摘要
目的了解陵水县疟疾流行概况与防治历程,总结评估陵水县消除疟疾工作,为其他地区实施消除疟疾行动计划及开展评估工作提供参考和依据。方法对陵水县1951—2016年疟疾防治疫情数据、报表、文件、工作计划、防治策略与措施等资料进行描述性分析和总结。根据国家卫生计生委《消除疟疾考核评估方案(2014年版)》,对陵水县消除疟疾工作进行评估。结果疟疾曾是危害陵水县人民健康最为严重的地方性寄生虫病,曾经发生过疟疾大流行,发病最高年份为1958年,报告发病18 231人,发病率1 340.88/万。防治工作经历调查研究、控制流行、综合防治和消除疟疾4个阶段,于2017年达到消除疟疾标准。在消除疟疾阶段(2010—2016年),陵水县建立多部门联防联控工作机制,经费保障到位,按《海南省消除疟疾实施方案》要求开展消除和巩固工作,乡镇卫生院及以上医疗机构均有专人负责疟防工作,疟原虫血检55 124人,各年度血检数达到总人口1.82%~2.59%,血检均未发现阳性病人,血片复核率为10.0%。媒介监测发现本地主要的传疟媒介大劣按蚊和微小按蚊已经捕获不到。结论陵水县经过60年持续不断的疟疾防治,有效阻断了疟疾传播,连续保持6年无本地疟疾病例,达到消除疟疾标准。巩固工作重点是加强输入性病例监测。
Objective To understand the malaria epidemiological situation and the process of prevention and control, and summarize and evaluate the malaria elimination work in Lingshui County, Hainan Province, so as to provide the reterenee for other similar regions. Methods The data of malaria control, reports, documents, work plans, strategies, measures and so on were collected and descriptively analyzed in Lingshui County from 1951 to 2016. According to ＂The programme of elimination of malaria （2014 edition）＂ announced by the National Health and Family Planning Commission, the malaria elimination work was assessed. Results Malaria once was the most serious and harmful endemic disease in Lingshui County. The highest incidence rate was 1 340.88/104 （18 231 eases）in 1958. The malaria prevention and control work experienced four stages： investigation stage, transmission control stage, comprehensive prevention and control stage, and elimination stage. In 2017, this county reached the standard of malaria elimination. During the period of malaria elimination （2010-2016）, the government established the muhisectoral joint prevention and control mechanism, and ensured the sufficient funding. According to ＂Hainan malaria eradication plan＂, the elimination and consolidation measures were carried out. In the township hospitals and medical institutions, there were specially-assigned persons responsible for malaria prevention and control work. The blood tests for Plasmodium in febrile people were performed, including 55 124 persons, and the annual blood test proportions reached 1.82%-2.59% of the total population. No positives were found in the blood tests, and the re-cheek rate of blood smears was 10.0%. The local major malaria vectors, Anopheles dirus and An. minimus, were not captured in the insectborne monitoring. Conclusion Lingshui County has reached the goal of malaria elimination after 60 consecutive years＇ efforts of malaria prevention and control. In the future, the emphasis of consolidation work is to
作者
李兴智
占达天
陈冲
王善青
LI Xingzhi;ZHAN Datian;CHEN Chong;WANG Shanqing(Center for Disease Control and Prevention in Lingshui County, Lingshui, Hainan 572400, China)
出处
《中国热带医学》
CAS
2018年第4期340-344,共5页
China Tropical Medicine
基金
海南省重点研发计划项目(No.ZDYF2017111)
关键词
疟疾
流行概况
防治历程
消除评价
malaria
epidemiological situation
preventive and control process
elimination evaluation
