中国媒介生物学及控制杂志 ›› 2021, Vol. 32 ›› Issue (1): 1-11.DOI: 10.11853/j.issn.1003.8280.2021.01.001

• 专家论坛 •    下一篇

气候变化对中国媒介生物传染病的影响及应对——重大研究发现及未来研究建议

刘起勇   

  1. 中国疾病预防控制中心传染病预防控制所媒介生物控制室, 传染病预防控制国家重点实验室, 感染性疾病诊治协同创新中心, 世界卫生组织媒介生物监测与管理合作中心, 北京 102206
  • 收稿日期:2020-12-15 出版日期:2021-02-20 发布日期:2021-02-20
  • 作者简介:刘起勇,男,博士,研究员,博士生导师,中国疾病预防控制中心病媒生物首席专家,国家973项目气候变化与健康首席科学家,从事媒介生物传染病、气候变化健康风险及应对研究工作,E-mail:liuqiyong@icdc.cn
  • 基金资助:
    国家重点研发计划(2020YFC1200101);生态环境部应对气候变化工作专项“气候变化引起的公共卫生问题研究”(202046)

Impact of climate change on vector-borne diseases and related response strategies in China: Major research findings and recommendations for future research

LIU Qi-yong   

  1. State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, WHO Collaborating Centre for Vector Surveillance and Management, Department of Vector Biology and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2020-12-15 Online:2021-02-20 Published:2021-02-20
  • Supported by:
    Supported by the National Key R&D Program of China (No. 2020YFC1200101) and the Special Project of the Ministry of Ecology and Environment in Response to Climate Change "Study on Public Health Problems Caused by Climate Change"(No. 202046)

摘要: 全球气候变化,可能对媒介生物及其传播疾病流行产生影响,严重威胁人群健康。该文基于目前研究总结了气候变化对我国媒介生物及其传染病的影响,发现温度、湿度和降雨量等气象因素对媒介生物种群数量、密度、分布以及媒介生物传染病的时空动态、流行频率和强度等产生了显著影响,并存在时空异质性。气候变化驱动我国登革热等媒介生物传染病流行区向西向北显著扩展、流行频率和强度显著增加,且随着气候继续变暖未来流行强度和风险人群将加速增加。针对气候变化等导致的媒介生物传染病新挑战,开展的适应性策略和措施研究,提供了“自上而下”行政干预和“自下而上”社区媒介综合治理相结合的应对方案。基于媒介生物可持续控制策略的世界卫生组织“全球病媒控制对策2017-2030”,对媒介生物传染病防控提出了具体目标和要求。未来,我国亟待在该策略指引下,加强经费投入,注重高端人才培养,完善针对气候变化的媒介生物及相关疾病监测系统,加强风险评估、预测预警、防控策略和干预措施研究,为有效应对气候敏感媒介生物传染病新挑战,保护脆弱人群健康和公共卫生安全,提供持续创新的精准策略和措施。

关键词: 气候变化, 媒介生物, 传染病, 应对, 研究

Abstract: Global climate change may have an impact on disease vectors and vector-borne diseases and seriously threaten human health. Based on the current research findings,this article summarizes the impact of climate change on vectors and vector-borne diseases in China,and it is revealed that meteorological factors,including temperature,humidity,and precipitation,have a significant impact on the number,density,and distribution of disease vectors,as well as the spatial and temporal dynamics,epidemic frequency,and intensity of vector-borne diseases,with the coexistence of spatial-temporal heterogeneity. Climate change drives the epidemic areas of vector-borne diseases,such as dengue fever,to expand significantly to the west and the north and significantly increases the epidemic frequency and intensity of such diseases,and with continuous climate warming,there will be accelerately increases in epidemic intensity and risk population in the future. The research on adaptive strategies and measures has been carried out for the new challenges of vector-borne diseases caused by climate change and has provided a solution combining "top-down" administrative intervention and "bottom-up" community-integrated vector management. The WHO Global Vector Control Response 2017-2030 on a basis of sustainable vector management strategy puts forward specific objectives and requirements for the control of vector-borne diseases. Under the guidance of this strategy in the future,China needs to increase funding,pay attention to the cultivation of high-end talents, upgrade the surveillance system for vectors and vector-borne diseases in the context of climate change,and strengthen the research on risk assessment,prediction and early warning,control strategies,and intervention measures,so as to effectively cope with the new challenges of climate-sensitive vector-borne diseases,protect the vulnerable populations and public health security,and provide continuous,innovative,and precise strategies and measures.

Key words: Climate change, Vector, Vector-borne disease, Response, Research

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