The online version of this article (doi:10.1186/s12936-017-1790-3) contains supplementary material, which is available to authorized users.
Though there was the significant decrease in the incidence of malaria in central and southwest China during the 1980s and 1990s, there has been a re-emergence of malaria since 2000.
A cross-sectional survey was conducted amongst the staff of eleven Centers for Disease Control and Prevention (CDC) in China to gauge their perceptions regarding the impacts of climate change on malaria transmission and its control and prevention. Descriptive analysis was performed to study CDC staff’s knowledge, attitudes, perceptions and suggestions for malaria control in the face of climate change.
A majority (79.8%) of CDC staff were concerned about climate change and 79.7% believed the weather was becoming warmer. Most participants (90.3%) indicated climate change had a negative effect on population health, 92.6 and 86.8% considered that increasing temperatures and precipitation would influence the transmission of vector-borne diseases including malaria. About half (50.9%) of the surveyed staff indicated malaria had re-emerged in recent years, and some outbreaks were occurring in new geographic areas. The main reasons for such re-emergence were perceived to be: mosquitoes in high-density, numerous imported cases, climate change, poor environmental conditions, internal migrant populations, and lack of health awareness.
This study found most CDC staff endorsed the statement that climate change had a negative impact on infectious disease transmission. Malaria had re-emerged in some areas of China, and most of the staff believed that this can be managed. However, high densities of mosquitoes and the continuous increase in imported cases of malaria in local areas, together with environmental changes are bringing about critical challenges to malaria control in China. This study contributes to an understanding of climate change related perceptions of malaria control and prevention amongst CDC staff. It may help to formulate in-house training guidelines, community health promotion programmes and policies to improve the capacity of malaria control and prevention in the face of climate change in China.
Intergovernmental Panel on Climate Change. Climate change 2013: the physical science basis. In: Contribution of Working Group 1 to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, UK: Cambridge University Press; 2013.
The National Development and Reform Commission. China’s policies and actions for addressing climate change. Beijing: National Development and Reform Commission of the People’s Republic of China; 2013.
Intergovernmental Panel on Climate Change. Climate change 2014: impacts, adaptation, and vulnerability. In: Contribution of Working Group 2 to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, UK: Cambridge University Press; 2014.
Bai L, Morton LC, Liu Q. Climate change and mosquito-borne diseases in China: a review. Glob Health. 2013;9:10. CrossRef
Ministry of Health, The People’s Republic of China. Action plan of China Malaria Elimination (2010–2020). Beijing: Ministry of Health; 2010.
Zhang L, Zhou S, Feng J, Fang W, Xia Z. Malaria situation in the People’s Republic of China in 2014. Chin J Parasitol Parasit Dis. 2015;33:319–26.
Zhang L, Feng J, Xia ZG. Malaria situation in the People’s Republic of China in 2013. Chin J Parasitol Parasit Dis. 2014;32:407–13.
Tang L. Progress in malaria control in China. Chin Med J (Engl). 2000;113:89–92. PubMed
Zhou S, Wang Y, Tang L. Malaria situation in the People’s Republic of China in 2006. Chin J Parasitol Parasit Dis. 2007;25:439–41.
Chinese Center for Disease Control and Prevention. Center introduction. Beijing. 2015. http://www.chinacdc.cn/jgxx/. Accessed 12 Aug 2015.
Wang L, Wang Y, Yang G, Ma J, Wang L, Qi X. China information system for disease control and prevention (CISDCP). http://pacifichealthsummit.org/downloads/HITCaseStudies/Functional/CISDCP.pdf (2013). Accessed 19 Dec 2015.
Center for Strategic & International Studies. China’s capacity to manage infectious diseases and its global implications. Washington, DC: Center for Strategic & International Studies; 2008.
World Bank. The world bank population, total. http://data.worldbank.org/indicator/SP.POP.TOTL (2017). Accessed 1 Jan 2017.
The People’s Government of Anhui Province. Geology and climate. http://english.ah.gov.cn/content/channel/53e466319a05c28a77deb28e/ (2015). Accessed 7 Oct 2015.
The People’s Government of Anhui Province. Population and nationalities. http://english.ah.gov.cn/content/channel/53e466789a05c2e67a7897e7/ (2015). Accessed 7 Oct 2015.
The People’s Government of Anhui Province. Economy. http://english.ah.gov.cn/content/channel/53e08662fef9b5307e304921/ (2016). Accessed 4 April 2016.
Henan Government. Henan introduction. http://www.henan.gov.cn/hngk/system/2006/09/19/010008384.shtml (2016). Accessed 4 April 2016.
Yunnan Government. Population and nationalities. http://www.yn.gov.cn/yn_yngk/yn_sqgm/201111/t20111107_1896.html (2015). Accessed 4 April 2016.
Yunnan Government. Yunnan overview. http://www.yn.gov.cn/yn_yngk/index.html (2015). Accessed 4 April 2016.
Yunnan Government. Climate. http://www.yn.gov.cn/yn_yngk/yn_sqgm/201111/t20111107_1899.html (2015). Accessed 7 Oct 2015.
Tong MX, Hansen A, Hanson-Easey S, Xiang J, Cameron S, Liu Q, et al. Perceptions of capacity for infectious disease control and prevention to meet the challenges of dengue fever in the face of climate change: a survey among CDC staff in Guangdong Province, China. Environ Res. 2016;148:295–302. CrossRefPubMed
Hansen A, Xiang J, Liu Q, Tong MX, Sun Y, Liu X et al. Experts’ perceptions on China’s capacity to manage emerging and re-emerging zoonotic diseases in an era of climate change. Zoonoses Public Health. 2016. doi: 10.1111/zph.12335.
Tong MX, Hansen A, Hanson-Easey S, Cameron S, Xiang J, Liu Q, et al. Health professionals’ perceptions of hemorrhagic fever with renal syndrome and climate change in China. Glob Planet Change. 2017;152:12–8. CrossRef
An G. Influence of climate on malaria in China. Penn McNair Res J. 2011;3:1.
Liu Y, Su Y, Zhang H. Analysis of malaria situation in five provinces of Jiangsu, Shandong, Henan, Anhui and Hubei in 2006. China Trop Med. 2008;2:005.
Chen G, Wang J, Huang X, Li Y, Hou Z, Li H, et al. Serological detection of malaria for people entering China from 19 ports of entry covering 8 border prefectures of Yunnan. Chin J Parasitol Parasit Dis. 2010;28:54–7.
Wang Y, Wang X, Zhang Y. Epidemiological characteristics of indigenous and imported malaria in China, 2005–2013. Chin J Vector Biol Control. 2015;26:120–6.
Kumaresan J, Huikuri S. Strengthening regional cooperation, coordination, and response to health concerns in the ASEAN region: status, challenges, and ways forward. ERIA Discussion Paper. 2015;60.
- Perceptions of malaria control and prevention in an era of climate change: a cross-sectional survey among CDC staff in China
Michael Xiaoliang Tong
- BioMed Central
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