for preventing and controlling hepatitis B in Fujian Province,and to assess the trends and the spatial-temporal distribution patterns of hepatitis B in this region.Methods:Data on hepatitis B cases were extracted from the National Notifiable Infectious Disease Surveillance System.Spatial autocorrelation analysis,trend surface analysis,and spatial-temporal scanning statistics were used to identify the spatial and aggregation patterns at the county level.The Joinpoint was used to assess the reported incidence trends.Results:The average reported incidence of hepatitis B in Fujian from 2012 to 2021 was 14.46/10,000 population,with 583,262 notified cases.The age-adjusted reported incidence of hepatitis B decreased from 17.44/10,000 population in 2012 to 11.88/10,000 population in 2021,with an average reduction in the annual percentage change of 4.5%.There were obvious spatial-temporal aggregation characteristics in hepatitis B cases,and a high-incidence area was located in eastern Fujian.Spatio-temporal scanning statistics revealed four levels of aggregation of hepatitis B reporting rates.The first level of aggregation area included Minhou,Gulou,Jin’an,Taijiang,and nine other districts and counties.Conclusions:The incidence of hepatitis B is declining in Fujian Province.Spatial clusters of hepatitis B cases in Fujian Province were identified,and high-risk areas in eastern Fujian still exist.Closely monitoring the gen-eral patterns in the occurrence of hepatitis B and implementing focused control and preventative strategies are important.

Prevalence of HIV Indeterminate Western Blot Tests and Follow-up of HIV Antibody Sero-Conversion in Southeastern China

HIV-indeterminate Western blotting(WB)results are typically obtained in WB confirmatory assays,and the number of indeterminate samples may increase with the detection of HIV infections,which will present considerable challenges for the management of HIV/AIDS.Nucleic acid detection has been used as a laboratory test for screening suspected or indeterminate samples.However,the effectiveness of these assays for the differential diagnosis of HIV-indeterminate WB samples remained undetermined.In this study,210 subjects with HIV-indeterminate WB results were detected from 6360 positive HIV screening samples between 2015 and 2016 in southeastern China,in which HIV-indeterminate WB results accounted for 3.30%.The highest proportion of indeterminate results was observed in pregnant and lying-in women receiving physical examinations(16.67%),followed by that in voluntary blood donors(8.82%).The most common WB band patterns were p24,gpl60 and p24,and gpl60.The follow-up study revealed that the highest negative and positive conversion rates of HIV antibodies were in samples with a single p24 band(80.28%),and with gpl60 and p24 bands(86.21%),respectively.Among the Env,Gag,and Pol antibodies,samples with a Gag band showed the highest negative conversion rate(81.25%),whereas the highest positive conversion rate was observed in samples with an Env band(56.76%).In addition,quantitative and qualitative HIV nucleic acid testing exhibited the highest sensitivity(96.3%)and specificity(97.85%),respectively.Our results indicate a lower proportion of HIV indeterminate WB results in southeastern China compared to previous reports,and the follow-up re-examination of patients with HIV indeterminate results should be performed.Nucleic acid testing facilitates the identification of HIV infections.

Emergence of Eurasian Avian-Like Swine Influenza A(H1N1) Virus from an Adult Case in Fujian Province, China

Dear Editor,As we known,pigs play a vital role as genetic mixing vessels for human and avian influenza viruses as their tracheal epitheliums possess both sialic acid a-2,6-Gal and a-2,3-Gal receptors(Ma et al.2008),and swine influenza viruses occasionally infect humans(Shinde et al.2009).The Eurasian avian-like swine influenza A(H1N1)

A splice variant of PGRP-LC required for expression of antimicrobial peptides in Anopheles gambiae

Members of the peptidoglycan recognition protein （PGRP） family play essential roles in different manifestations of immune responses in insects. PGRP-LC, one of seven members of this family in the malaria vector Anopheles gambiae produced several spliced variants. Here we show that PGRP-LC, and not other members of the PGRP family nor the six members of the Gram-negative binding protein families, is required for the expression of antimicrobial peptide genes （such as CEC1 and GAM1） under the control of the Imd-Rel2 pathway in an A. gambiae cell line, 4a3A. PGRP-LC produces many splice variants that can be classified into three sub-groups （LC1, LC2 and LC3）, based on the carboxyl terminal sequences. RNA interference against one LC1 sub-group resulted in dramatic reduction of CEC1 and GAM1. Over-expression of LCla and to a lesser extent LC3a （a member of the LC1 and LC3 sub-group, respectively） in the 4a3A cell line enhances the expression of CEC1 and GAM1. These results demonstrate that the LC1-subgroup splice variants are essential for the expression of CEC1 and GAM1 in A. gambiae cell line.

The optimal vaccination strategy to control COVID-19:a modeling study in Wuhan City,China

Background: Reaching optimal vaccination rates is an essential public health strategy to control the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to simulate the optimal vaccination strategy to control the disease by developing an age-specific model based on the current transmission patterns of COVID-19 in Wuhan City, China.Methods: We collected two indicators of COVID-19, including illness onset data and age of confirmed case in Wuhan City, from December 2, 2019, to March 16, 2020. The reported cases were divided into four age groups: group 1, ≤ 14 years old;group 2, 15 to 44 years old;group 3, 44 to 64 years old;and group 4, ≥ 65 years old. An age-specific susceptible-exposed-symptomatic-asymptomatic-recovered/removed model was developed to estimate the transmissibility and simulate the optimal vaccination strategy. The effective reproduction number (R_(eff)) was used to estimate the transmission interaction in different age groups.Results: A total of 47 722 new cases were reported in Wuhan City from December 2, 2019, to March 16, 2020. Before the travel ban of Wuhan City, the highest transmissibility was observed among age group 2 (R_(eff) = 4.28), followed by group 2 to 3 (R_(eff) = 2.61), and group 2 to 4 (R_(eff) = 1.69). China should vaccinate at least 85% of the total population to interrupt transmission. The priority for controlling transmission should be to vaccinate 5% to 8% of individuals in age group 2 per day (ultimately vaccinated 90% of age group 2), followed by 10% of age group 3 per day (ultimately vaccinated 90% age group 3). However, the optimal vaccination strategy for reducing the disease severity identified individuals ≥ 65 years old as a priority group, followed by those 45-64 years old.Conclusions: Approximately 85% of the total population (nearly 1.2 billion people) should be vaccinated to build an immune barrier in China to safely consider removing border restrictions. Based on these results, we concluded that 90% of adults aged 15-64 years should first be vaccinated to prevent transmission in China.

Modelling the Emerging COVID-19 Epidemic and Estimating Intervention Effectiveness—Taiwan,China,2021

Introduction:The coronavirus disease 2019(COVID-19)pandemic recently affected Taiwan,China.This study aimed to calculate the transmissibility of COVID-19 to predict trends and evaluate the effects of interventions.Methods:The data of reported COVID-19 cases was collected from April 20 to May 26,2021,which included daily reported data(Scenario I)and reported data after adjustment(Scenario II).A susceptibleexposed-symptomatic-asymptomatic-recovered model was developed to fit the data.The effective reproductive number(Reff)was used to estimate the transmissibility of COVID-19.Results:A total of 4,854 cases were collected for the modelling.In Scenario I,the intervention has already taken some effects from May 17 to May 26(the Reff reduced to 2.1).When the Reff was set as 0.1,the epidemic was projected to end on July 4,and a total of 1,997 cases and 855 asymptomatic individuals would have been reported.In Scenario II,the interventions were projected as having been effective from May 24 to May 26(the Reff reduced to 0.4).When the Reff was set as 0.1,the epidemic was projected to end on July 1,and a total of 1,482 cases and 635 asymptomatic individuals would have been reported.Conclusion:The epidemic of COVID-19 was projected to end after at least one month,even if the most effective interventions were applied in Taiwan,China.Although there were some positive effects of intervention in Taiwan,China.

An atlas of immune cell transcriptomes in human immunodeficiency virus-infected immunological non-responders identified marker genes that control viral replication

Background:Previous studies have examined the bulk transcriptome of peripheral blood immune cells in acquired immunodeficiency syndrome patients experiencing immunological non-responsiveness.This study aimed to investigate the characteristics of specific immune cell subtypes in acquired immunodeficiency syndrome patients who exhibit immunological non-responsiveness.Methods:A single-cell transcriptome sequencing of peripheral blood mononuclear cells obtained from both immunological responders(IRs)(CD4^(+)T-cell count>500)and immunological non-responders(INRs)(CD4^(+)T-cell count<300)was conducted.The transcriptomic profiles were used to identify distinct cell subpopulations,marker genes,and differentially expressed genes aiming to uncover potential genetic factors associated with immunological non-responsiveness.Results:Among the cellular subpopulations analyzed,the ratios of monocytes,CD16^(+)monocytes,and exhausted B cells demonstrated the most substantial differences between INRs and IRs,with fold changes of 39.79,11.08,and 2.71,respectively.In contrast,the CD4^(+)T cell ratio was significantly decreased(0.39-fold change)in INRs compared with that in IRs.Similarly,the ratios of natural killer cells and terminal effector CD8^(+)T cells were also lower(0.37-fold and 0.27-fold,respectively)in the INRs group.In addition to several well-characterized immune cell-specific markers,we identified a set of 181 marker genes that were enriched in biological pathways associated with human immunodeficiency virus(HIV)replication.Notably,ISG15,IFITM3,PLSCR1,HLA-DQB1,CCL3L1,and DDX5,which have been demonstrated to influence HIV replication through their interaction with viral proteins,emerged as significant monocyte marker genes.Furthermore,the differentially expressed genes in natural killer cells were also enriched in biological pathways associated with HIV replication.Conclusions:We generated an atlas of immune cell transcriptomes in HIV-infected IRs and INRs.Host genes associated with HIV replication were identified as markers of,and were found to be differentially expressed in,different types of immune cells.

Investigation of Brucellosis Caused by Raw Goat Milk—Fujian Province,China,April–June,2019

Summary What is already known about this topic?Brucellosis is one of the most important zoonotic diseases in China.Goat milk and dairy products are essential pathways for foodborne transmission of brucellosis.Pasteurization can completely kill Brucella spp.in milk,and milk-borne transmission is mainly related to unhealthy dietary hygiene habits and insufficient epidemic control among animals.

Schistosomiasis Surveillance--China,2015−2018

Background The prevalence of schistosomiasis in China is at the lowest level in history,and sentinel surveillance sites of schistosomiasis have fully covered all epidemic areas of China.This article has analyzed the surveillance data for the last four years and can help guide the next stage of surveillance work at the national level,including the scope of surveillance,surveillance content,and surveillance methods,etc.Methods Data from the National Schistosomiasis Surveillance System were collected.The infection rate of schistosomiasis among the human population,livestock,snails,and the change of the breeding area of snails in sentinel surveillance sites for four consecutive years were analyzed,and the trends in schistosomiasis prevalence in surveillance sites were determined.Results The prevalence of schistosomiasis in all sentinel surveillance sites of China showed downward trends from 2015 to 2018 with infection rates decreasing in this time period for local human population(0.05%to 0.00%),the floating population(0.020% to 0.003%),and cattle(0.037% to 0.000%).No infected snails were found during the period.From 2015 to 2018,the total area of newly found habitats of snails(Oncomelania hupensis,O.hupensis)were 34,730 m^(2),1,367,694 m^(2),18,944 m^(2),and 50,420 m^(2),and the total area of re-emergent habitats of snails(O.hupensis)were 822,194 m^(2),1,391,779 m^(2),1,516,292 m^(2),and 1,750,558 m^(2),respectively.Conclusions and Implications for Public Health Practice The prevalence of schistosomiasis in human and livestock is going down and is sustained at a very low level,but new and re-emerging habitats of O.hupensis are new challenges regardless of the achievement of schistosomiasis control.Therefore,two actions are necessary to effectively further reduce the transmission risk of schistosomiasis:1)taking effective measures to control the source of infection of schistosomiasis;and 2)reducing the breeding areas of O.hupensis.