摘要
目的:分析评价原为疟疾高度流行的广西资源县历年疟疾防治效果,为该县消除疟疾提供依据。方法:查阅收集该县1953年至2012年历年疟疾防治资料,包括疟疾疫情报告、各乡镇卫生院疟疾诊断、治疗及文史资料等,采用Excel软件进行统计和分析。结果:上世纪50年代该县属于多种疟原虫种类疟疾高度流行区,疟疾年均发病率为2 609.04/10万,疟疾病例占传染病总数的86.49%,60和70年代年均发病率分别为69.83/10万和3.94/10万。1980年以前该县的疟疾病例98.76%属于临床诊断疟疾病例,1983年至今该县无内源性疟疾病例发现,当地的疟疾病例全部来自流动人口;上世纪八十年代至本世纪该县疟疾年均发病率分别为0.27/10万、1.18/10万和0.14/10万。近几年有在非洲感染恶性疟原虫回到该县后死亡的病例。结论:资源县自1990年基本消灭疟疾后,当地疟疾流行得到有效控制,但需加强流动人口中的疟疾病例的监测及医务人员有关疟疾流行病学知识的普及。
Objective： To analyze and evaluate of malaria control effect over the years in Ziyuan County of Guangxi Province that was the original of the poverty- stricken and highly endemic of malaria mountain county, and to provide the basis for the County to eliminate malaria. Methods： Malaria control information of the Country from 1953--2012, including malaria epidemic reported, the township hospitals malaria cases diagnosis, treatment and cultural and historical data were collected and analyzed statistically using Excel software. Results： The County was classified a variety of types of plasmodium malaria highly endemic areas and the annual incidence of malaria was 2 609.04/100 thousand and malaria cases accounted for 86.49% of the total number of infectious diseases cases in 1950s of last century. The average annual incidence rate of the 1960s and 1970s were 69.83/100 thousand and 3.94/100 thousand respectively. 98.76% malaria cases was clinical diagnosis before 1980. No endogenous malariacase was found in the County and the all cases of malaria from the floating population from 1983 to this century. The County＇s average annual incidence of malaria were 0.27/100 thousand, 1. 18/100 thousand and 0.14/100 thousand from 1980s to this century. In recent years, there were malaria cases deaths in the County, who were infected with plasmodium falciparum in Africa. Conclusion： The County reach basically eliminated malaria since 1990 and the local malaria epidemic has been effectively controlled, but the need to strengthen the floating population in malaria patient monitoring and medical personnel malaria epidemiology literacy.
出处
《现代医学》
2014年第2期150-154,共5页
Modern Medical Journal
关键词
疟疾
疫情
控制
流动人口
malaria
epidemic
control
floating population
