Controlling mountain-type zoonotic visceral leishmaniasis in China: Current progress and challenges through a One Health lens.
Overall progress in controlling Mountain-Type zoonotic visceral leishmaniasis in China is slow, with an average score of 47.77 out of 100, indicating significant areas for improvement.
Where it sits
this study against the rest of the melanotan ii corpusSummary and findings
This study assessed the application of the One Health approach for controlling Mountain-Type zoonotic visceral leishmaniasis (MT-ZVL) in seven endemic provinces in China. The average total score for progress was 47.77/100, with specific category scores highlighting areas of strength and weakness. The findings suggest a need for improved operational capacity and multisectoral coordination.
Abstract
<h4>Objective</h4>Despite effective historical control, Mountain-Type zoonotic visceral leishmaniasis (MT-ZVL) resurged in China in the early 2000s, risking geographical expansion and increased incidence. This study assessed progress in applying the One Health approach for MT-ZVL control in endemic provinces and identified optimization for current control framework.<h4>Methods</h4>Seven endemic provinces (2022 data) were assessed with a pre-developed evaluation tool by a weighted scoring method. Results were analyzed to identify progress and challenges and formulate recommendations.<h4>Results</h4>The average total score was 47.77/100 (range: 38.59-61.72). Category scores ranked: Disease Control (58.28) > External Environment (50.22) > Internal Support (36.86). Within the External Environment, Social Conditions scored highest (90.43), while Natural Environment scored lowest (31.96). Within the Internal Support, Resource Allocation scored highest (75.71), and Financial Investment scored lowest (27.90). Within the Disease Control, Epidemic Surveillance and Reporting scored highest (72.00), while Control Effectiveness scored lowest (42.78).<h4>Conclusion</h4>This study evaluated the current status of One Health implementation for MT-ZVL control in seven endemic provinces. The results indicate slow overall progress, with the lowest scores observed for operational capacity and the highest for disease control activities. To advance MT-ZVL control, endemic provinces in China should prioritize integrating the One Health concept into control policies, strengthening the establishment and implementation of multisectoral coordination mechanisms, promoting scientific and technological innovation, and optimizing key interventions such as canine management.
Background
The paper addresses the resurgence of Mountain-Type zoonotic visceral leishmaniasis (MT-ZVL) in China, which poses risks of geographical expansion and increased incidence. Prior research indicated effective historical control measures, but recent trends necessitate a reevaluation of strategies. This study is significant as it examines the current implementation of the One Health approach in endemic regions, aiming to identify gaps and opportunities for improvement.
Methods
The study utilized a pre-developed evaluation tool assessed across seven endemic provinces in China, based on 2022 data. A weighted scoring method was employed to analyze progress and challenges in the One Health approach. Specific outcome measures were not detailed in the abstract.
Results
The average total score was 47.77/100 (range: 38.59-61.72). The Disease Control category scored 58.28, while the Internal Support category scored 36.86. Epidemic Surveillance and Reporting scored highest within Disease Control at 72.00, whereas Control Effectiveness scored lowest at 42.78.
Interpretation
The findings indicate slow overall progress in implementing the One Health approach, particularly in operational capacity. While some areas, such as disease control activities, showed higher scores, the low scores in financial investment and internal support suggest significant barriers remain. These results align with prior literature highlighting the complexities of zoonotic disease management and emphasize the need for enhanced coordination and resource allocation.
Key findings
- Average total score was 47.77/100 (range: 38.59-61.72).
- Disease Control category score was 58.28.
- External Environment category score was 50.22.
- Internal Support category score was 36.86.
- Social Conditions scored highest at 90.43 within the External Environment.
- Financial Investment scored lowest at 27.90 within Internal Support.
Limitations
- Not reported in abstract.
- Evaluation tool details not provided.
- Weighted scoring method may not capture all nuances.
- Specific n and demographic details not reported.