{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T01:15:11Z","timestamp":1768007711408,"version":"3.49.0"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"\n Background<\/jats:title>\n To investigate the application of risk assessment in decision-making support for disease prevention and control during large-scale events involving schistosomiasis, a rapid system and process for assessing the risk of schistosomiasis transmission were developed.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n A risk assessment indicator framework was developed through literature reviews and the Delphi method. Risk level determination was assessed using the Delphi method and a risk matrix method. Control measures were implemented based on the risk levels determination. Effectiveness evaluation was verified by monitoring schistosomiasis-related public health incidents and tracking key indicators\u2014including oncomelania snail infection prevalence, snail density, human and livestock infection rates, wild feces detection, and sentinel mouse infection\u2014over 1\u20133 years post-event, supplemented by repeated risk assessments.<\/jats:p>\n <\/jats:sec>\n \n Result<\/jats:title>\n The decision-making support system for schistosomiasis transmission prevention and control during large-scale events comprises a database of recent schistosomiasis cases, onsite schistosomiasis transmission risk monitoring, a case database of outbreaks, a database of assessment experts, a database of the distribution of oncomelania snail, a library of professional strategies, and a preplan. This system encompasses four processes, namely, identification of high-risk factors, risk assessment to determine areas with high, medium and low risk levels, implementation of targeted risk management and control measures, and evaluation of long-term effects.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The risk assessment system was successfully applied to three large-scale events in Wuhan, effectively supporting evidence-based decision-making support and preventing schistosomiasis transmission. Post-event surveillance and reassessment of indicators verified the sustained effectiveness of the interventions. This closed-loop approach demonstrates that risk assessment is a vital tool for public health decision-making during large events in endemic areas.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pntd.0013898","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T18:22:37Z","timestamp":1767982957000},"page":"e0013898","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evidence-based decision-making support for determining the risk of schistosomiasis infection during large events in China: Application of risk assessment"],"prefix":"10.1371","volume":"20","author":[{"given":"Yuting","family":"Zuo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8393-8755","authenticated-orcid":true,"given":"Xin","family":"Mei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yudan","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7098-391X","authenticated-orcid":true,"given":"Huatang","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"issue":"3","key":"pntd.0013898.ref001","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.idc.2012.05.005","article-title":"Mass gatherings and infectious diseases: prevention, detection, and control","volume":"26","author":"JA Al-Tawfiq","year":"2012","journal-title":"Infect Dis Clin North Am"},{"key":"pntd.0013898.ref002","year":"2013"},{"issue":"1","key":"pntd.0013898.ref003","first-page":"8","article-title":"A study of risk assessment indicators system of infectious disease event for 2008 Beijing Olympic Games","volume":"42","author":"T Gao","year":"2008","journal-title":"Zhonghua Yu Fang Yi Xue Za Zhi"},{"issue":"3","key":"pntd.0013898.ref004","doi-asserted-by":"crossref","first-page":"189","DOI":"10.3727\/152599512X13459279626683","article-title":"Risk Management in major sporting events: a participating national olympic team\u2019s perspective","volume":"16","author":"DV Hanstad","year":"2012","journal-title":"Event Management"},{"key":"pntd.0013898.ref005","unstructured":"World Health Organization. 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