低疟区疟疾监测方法研究  

A NEW SURVEILLANCE STRATEGY FORLOW LEVEL MALARIA IN HUBEI

作　　者：张绍清[1,2,3,4] 徐博钊[1,2,3,4] 程峰 裴速建[1,2,3,4] 叶建君 江明[1,2,3,4] 刘水清 陆业新[1,2,3,4] 沈洁 R.H.Webber[1,2,3,4] 

机构地区：[1]湖北省医学科学院寄生虫病研究所 [2]荆州市荆州区卫生防疫站 [3]仙桃市卫生防疫站 [4]卫生部疾病控制司

出　　处：《中国寄生虫病防治杂志》1998年第1期1-4,共4页Chinese Journal of Parasitic Disease Control

基　　金：联合国开发计划署/世界银行/世界卫生组织热带病规划署的资助

摘　　要：经过多年的大规模防治，我国大部分地区的疟疾发病率已降至很低水平，继续沿用现行的疟疾监测方法，即对所有的发热病人采血镜检，其阳性检出率已非常低。本研究结果显示，在低疟区临床初诊为不明原因发热病人的疟原虫阳性检出率为０．６，感冒病人的阳性检出率为０．１，因此，在低疟区可以放弃对这两类发热病人进行血检，重点血检临床诊断为疟疾和疑似疟疾的病人，以提高血检效率。采用这种简化的疟疾监测措施，可以巩固疟疾防治成果，节省大量的人力和经费，而在中度疟区仍应继续对四类发热病人进行血检。Due to good detection and control methods malaria has reached to the very low level in China . Therefore,existing surveillance methods ,taking blood slides from all fever cases is finding very few positives in the millions of slides examined. Previously,all blood slides were collected from clinically diagnosed case of malaria(group 1),suspected malaria cases(group 2),fever of unkown reason(group 3),or common cold(group 4) in a low and moderate malaria endemic areas in Hubei Province. In the low prevalence area,the positive rate of slide was 0.6 in group 3 and 0.1 in group 4. It is recommended that group 3 and group 4 be dropped from low prevalence areas to encourage greater efficiency in case detection in the clinical and suspected malaria groups.

关 键 词：疟疾 监测方法 流行病学 

分 类 号：R531.301[医药卫生—内科学]