广东省韶关市2011—2014年消除疟疾效果分析与评价  

Analysis and evaluation of the effect of malaria elimination in Shaoguan City,Guangdong during 2011-2014

作　　者：崔文娟[1] 吴荣华[1] 何斌环 丰建国[1] 罗金萍[1] 

机构地区：[1]韶关市疾病预防控制中心,广东韶关512028

出　　处：《中国热带医学》2016年第4期389-391,共3页China Tropical Medicine

摘　　要：目的分析总结韶关市消除疟疾工作开展情况及实施效果,为评价和推动消除疟疾工作提供科学依据。方法收集2011—2014年韶关市疟疾监测年报、疟疾疫情、媒介监测、技能培训及宣传教育资料,开展终期评估分析评价消除疟疾工作实施效果。结果 4年完成血检15 704人次,完成率107.97%,复核血片4 254张,复核率27.09%;确诊境外输入疟疾病例7例,均正规治疗和处置;主动病例侦查3 287人次,未发现疟原虫阳性;2013—2014年人饵诱捕中华按蚊326只,平均叮人率为0.38只/人工小时,诱蚊灯共捕获按蚊213只,平均密度为0.25只/(灯·h);培训疟防人员919人次、临床医生13 576人次、镜检人员852人次及乡村医生4 377人次;举办了一系列宣传教育活动;随机抽取曲江区、乐昌市和始兴县3个县(市、区)进行了项目终期评估,达到消除疟疾标准。结论经过4年消除疟疾工作的实施,各项工作均达到国家消除标准;但输入性病例不容忽视,应完善长效防控机制,加强高疟区务工流动人员的监测管理,及时发现病人并有效处置,如期实现消除疟疾的目标。Objective To analyze and summarize the course and effect of malaria elimination in Shaoguan City so as toprovide the evidence for evaluating and promoting malaria elimination. Methods The data of malaria endemic, malariamonitoring, media monitoring, skills training, and publicity and education information in Shaoguan City from 2011 to 2014 werecollected and analyzed. The final evaluation and analysis was carried out to evaluate the effect of eliminating malaria. Results Within the 4 years, blood test was performed in a total of 15 704 person-times with a completion rate of 107.97%; 4 254 bloodsmears were reviewed with a review rate of 27.09%; 7 cases were confirmed to be malaria imported from abroad and receivedstandard treatment and disposal; and active case investigation was conducted in 3 287 person-times with no parasites found.From 2013 to 2014, 326 An. sinensis were captured by the bait with an average bite rate of 0.38/artificial hour; 213 Anopheleswere trapped by the mosquito lure lamp with an average density of 0.25（/lamp hour）. Training was provided to 919 malariacontrol personnel, 13 576 clinical doctors, 852 microscopy personnel and 4 377 rural doctors. A series of publicity andeducation activities were organized. Qujiang District, Lechang city and Shixing county were randomly selected for finalassessment of the project, and all met the criteria of malaria elimination. Conclusion After four years of eliminate malaria,all works reached the standards for elimination. However oversea input cases should not be ignored. Long-term prevention andcontrol mechanisms should be improved, monitoring and management of migrant workers in the high malaria area should bestrengthened,and patientsshould be detected in a timely with effective disposal in order to achieve the goalofmalariaelimination.

关 键 词：疟疾 消除 效果 

分 类 号：R531.3[医药卫生—内科学]