贵州省消除疟疾行动计划中期评估报告  

Mid-term assessment report of Malaria Elimination Action Plan in Guizhou

作　　者：徐建军[1] 卢丽丹[1] 耿燕[1] 蔡珊[1] 师伟芳 姚丹成[1] 戴佳芮[1] 

机构地区：[1]贵州省疾病预防控制中心,贵州贵阳550004

出　　处：《中国热带医学》2016年第4期333-337,353,共6页China Tropical Medicine

基　　金：贵州省科技厅科学基金项目(No.3050)

摘　　要：贵州省自古以来就是疟疾的高度流行区,有＂瘴疠之地＂之称,解放前全省每年患病人数在200万~300万之间,约占时年全省总人口的25%~30%。新中国成立后,通过数十年的艰苦防控,贵州省疟疾发病得到明显控制,流行程度明显降低,但局部范围的疟疾爆发流行仍时有发生,多年来全省疟疾发病主要集中在黔南、黔东南、黔西南三个地区的低海拔河谷区域,以间日疟为主要流行虫种。2010年全省开始实施消除疟疾行动计划以来,加大了对疟疾的防控力度,依据《贵州省消除疟疾行动计划（2010—2020年）工作实施方案》,通过全球基金、中转资金及省财政资金等项目的实施,防控局面发生实质性突破,取得了阶段性的成果,全省2012年首次实现了无本地感染疟疾发生且保持至今。截止2015年底,全省《行动计划》实施总体进展顺利,完成情况良好,部分阶段目标提前实现,所有4个阶段目标均如期完成,全省已有68个县（市区）、5市（州）完成了消除疟疾考核评估,占全省总县数的77.27%。2010—2015年,全省完成覆盖所有县（市）范围的传疟媒介按蚊调查工作和疟疾流行风险调查与评估工作,设立县级病媒生物综合防控示范点;逐步规范了疟疾疫情管理与处置技术规范,措施落实达到了3个100%（国家1-3-7模式）;加强了消疟能力建设,建立了省级疟疾参比实验室,完善了疫情管理与处置全程质控,开展业务人员逐级培训及以赛代训,为消疟行动持续开展贮备了大量的技术骨干。随着消疟行动的深入发展,保障各级消疟资金的持续投入尤显重要,而各级专业人员的持续培训以及输入性疟疾病例的监测发现、治疗处置工作必将成为重点、难点和核心工作,对此应做到有备无患、常抓不懈。Guizhou was a place with high malaria endemic in history, and used to be called＂Quotidian place＂. Before1949, there were about 2-3 million cases annually accounting for 25%- 30% of the total population in Guizhou. After 1949, anumber of initiatives were taken in malaria control, and the incidence and case number declined dramatically. However, localmalaria outbreaks has occurred now and then mostly in south, south-east and south-west of Guizhou with vivax malaria as themost prevalent. Since the launch of＂Action Plan of Malaria Elimination in Guizhou（2010-2020）＂in 2010, the prevention andcontrol of malaria has been strengthened, breakthrough has been made substantively, and initial results have been achieved byimplementation of the global, transfer and provincial financial funds. Zero local malaria case has been achieved and sustainedin Guizhou since 2012. By the end of 2015, the implementation of provincial＂Action Plan＂has progressed smoothly; severalmilestones have been achieved ahead of time; and all goals of 4 stages had been accomplished in time. Examination andevaluation of malaria elimination have been completed in 68 counties and 5 cities accounting for 77.27% counties in GuizhouProvince. Between 2010 and 2015, investigation of malaria vector Anopheles and evaluation of malaria epidemic risk have beencompleted in the whole province; County demonstration of comprehensive prevention and control of malaria vector has been setup; Malaria epidemic management and disposal technical specifications have been standardized; Implementation of measureshas achieved＂three 100%（national 1- 3- 7 mode）＂; The capability of malaria elimination has been strengthened; Theprovincial malaria reference laboratory has been established; The full quality control of management and disposal of malariaepidemic has been consummated; And training and competition have been carried out to prepare a large number of technicalbackbones for malaria elimination. With the progression of malaria elimination, it becomes mor

关 键 词：疟疾 消除 中期评估 

分 类 号：R531.3[医药卫生—内科学]