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Natural variables separate the endemic areas of Clonorchis sinensis and Opisthorchis viverrini along a continuous, straight zone in Southeast Asia

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贫困所致传染病(英文) 2024年第2期13卷 1-13页

作者： Zheng Jin-Xin Zhu Hui-Hui Xia Shang Qian Men-Bao Nguyen Hung Manh Sripa Banchob Sayasone Somphou Khieu Virak bergquist robert Zhou Xiao-Nong School of Global Health Chinese Center for Tropical Diseases Research Shanghai Jiao Tong University School of Medicine Shanghai China One Health Center Shanghai Jiao Tong University The University of Edinburgh Shanghai China National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research) NHC Key Laboratory of Parasites and Vectors Biology WHO Collaborating Centre for Tropical Diseases National Center for International Research on Tropical Diseases Shanghai China Institute of Ecology and Biological Resources Graduate University of Science and Technology Vietnam Academy of Science and Technology Hoang Quoc Viet Street Hanoi Vietnam WHO Collaborating Centre for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease) Tropical Disease Research Laboratory Department of Tropical Medicine Faculty of Medicine Khon Kaen University Mittraparb Road Khon Kaen Thailand Lao Tropical and Public Health Institute Ministry of Health Vientiane Lao PDR National Centre for Parasitology Entomology and Malaria Control Ministry of Health Phnom Penh Cambodia Ingerod Brastad Sweden (formerly at the UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases) World Health Organization Geneva Switzerland

Background Clonorchiasis and opisthorchiasis, caused by the liver flukesClonorchis sinensis andOpisthorchis viverrini respectively, represent significant neglected tropical diseases (NTDs) in Asia. The co-existence of these pathogens in overlapping regions complicates effective disease control strategies. This study aimed to clarify the distribution and interaction of these diseases within Southeast Asia.Methods We systematically collated occurrence records of human clonorchiasis (n = 1809) and opisthorchiasis (n = 731) across the Southeast Asia countries. Utilizing species distribution models incorporating environmental and climatic data, coupled machine learning algorithms with boosted regression trees, we predicted and distinguished endemic areas for each fluke species. Machine learning techniques, including geospatial analysis, were employed to delineate the boundaries between these flukes.Results Our analysis revealed that the endemic range ofC. sinensis andO. viverrini in Southeast Asia primarily spans across part of China, Vietnam, Thailand, Laos, and Cambodia. During the period from 2000 to 2018, we identifiedC. sinensis infections in 84 distinct locations, predominantly in southern China (Guangxi Zhuang Autonomous Region) and northern Vietnam. In a stark contrast,O. viverrini was more widely distributed, with infections documented in 721 locations across Thailand, Laos, Cambodia, and Vietnam. Critical environmental determinants were quantitatively analyzed, revealing annual mean temperatures ranging between 14 and 20 °C in clonorchiasis-endemic areas and 24–30 °C in opisthorchiasis regions (P < 0.05). The machine learning model effectively mapped a distinct demarcation zone, demonstrating a clear separation between the endemic areas of these two liver flukes with AUC from 0.9 to1. The study in Vietnam delineates the coexistence and geographical boundaries ofC. sinensis andO. viverrini, revealing distinct endemic zones and a transitional area where both liver fluke species overlap.Conclusions Our findings

关键词： Liver fluke Clonorchiasis Opisthorchiasis Clonorchis sinensis Opisthorchis viverrine Southeast Asia Machine learning Ecological study

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Infuence of urbanization on schistosomiasis infection risk in Anhui Province based on sixteen year’s longitudinal surveillance data:a spatio-temporal modelling study

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Infectious Diseases of Poverty 2023年第6期12卷 99-100页

作者： Xin Liu Yang Sun Yun Yin Xiaofeng Dai robert bergquist Fenghua Gao Rui Liu Jie Liu Fuju Wang Xiao Lv Zhijie Zhang College of Geodesy and Geomatics Shandong University of Science and Technology Qingdao China No. 8 Institute of Geology and Mineral Resources Exploration of Shandong Province Rizhao China School of Public Health Fudan University Shanghai China Key Laboratory of Public Health Safety Ministry of Education Shanghai China Ingerod Brastad Sweden Anhui Institute of Schistosomiasis Control Hefei China

Background Urbanization greatly afects the natural and social environment of human existence and may have a multifactoral impact on parasitic diseases.Schistosomiasis,a common parasitic disease transmitted by the snail Oncomelania hupensis,is mainly found in areas with population aggregations along rivers and lakes where snails live.Previous studies have suggested that factors related to urbanization may infuence the infection risk of schistosomiasis,but this association remains unclear.This study aimed to analyse the efect of urbanization on schistosomiasis infection risk from a spatial and temporal perspective in the endemic areas along the Yangtze River Basin in China.Methods County-level schistosomiasis surveillance data and natural environmental factor data covering the whole Anhui Province were collected.The urbanization level was characterized based on night-time light data from the Defense Meteorological Satellite Program Operational Linescan System(DMSP-OLS)and the National Polar-Orbiting Partnership’s Visible Infrared Imaging Radiometer Suite(NPP-VIIRS).The geographically and temporally weighted regression model(GTWR)was used to quantify the infuence of urbanization on schistosomiasis infection risk with the other potential risk factors controlled.The regression coefcient of urbanization was tested for signifcance(α=0.05),and the infuence of urbanization on schistosomiasis infection risk was analysed over time and across space based on signifcant regression coefcients.Variables studied included climate,soil,vegetation,hydrology and topography.Results The mean regression coefcient for urbanization(0.167)is second only to the leached soil area(0.300),which shows that the urbanization is the most important infuence factors for schistosomiasis infection risk besides leached soil area.The other important variables are distance to the nearest water source(0.165),mean minimum temperature(0.130),broadleaf forest area(0.105),amount of precipitation(0.073),surface temperature(0.066),soil bulk density(0.037)and gr

关键词： Urbanization Night-time light data Schistosomiasis Spatio-temporal analysis Geographically and temporally weighted regression

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Control of neglected tropical diseases in Asia Pacific: implications for health information priorities

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Infectious Diseases of Poverty 2012年第1期1卷 15-18页

作者： robert bergquist Maxine Whittaker Ingerod 45494 Brastad Sweden Australian Centre for International and Tropical Health School of Population HealthUniversity of QueenslandHerstonQld 4006Australia

Poverty magnifies limitations posed by traditional biases and environmental risks.Any approach towards disease control needs to recognise that socially embedded vulnerabilities can be as powerful as externally imposed infections.Asia Pacific has a specific panorama of infectious diseases,which,in common with other endemic areas,have a tendency to emerge or re-emerge if not carefully monitored.Sustained control aiming at elimination requires strong emphasis on surveillance and response.Well-designed informatics platforms can improve support systems and strengthen control activities,as they rapidly locate high-risk areas and provide detailed,up-to-date information on the performance of ongoing control programmes.

关键词： Neglected tropical diseases NTD Health information systems Poverty Disease surveillance Control programmes Asia Pacific

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Controlling schistosomiasis with praziquantel:How much longer without a viable alternative?

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Infectious Diseases of Poverty 2017年第1期6卷 654-663页

作者： robert bergquist Jürg Utzinger Jennifer Keiser Ingerod BrastadSweden Swiss Tropical and Public Health Institute P.O.BoxCH-4002 BaselSwitzerland University of Basel P.O.BoxCH-4003 BaselSwitzerland

The current approach of morbidity control of schistosomiasis,a helminth disease of poverty with considerable public health and socioeconomic impact,is based on preventive chemotherapy with praziquantel.There is a pressing need for new drugs against this disease whose control entirely depends on this single drug that has been widely used over the past 40 years.We argue that a broader anthelminthic approach supplementing praziquantel with new antischistosomals targeting different parasite development stages would not only increase efficacy but also reduce the risk for drug resistance.Repositioning drugs already approved for other diseases provides a shortcut to clinical trials,as it is expected that such drugs rapidly pass the regulatory authorities.The antischistosomal properties of antimalarial drugs(e.g.,semisynthetic artemisinins,synthetic trioxolanes,trioxaquines and mefloquine)and of drugs being developed or registered for other purposes(e.g.,moxidectin and miltefosin),administered alone or in combination with praziquantel,have been tested in the laboratory and clinical trials.Another avenue to follow is the continued search for new antischistosomal properties in plants.Here,we summarise recent progress made in schistosomiasis chemotherapy,placing particular emphasis on repositioning of existing drugs against schistosomiasis.

关键词： Chemotherapy Drug repositioning Elimination Morbidity control Praziquantel Schistosomiasis

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Elimination of schistosomiasis:the tools required

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Infectious Diseases of Poverty 2017年第1期6卷 1410-1418页

作者： robert bergquist Xiao-Nong Zhou David Rollinson Jutta Reinhard-Rupp Katharina Klohe Ingerod BrastadSweden National Institute of Parasitic Diseases Chinese Center for Disease Control and Prevention Shanghai 200025China Department of Life Sciences The Natural History MuseumLondon SW75BDUK Merck CoinsinsSwitzerland Global Schistosomiasis Alliance Westenriederstrasse 1080331 MunichGermany

Background:Historically,the target in the schistosomiasis control has shifted from infection to morbidity,then back to infection,but now as a public health problem,before moving on to transmission control.Currently,all endemic countries are encouraged to increase control efforts and move towards elimination as required by the World Health Organization(WHO)roadmap for the global control of the neglected tropical diseases(NTDs)and the WHA65.21 resolution issued by the World Health Assembly.However,schistosomiasis prevalence is still alarmingly high and the global number of disability-adjusted life years(DALYs)due to this infection has in fact increased due to inclusion of some‘subtle’clinical symptoms not previously counted.Main body:There is a need to restart and improve efforts to reach the elimination goal.To that end,the first conference of the Global Schistosomiasis Alliance(GSA)Research Working Group was held in mid-June 2016 in Shanghai,People’s Republic of China.It reviewed current progress in schistosomiasis control and elimination,identified pressing operational research gaps that need to be addressed and discussed new tools and strategies required to make elimination a reality.The articles emanating from the lectures and discussions during this meeting,together with some additional invited papers,have been collected as a special issue of the‘Infectious Diseases of Poverty’entitled‘Schistosomiasis Research:Providing the Tools Needed for Elimination’,consisting of 26 papers in all.This paper refers to these papers and discusses critical questions arising at the conference related to elimination of schistosomiasis.Conclusion:The currently most burning questions are the following:Can schistosomiasis be eliminated?Does it require better,more highly sensitive diagnostics?What is the role of preventive chemotherapy at the elimination stage?Is praziquantel sufficient or do we need new drugs?Contemplating these questions,it is felt that the heterogeneity of the endemic areas in the world requires WHO policies to

关键词： Schistosomiasis Tools Morbidity control Elimination Transmission Strategy Surveillance Global alliance

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High-risk spatiotemporal patterns of cutaneous leishmaniasis:a nationwide study in Iran from 2011 to 2020

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Infectious Diseases of Poverty 2023年第3期12卷 93-93页

作者： Neda Firouraghi robert bergquist Munazza Fatima Alireza Mohammadi Davidson H.Hamer Mohammad Reza Shirzadi Behzad Kiani Department of Medical Informatics School of MedicineMashhad University of Medical SciencesMashhadIran Ingerod BrastadSweden Formerly with the UNICEF/UNDP/World Bank/WHO Special Program for Research and Training in Tropical Diseases World Health OrganizationGenevaSwitzerland Department of Geography The Islamia University of BahawalpurBahawalpurPunjabPakistan Department of Geography and Urban Planning Faculty of Social SciencesUniversity of Mohaghegh ArdabiliArdabilIran Department of Global Health Boston University School of Public HealthBostonMAUSA Section of Infectious Diseases Department of MedicineBoston University School of MedicineBostonMAUSA Center for Disease Control and Prevention(CDC) Iran Ministry of Health&Medical EducationTehranIran Centre de Recherche en SantéPublique Universitéde Montréal7101Avenue du ParcMontréalCanada

Background Cutaneous leishmaniasis(CL)is a wide-reaching infection of major public health concern.Iran is one of the six most endemic countries in the world.This study aims to provide a spatiotemporal visualization of CL cases in Iran at the county level from 2011 to 2020,detecting high-risk zones,while also noting the movement of high-risk clusters.Methods On the basis of clinical observations and parasitological tests,data of 154,378 diagnosed patients were obtained from the Iran Ministry of Health and Medical Education.Utilizing spatial scan statistics,we investigated the disease’s purely temporal,purely spatial,spatial variation in temporal trends and spatiotemporal patterns.At P=0.05 level,the null hypothesis was rejected in every instance.Results In general,the number of new CL cases decreased over the course of the 9-year research period.From 2011 to 2020,a regular seasonal pattern,with peaks in the fall and troughs in the spring,was found.The period of September–February of 2014–2015 was found to hold the highest risk in terms of CL incidence rate in the whole country[relative risk(RR)=2.24,P<0.001)].In terms of location,six signifcant high-risk CL clusters covering 40.6%of the total area of the country were observed,with the RR ranging from 1.87 to 9.69.In addition,spatial variation in the temporal trend analysis found 11 clusters as potential high-risk areas that highlighted certain regions with an increasing tendency.Finally,fve space-time clusters were found.The geographical displacement and spread of the disease followed a moving pattern over the 9-year study period afecting many regions of the country.Conclusions Our study has revealed signifcant regional,temporal,and spatiotemporal patterns of CL distribution in Iran.Over the years,there have been multiple shifts in spatiotemporal clusters,encompassing many diferent parts of the country from 2011 to 2020.The results reveal the formation of clusters across counties that cover certain parts of provinces,indicating the importance of conducting spatiot

关键词： Cutaneous leishmaniasis Spatial epidemiology Geographical Information Systems Spatiotemporal analysis SaTScan Spatial scan statistics Neglected tropical diseases Spatiotemporal clustering Iran

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Infestation risk of the intermediate snail host of Schistosomajaponicum in the Yangtze River Basin: improved results by spatial reassessment and a random forest approach

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Infectious Diseases of Poverty 2021年第3期10卷 34-46页

作者： Jin-Xin Zheng Shang Xia Shan Lv Yi Zhang robert bergquist Xiao-Nong Zhou National Institute of Parasitic Diseases Chinese Center for Disease Control and PreventionChinese Center forTropical Diseases ResearchWHO Collaborating Centre for Tropical DiseasesNational Center for International Research on Tropical DiseasesMinistry of Science and TechnologyNHC Key Laboratory of Parasite and Vector BiologyShanghai 200025China School of Global Health Chinese Center for Tropical Diseases ResearchShanghai Jiao Tong University School of MedicineOne Health CenterThe University of EdinburghShanghai Jiao Tong UniversityShanghai 200025China ingerod BrastadSweden/formerly with the UNICEF/UNDP/World BankAVHO Special Programme for Research and Training in Tropical Diseases(TDR)World Health OrganizationGenevaSwitzerland.

Background:Oncomelania hupensis is only intermediate snail host of Schistosomajaponicum,and distribution of 0.hupensis is an important indicator for the surveillance of schistosomiasis.This study explored the feasibility of a random forest algorithm weighted by spatial distance for risk prediction of schistosomiasis distribution in the Yangtze River Basin in China,with the aim to produce an improved precision reference for the national schistosomiasis control programme by reducing the number of snail survey sites without losing predictive accuracy.Methods:The snail presence and absence records were collected from Anhui,Hunan,Hubei,Jiangxi and Jiangsu provinces in 2018.A machine learning of random forest algorithm based on a set of environmental and climatic variables was developed to predict the breeding sites of the 0.hupensis intermediated snail host of S.japonicum.Different spatial sizes of a hexagonal grid system were compared to estimate the need for required snail sampling sites.The predictive accuracy related to geographic distances between snail sampling sites was estimated by calculating Kappa and the area under the curve(AUC).Results:The highest accuracy(AUC=0.889 and Kappa=0.618)was achieved at the 5 km distance weight.The five factors with the strongest correlation to 0.hupensis infestation probability were:(1)distance to lake(48.9%),(2)distance to river(36.6%),(3)isothermality(29.5%),(4)mean daily difference in temperature(28.1%),and(5)altitude(26.0%).The risk map showed that areas characterized by snail infestation were mainly located along the Yangtze River,with the highest probability in the dividing,slow-flowing river arms in the middle and lower reaches of the Yangtze River in Anhui,followed by areas near the shores of China's two main lakes,the Dongting Lake in Hunan and Hubei and the Poyang Lake in Jiangxi.Conelusions:Applying the machine learning of random forest algorithm made it feasible to precisely predict snail infestation probability,an approach that could improve the sensitivity of the

关键词： Schistosomiasis Oncomelania hupensis Snail infestation Yangtze River Random forest Spatial sampling Machine learning China

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Nobel prize for the artemisinin and ivermectin discoveries: a great boost towards elimination of the global infectious diseases of poverty

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Infectious Diseases of Poverty 2015年第1期4卷 487-494页

作者： Ernest Tambo Emad IMKhater Jun-Hu Chen robert bergquist Xiao-Nong Zhou Department of Biochemistry and Pharmaceutical Sciences Higher Institute of Health SciencesUniversitédes MontagnesBangangtéCameroon Sydney Brenner Institute for Molecular Biosciences University of the WitwatersrandJohannesburgSouth Africa Africa Disease Intelligence and Surveillance Communication and Response Foundation(Africa DISCoR)YaoundéCameroon Center for Sustainable Malaria Control Department of BiochemistryFaculty of Natural and Agricultural SciencesUniversity of PretoriaPretoriaSouth Africa Public Health Pests Laboratory Jeddah MunicipalityJeddahSaudi Arabia Department of Entomology Faculty of ScienceAin Shams UniversityCairoEgypt National Institute of Parasitic Diseases Chinese Center for Disease Control and PreventionShanghai 200025P.R.China Key Laboratory of Parasite and Vector Biology of the Chinese Ministry of Health Shanghai 200025P.R.China WHO Collaborating Centre for Tropical Diseases Shanghai 200025P.R.China Ingerod BrastadSweden

The Millennium Development Goals(MDGs)made a marked transformation for neglected and vulnerable communities in the developing countries from the start,but infectious diseases of poverty(IDoPs)continue to inflict a disproportionate global public health burden with associated consequences,thereby contributing to the vicious cycle of poverty and inequity.However,the effectiveness and large-scale coverage of artemisinin combination therapy(ACT)have revolutionized malaria treatment just as the control of lymphatic filariasis(LF)and onchocerciasis have benefitted from harnessing the broad-spectrum effect of avermectin-based derivatives.The paradigm shift in therapeutic approach,effected by these two drugs and their impact on community-based interventions of parasitic diseases plaguing the endemic low-and middle-income countries(LIMCs),led to the Nobel Prize in Physiology or Medicine in 2015.However,the story would not be complete without mentioning praziquantel.The huge contribution of this drug in modernizing the control of schistosomiasis and also some intestinal helminth infections had already shifted the focus from control to potential elimination of this disease.Together,these new drugs have provided humankind with powerful new tools for the alleviation of infectious diseases that humans have lived with since time immemorial.These drugs all have broad-spectrum effects,yet they are very safe and can even be packaged together in various combinations.The strong effect on so many of the great infectious scourges in the developing countries has not only had a remarkable influence on many endemic diseases,but also contributed to improving the cost structure of healthcare.Significant benefits include improved quality of preventive and curative medicine,promotion of community-based interventions,universal health coverage and the fostering of global partnerships.The laudable progress and benefits achieved are indispensable in championing,strengthening and moving forward elimination of the IDoPs.However,there is an urgent n

关键词： Nobel Prize Artemisinin Avermectin Ivermectin Praziquantel Schistosomiasis Intestinal helminths Lymphatic filariasis River blindness Malaria Discovery Poverty

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Elimination of schistosomiasis requires multifactorial diagnostics: evidence from high- and low-prevalence areas in the Nile Delta, Egypt

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Infectious Diseases of Poverty 2020年第2期9卷 63-75页

作者： Hala Elmorshedy robert bergquist Amel Fayed Wafaa Guirguis Ensaf Abdel-Gawwad Safaa Eissa Rashida Barakat College of Medicine Princess Nourah bint Abdulrahman UniversityP.O.Box:84428Riyadh Postal Code:11671Saudi Arabia High Institute of Public Health Alexandria UniversityAlexandriaEgypt Ingerod SE-45494 BrastadSweden

Background:Schistosomiasis is one of the neglected tropical diseases(NTDs)selected for worldwide elimination in the near future.Egypt has made strong progress against its two endemic species of Schistosoma mansoni and S.haematobium.The former is prevalent in the Nile Delta with the latter dominating in the Nile south of Cairo.Innovative efforts are needed to reach the goal as further reduction of the prevalence has stalled due to ongoing transmission.In this study we aimed to explore the difference between low and high prevalence villages with regard to knowledge attitude and practice about schistosomiasis,utilization of health services,infection and transmission indices.Methods:A hybrid cross-sectional longitudinal study was conducted with three annual follow-ups conducted during 1994-1996.We used a representative systematic random sampling technique investigating 993 individuals from the high prevalence village and 614 from the low prevalence village.Data were analyzed using SPSS,comparing proportions with the Chi square test and means with the Student t test,and ANOVA.Results:Compliance of faecal sampling and chemotherapy was above 70%in both villages over the whole study period.Selective praziquantel treatment resulted in a significant reduction of prevalence and intensity of infection in both villages,dropping from 35.8%prevalence to 20.6%,in the low-prevalence village,and from 69.5 to 45.9%in the high-prevalence one.Intensity of infection at the base line was 30 eggs per gram(EPG)of stool in the low-prevalence village versus 105 EPG in the high-prevalence village.However,after the second round,reinfection rebounded by 22%in the high-prevalence village,while a slight improvement of the infection indices was demonstrated in the low-prevalence one.The level of knowledge was modest in both villages:people knew about self-protection and treatment,but not much about the role of human excreta for schistosomiasis transmission.While all participants maintained that using the water from the canals was inevitable,inha

关键词： Schistosomiasis Transmission Praziquantel Knowledge attitude and practice Utilization of health services Poverty Egypt

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Infectious Diseases of Poverty,the first five years

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Infectious Diseases of Poverty 2017年第1期6卷 848-858页

作者： Wei Wang Jin Chen Hui-Feng Sheng Na-Na Wang Pin Yang Xiao-Nong Zhou robert bergquist Key Laboratory of National Health and Family Planning Commission on Parasitic Disease Control and Prevention No.117 YangxiangMeiyuanWuxi CityJiangsu Province214064China Jiangsu Provincial Key Laboratory on Parasites and Vector Control Technology No.117 YangxiangMeiyuanWuxi CityJiangsu Province214064China Jiangsu Institute of Parasitic Diseases No.117 YangxiangMeiyuanWuxi CityJiangsu Province214064China School of Public Health Fujian Medical UniversityNo.88 Jiaotong RoadFuzhou CityFujian Province350004China National Institute of Parasitic Diseases Chinese Center for Disease Control and PreventionNo.207 Rui Jin Er RoadShanghai200025China WHO Collaborating Center for Tropical Diseases No.207 Rui Jin Er RoadShanghai200025China Key Laboratory of Parasite and Vector Biology Ministry of HealthNo.207 Rui Jin Er RoadShanghai200025China Editorial Office of Chinese Journal of Clinical Research No.57 Shanxi RoadNanjing CityJiangsu Province210009China Ingerod BrastadSweden

Although the focus in the area of health research may be shifting from infectious to non-communicable diseases,the infectious diseases of poverty remain a major burden of disease of global health concern.A global platform to communicate and share the research on these diseases is needed to facilitate the translation of knowledge into effective approaches and tools for their elimination.Based on the“One health,One world”mission,a new,openaccess journal,Infectious Diseases of Poverty(IDP),was launched by BioMed Central in partnership with the National Institute of Parasitic Diseases(NIPD),Chinese Center for Disease Control and Prevention(China CDC)on October 25,2012.Its aim is to identify and assess research and information gaps that hinder progress towards new interventions for a particular public health problem in the developing world.From the inaugural IDP issue of October 25,2012,a total of 256 manuscripts have been published over the following five years.Apart from a small number of editorials,opinions,commentaries and letters to the editor,the predominant types of publications are research articles(69.5%)and scoping reviews(21.5%).A total of 1081 contributing authors divided between 323 affiliations across 68 countries,territories and regions produced these 256 publications.The journal is indexed in major international biomedical databases,including Web of Science,PubMed,Scopus and Embase.In 2015,it was assigned its first impact factor(4.11),which is now 2.13.During the past five years,IDP has received manuscripts from 90 countries,territories and regions across six continents with an annual acceptance rate of all contributions maintained at less than 40%.Content analysis shows that neglected tropical diseases(NTDs),followed by the“Big Three”(HIV/AIDS,malaria and tuberculosis)and infectious diseases in general comprise 88%of all publications.In addition,a series of 10 thematic issues,covering 118 publications in all,was published as separate parts of the first five volumes.These publications were cited 975 ti

关键词： Infectious diseases of poverty Impact Impact factor Bibliometric analysis Content analysis

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