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China was certified as malaria-free by the World Health Organization (WHO) in June. This triumph was part of a 70-year drive by the Chinese government to eliminate the country’s parasitic diseases — including schistosomiasis, leishmaniasis, lymphatic filariasis and hookworm. Which are left?

Lymphatic filariasis was the first success, announced by the WHO in 2007 (Y. Fang and Y. Zhang Infect. Dis. Poverty 8, 66; 2019). Continuing control efforts have meant that only around 200 leishmaniasis cases have been reported annually since 2017 (M. B. Qian et al. Infect. Dis. Poverty 8, 86; 2019). By 2018, hookworm infections — due primarily to poor sanitation — affected less than 1% of the population (H. Zhu et al. China CDC Wkly 2, 34–38; 2020).
Schistosomiasis, down from 11.6 million in a population of 0.55 billion in the 1950s, is targeted for elimination within the next decade.
Nature 596, 189 (2021)
doi: https://doi.org/10.1038/d41586-021-02188-0

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