云南省1999～2001年疟疾流行现状分析  

ANALYSIS OF MALARIA EPIDEMIC SITUATION OF YUNNAN PROVINCE FROM 1999 TO 2001

作　　者：李华宪[1] 张再兴[1] 周新文[1] 毕艳[1] 杨海龙[1] 姜华[1] 陈章伟[1] 

机构地区：[1]云南省寄生虫病防治所,云南思茅665000

出　　处：《中国寄生虫病防治杂志》2003年第2期89-92,共4页Chinese Journal of Parasitic Disease Control

摘　　要：目的　了解云南省疟疾流行态势 ,为制定抗疟规划提供参考依据。　方法　收集云南省 1999～ 2 0 0 1年疫情报告和疟疾防治工作年报表的材料 ,按常规流行病学统计方法进行分析和描述。　结果　 1999～ 2 0 0 1年云南省 16个地州的 12 0个县内报告疟疾病例 3185 8例 ,占全省传染病总数的 13.4 3% ,疟疾平均年发病率为 2 .6 3 。发病率在 5 以上县的人口数占全省总人口的 2 0 %左右 ,但发病数则占全省的 80 %左右。 2 5个边境县 3年共报告疟疾病例 2 16 30例 ,占全省发病数的 6 7.90 % ,报告恶性疟 5 2 92例 ,占全省恶性疟数的 78.5 2 %。流动人口中以省内流动人员的感染数最高。云南省 3年来上报的疫情数均低于发热病人血检阳性数 ,预示疟疾疫情存在漏报。　结论　云南省的疟疾态势依然严峻。“十五”期间 ,需要通过培训、宣教等手段提高疟防工作者的能力和社区居民的疟防意识 ,同时要尽快建立“早期诊断 ,迅速治疗和减少人蚊接触”的疟防管理新模式 。Objective To provide the evidence for developing malaria control strategy by understanding malaria epidemic situation. Methods To statistics and describe malaria epidemic situation and the work of malaria control of 1999~2001 in Yunnan Province by using the method of routine epidemic statistics. Results There were 31 858 malaria cases have been reported in 120 counties of 16 prefecture in Yunnan Province from 1999~2001. It accounts for 13.43% of total communicable disease number of whole province. The average annual malaria incidence was 2.63 in 1999~2001. In the counties which malaria incidence is higher than 5, the population was account for 20% about but the malaria cases was account for 80% about compared with whole province. There were 21 630 malaria cases and 5 292 falciparum malaria cases had been reported in 25 border counties and occupied to 67.90% of total malaria cases and 78.52% of total farciparum malaria cases in whole province. The highest malaria infection of mobile population was in the group of mobile only in Yunnan Province. The malaria cases, which reported by epidemic situation report system, were lower than the cases of blood examination of fever cases. That means some malaria cases had not been reported by the epidemic situation report system. Conclusion Malaria situation is still serious in Yunnan Province. In the malaria control plan of 2001~2005, we need to strengthening malaria control staffs ability and residents awareness for malaria treatment and prevention through carrying out health promotion, to set up the malaria control management model of early diagnosis, prompt treatment and reduce the contact of human vector.

关 键 词：云南 疟疾 流行态势 发病率 

分 类 号：R382.31[医药卫生—医学寄生虫学]