山西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 Shanxi

作　　者：张玉农[1] 李国华[1] ZHANG Yunong LI Guohua(Shanxi Center for Disease Control and Prevention, Taiyuan, Shanxi 030012, China)

机构地区：[1]山西省疾病预防控制中心,山西太原030012

出　　处：《中国热带医学》2017年第1期1-5,共5页China Tropical Medicine

摘　　要：山西省曾属低疟流行区,在20世纪70年代以前年报告疟疾病例数较多,其中1951、1970和1974年为三个发病高峰年,年报告发病数分别为1 155、2 303和1 282例。经过多年的防治,1986年以后每年疟疾发病人数已控制在较低水平,不超过20例。2000年以后每年仅有个别病例报告,且均为输入性病例。疟疾年均报告发病率已由1950—1959年的5.25/10万下降到2000—2009年0.03/10万。2010年启动消除疟疾工作,2010—2015年全省省、市、县共培训疟防专业人员18 189人次,临床医生24 991人次,检验人员7 219人次;血检不明原因发热病人47 385例,其中1例为疑似本地感染疟疾病例(2011年),12例为输入性疟疾病例(2013和2014年各5例,2015年2例)。5年共报告疟疾病例57例,除2011年1例为疑似本地感染疟疾病例外,其余56例均为境外输入性病例,24 h疟疾病例报告及时率为100%,病例报告后3 d内个案调查率100%;2013—2015年全部病例均为实验室确诊病例,实验室确诊率为100%;2013—2015年应调查处置疫点数44个,病例报告后的7 d内疫点处置率为100%。全省连续三年无本地感染疟疾病例,11个市于2015年均通过了省级消除疟疾考核评估。Shanxi was one of the regions with low prevalence of malaria, and there were more malaria cases reported everyyear before 1970 s, with three peaks of 1 155, 2 303, and 1 282 cases in 1951, 1970, and 1974, respectively. After years ofprevention and treatment, the number of malaria cases every year was controlled in a very low level since 1986, no more than20. After 2000, there were only a few imported cases reported every year. The annual incidence of malaria was reported to fallfrom 5.25 per 100 000 population in 1950 s to 0.03 per 100 000 population in 2000 s. Since 2010, Shanxi had carried outmalaria elimination according to Action Plan of China Malaria Elimination（2010- 2020）. From 2010 to 2015, 18 189 professional staff members, 24 991 clinicians and 7 219 microscopic inspectors were trained for malaria control. A total of 47385 patients with fever of unknown origin were tested for malaria, of which 1 was suspected of local infection of malaria cases（in 2011）, 12 of imported malaria cases（5 each in 2013 and 2014, 2 in 2015）. Totally 57 malaria cases were reported in Shanxi,of which 1 was suspected of local infection in 2011 and the remaining 56 cases were imported from other countries. The rate ofcases reported timely within 24 h was 100%, and the rate of cases surveyed within 3 days after case reported was 100%. From2013 to 2015, all the cases reported were laboratory-confirmed, with the diagnosis rate of 100%. From 2013 to 2015, therewere 44 foci needed to be investigated and disposed, and the disposal rate within 7 days after case reported was 100%. Therewas no local malaria cases reported for 3 consecutive years in Shanxi, and all 11 cities passed provincial assessment of malariaelimination in 2015.

关 键 词：疟疾 消除 中期 评估 

分 类 号：R531.3[医药卫生—内科学]