湖州市消除疟疾实施效果评价  

Evaluation on the implementation of malaria elimination measures in Huzhou City

作　　者：张鹏[1] 陆锦明[1] 李军伟[1] 闻栋[1] 刘光涛[1] 韩建康[1] 

机构地区：[1]湖州市疾病预防控制中心,浙江湖州313000

出　　处：《预防医学》2017年第1期40-43,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的分析湖州市疟疾流行状况及消除疟疾防制历程,总结防制经验。方法根据1950—2015年湖州市疟疾防制资料,对防制工作各阶段采取的措施与实施效果进行描述性分析。结果湖州市近60年先后出现1954—1955年、1962—1963年和70年代初三次较大规模的疟疾流行,其中1963年发病率最高,为13 981.76/10万。随着疟疾规范治疗(包括抗复发治疗)措施的实施和防蚊设施的改善,70年代起湖州市疟疾年均发病率逐步下降,主要原因是嗜人按蚊消失以及居民防蚊设施改善。1980—1989年湖州市设立15~30个乡镇为疟疾纵向监测点,村庄覆盖率达70%以上,1989年通过基本消灭疟疾考核。1990—2009年年均发病率为0.37/10万,其中输入性病例占48.95%。2010年后,湖州市已无本地感染疟疾病例。2010—2015年,湖州市无当地感染病例及输入继发病例发生,均为境外输入病例。结论湖州市在不同时期采取针对性的疟疾防制措施,取得了显著成效,今后应加强流动人口监测,及时有效地处置输入病例。Objective To analyze the situation of malaria epidemic and the course of prevention and control,and to summarize and promote the experience of malaria elimination. Methods The data of malaria prevention measures of different stages in Huzhou City from 1950 to 2015 were analyzed retrospectively. Results Huzhou City went through three serious malaria epidemics during the past 60 years： 1954 to 1955,1962 to 1963 and early 1970. The highest incidence rate was 13 981. 76 /1 00,000 in 1963. Since standard treatments（ including anti- relapse treatment） were carried out and anti- mosquito facilities had improved,the average annual incidence rate in the 70 s declined gradually. From 1980 to1989,Huzhou City set up 15- 30 longitudinal monitoring stations which covered 70% villages and towns. In 1989,the City passed the fundamental evaluation of malaria eradication. The average annual incidence rate from 1990 to 2009 was0. 37 /1 000,000,and 48. 95% were imported cases. After 2010,Huzhou City had no local malaria case,and all cases reported were imported from 2010 to 2015. Conclusion A remarkable effects of the targeted control measures have been made at different stages in Huzhou City. In order to consolidate the achievements,we should strengthen the monitoring of floating population,timely and effective treatment of imported cases.

关 键 词：疟疾 防制历程 输入病例 

分 类 号：R531.3[医药卫生—内科学]