云南省消除疟疾行动计划暨全球基金疟疾项目基线调查  

Baseline investigation of the National Malaria Elimination program and projects funded by the Global Malaria Fund in Yunnan Province

作　　者：李奔福[1] 杨亚明[1] 许建卫[1] 陈国伟[1] 周升[1] 赵晓涛[1] 杨锐[1] 沈加员[1] 吕全[1] 黄国珍[1] 许时艳[1] 魏春[1] 杨捷 李鸿斌[3] 李加全[4] 范波[5] 

机构地区：[1]云南省寄生虫病防治所,云南普洱665000 [2]德宏州疾病预防治控制中心 [3]西双版纳州疾病预防控制中心 [4]保山市疾病预防控制中心 [5]玉溪市疾病预防控制中心

出　　处：《中国病原生物学杂志》2013年第5期448-450,472,共4页Journal of Pathogen Biology

基　　金：全球基金抗艾滋病;结核病和疟疾基金项目

摘　　要：目的了解云南省疟疾流行、防治及防控能力状况,为云南省消除疟疾行动计划暨全球基金疟疾项目的实施和评估提供基线数据。方法按照《云南省消除疟疾行动计划暨全球基金疟疾项目基线调查方法》进行,根据疟疾疫情采用分层随机不等比例抽样法确定调查点开展调查工作。结果 2009年共报告疟疾病例3163例,疟疾发病率0.69/万,输入病例占70.22%,发病率超过1/万以上的县占15.50%,有本地感染病例的县占33.33%,有本地恶性疟感染的县占13.18%。疟疾病人实验室检测率85.68%,确诊率85.93%,病人规范治疗率85.72%,病例个案调查率63.29%;疟疾发病48h内就诊比例为62.63%,病例24h内网络直报率为99.72%。人群疟疾抗体阳性率4.07%,阳性几何平均滴度倒数(GMRT)为38.90;居民和中小学生疟防知识知晓率分别为74.58%和85.17%;居民长效蚊帐拥有率和使用率分别为34.00%和29.62%;药浸蚊帐拥有率和使用率分别为61.16%和62.97%。能开展疟原虫镜检的医疗机构比例为58.78%,疟原虫镜检培训率为40.00%,疟防人员、临床医生、村医疟防知识培训率分别为45.34%、21.76%和42.88%。结论云南省疟疾流行仍然严重,疟疾防治网络建立不完善,三类县疟防能力不足。Objective To provide the basic data to effectively implement and evaluate the National Malaria Elimination program and projects funded by the Global Malaria Fund by ascertaining the prevalence of malaria and capacity for malaria prevention and control. Methods A baseline study was conducted in accordance with national guidelines and study sites were selected by stratified random disproportionate sampling based on the prevalence of malaria. Results A total of 3 163 malaria cases were reported in Yunnan Province in 2009; of these, 70.22% were imported cases. The provincial incidence of malaria was 0.69 /10000. Of counties in the province, 15.50% had an incidence greater than 1/10000. Of counties in the province, 33.33% had autochthonous cases and 13.18% had autochthonous P. falciparum. Among the reported malaria cases, the rate of laboratory testing was 85.68%, the rate of confirmed diagnosis was 85.93%, the rate of standard treatment was 85.72%, the rate of epidemiological case studies was 63.29%, the rate of consultation with a physician within 48 hours was 62.63%, and the rate of reporting via the China Information System for Disease Control and Prevention within 24 hours was 99.72%. Positivity for malaria antibodies in the population was 4.07% and the positive geometric mean reciprocal titer（GMRT）was 38.90. The rate of awareness of malaria prevention was 74.58% among residents and 85.17% among primary/middle school students. Residents owned long-lasting insecticide-treated nets （LLITNs） at a rate of 34.00% and slept in them at a rate of 29.62%. The proportion of medical facilities with the ability to microscopically detect malaria parasites was 58.78% and the proportion of trained microscopists was 40%. The rate of training in malaria control and prevention was 5.34% for village health workers, 21.76% for epidemic prevention staff, and 42.88% for clinicians. Conclusion Malaria is highly prevalent in Yunnan Province. The network of malaria prevention and control is far from perfect. The capacity for mala

关 键 词：消除疟疾 全球基金 基线调查 云南省 

分 类 号：R531.3[医药卫生—内科学]