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Vaccination is the best available way to prevent influenza infections and related complications. Little information is available on vaccination policy in the world's most populous country, China. In China, influenza vaccine is not included in the national immunization programme. Citizens seek the vaccine on their own. Since 2007, Beijing, ahead of most cities in China, has offered free influenza vaccine for seniors aged at least 60 years and for primary and middle school students. There has been limited evaluation of the policy. We introduce and evaluate the government-funded influenza immunization policy in Beijing. Available data showed that the policy greatly increased the vaccine uptake rate in the population qualifying for free vaccination. Evidence of impact in a single influenza season on all high-risk populations was unclear. We suggest that further evaluation over multiple influenza seasons and in each high-risk group are required to inform future policy development in Beijing.

Abstract:To address worsening urban traffic and environmental issues, planners and policy makers in China have begun to recognize the importance of shaping vehicle use through the built environment. However, very few studies can be found that examine the relationship between the built environment and vehicle use in the Chinese context. With data collected in Zhongshan Metropolitan Area, this study examined how two built environment representations-simple measures and neighborhood types-were related to household car trips and motorcycle trips in China. The results of the negative binomial regression models showed that the household socio-demographic measures displayed significant association, and the built environment representations enhanced the explanatory powers. All else being equal, households in Zhongshan would generate less car and motorcycle trips if located in neighborhoods with denser land use development, better transit service and less connective street networks. In order to shape vehicle use, the findings provided informative insights for planners and policy makers to form a relatively high density of land use developments, slow down the construction of street networks, provide more jobs adjacent to residential areas and facilitate easy access to public transportation services.

BackgroundSnail control is an important component in the national schistosomiasis control programme in China, by application of chemical molluscicides, forestry projects, agriculture projects and water conservancy projects in recent decades. However, there are still wide areas of snail inhabited in China which remains a great challenge to achieve the goal of schistosomiasis elimination by 2025. Therefore, a SWOT (strengths, weaknesses, opportunities and threats) analysis on snail control measures is required for precision schistosomiasis control.MethodsThe SWOT approach, which is a well-known structured analysis tool, was used to identify and evaluate the specific characteristics of four types of snail control measures in China, including chemical mollusciciding, forestry, agriculture, and water conservancy projects. The analysis were carried out based on the information collection from literature review, of research papers, books, annual report database of national schistosomiasis control programme in China, reports from the academic forums, and so on.ResultsFor chemical mollusciciding, application strategy needs to focus on specific local settings, such as stage of schistosomiasis control, environmental factors, and limitations from external policies and internal deficiencies. Regarding forestry projects, the optimal strategies are to cooperate with other national forestry programmes to share the investment costs and pay attention on wetland protection. In agriculture projects, it is necessary to develop related cash crop industries and combine with national farmland consolidation projects simultaneously to increase the total economic benefits. Concerning water conservancy projects, the main purpose is to control snail migration from snail area to snail-free areas nationwide.ConclusionsIntegrated strategies for various measures application and a top-level designed cooperation mechanism will be the necessary to eliminate snail and schistosomiasis in China.Electronic supplementary materialThe online version of this article (10.1186/s40249-019-0521-0) contains supplementary material, which is available to authorized users.