山东省日照市1951—2019年疟疾流行情况和防控效果  

Malaria epidemic and control effect in Rizhao City of Shandong,1951-2019

作　　者：林琳[1] 张颖[1] 周荣荣[1] 杨玉凤[1] 张玉[1] LIN Lin;ZHANG Ying;ZHOU Rongrong;YANG Yufeng;ZHANG Yu(Rizhao Centre for Disease Control and Prevention,Rizhao,Shandong 276800,China)

机构地区：[1]日照市疾病预防控制中心,山东日照276800

出　　处：《中国热带医学》2020年第10期1006-1010,共5页China Tropical Medicine

摘　　要：目的分析新中国成立以来日照市疟疾流行特征和防治历程,总结防控经验,提出新形势下应如何应对挑战,进一步巩固疟防成果。方法收集日照市1951—2019年疟疾防治资料,用描述性统计学方法总结分析每个时期疟疾的流行情况、采取的防控措施及效果。结果1951—2019年日照市累计报告疟疾519057例,2004年以前均为本地感染的间日疟,2004年以后以输入性恶性疟为主占69.44%(50/72),其次是间日疟占19.44%(14/72)。整个防治经历了建国初期散发流行、疟疾暴发与控制、基本消灭疟疾、巩固防治成果、消除疟疾五个防治阶段,取得了阶段性的成果。1986年疟疾发病率从1961年的15396.01/10万下降到1/10万以下,1988年达到“基本消灭疟疾”的目标,1994年后未再出现本地感染病例,2016年通过消除疟疾的省级考核。结论日照市已达到消除疟疾目标,但疟疾传播和流行因素依然存在,做好输入性疟疾的防控是持续保持消除疟疾成果的关键。Objective To Analyze the epidemic characteristics,prevention and treatment process of malaria in Rizhao City,we summarize the prevention and control effect experience,put forward how to deal with challenges in the new situation and further consolidate the achievements of malaria prevention.Methods Data of malaria control in Rizhao City,1951-2019 were collected,and the epidemic situation,control measures and effects were analyzed by descriptive statistics.Results From 1951 to 2019,a total of 519057 cases of malaria were reported in Rizhao.Locally vivax malaria cases were dominated before 2004.Imported falciparum malaria cases accounted for 69.44%(50/72),followed by vivax malaria for 19.44%(14/72)after 2004.Malaria prevention and control has achieved phased results.It has gone through five stages,that is the stage of sporadic epidemics in the early days of foundation of the People′s Republic of China,outbreak and control,basic malaria eradication,consolidating the achievements of prevention and control,comprehensive elimination.The peak incidence dropped from 15396.01/105 in 1961 to less than 1/105 in 1986,the objective of"basic malaria eradication"was reached in 1988,and no local malaria cases have been found since 1994.and the provincial standard for malaria elimination was reached in 2016.Conclusion Rizhao has achieved its goal of eliminating malaria,but the transmission and epidemic factors still remains,so the prevention and control of imported malaria is the key to maintain the achievements of malaria elimination.

关 键 词：疟疾 消除疟疾 预防控制 输入性 

分 类 号：R531.3[医药卫生—内科学]