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目的分析广西恭城瑶族自治县1951—2015年疟疾流行趋势,评价疟疾防治措施及防治效果,为调整疟疾防治策略提供科学依据。方法收集广西恭城瑶族自治县1951—2015年疟疾监测相关资料,采用Excel软件进行统计分析。结果恭城县1951—2015年共报告疟疾病例22 535例,发病率150.19/10万,上世纪50年代和60年代疟疾流行最严重,分别报告疟疾病例12 386例和10 019例,年均发病率为879.14/10万和603.94/10万,70年代后疫情日趋平缓,自1978年报告5例本地疟疾病例后再无内源性病例发生;输入性疟疾病例于1981年开始有报告,80年代报告输入性疟疾病例11例,90年代报告36例,本世纪2000—2009年输入性疟疾病例有所下降,但到2010年以后输入性病例呈上升趋势。输入性病例感染来源2010年前主要为国内的云南、海南、广东;2010年后输入性病例感染来源为国外柬埔寨、缅甸、尼日利亚。病例所从事工种主要以挖矿为主,建筑次之,分别占33.87%和25.81%。结论恭城县当地疟疾流行得到有效控制,加强流动人口疟疾管理,有效处置输入性疟疾病例,避免二代病例的发生是巩固疟防成果的关键。
Objective To analyze the epidemiological trend of malaria in Guangxi Gongcheng Yao Autonomous County from 1951 to 2015, evaluate the malaria prevention and control measures and its prevention and cure effects, and provide a scientific basis for the adjustment of malaria control strategies. Methods The data of malaria surveillance in Guangxi Gongcheng Yao Autonomous County from 1951 to 2015 were collected and analyzed by Excel software. Results Gongcheng County reported a total of 22 535 cases of malaria in 1951-2015, with a prevalence of 150.19 / 100,000. The malaria epidemic was the most serious in the 1950s and 1960s, with 12 386 cases of malaria and 1019 cases reported respectively, with an average annual incidence With rates of 879.14 / lakh and 603.94 / lakh respectively. After the 1970s, the outbreak became more gradual with no endogenous cases reported after 5 local cases of malaria were reported in 1978; imported cases of malaria were reported in 1981 and in the 1980s 11 cases of imported malaria were reported and 36 cases were reported in the 1990s. The number of imported cases of malaria dropped from 2000 to 2009 in this century, but the number of imported cases is on the rise after 2010. Sources of imported case-based infections were mainly from Yunnan, Hainan and Guangdong before 2010; imported cases of imported cases from overseas were from Cambodia, Myanmar and Nigeria after 2010. The cases are mainly engaged in mining work mainly mining, followed by construction, accounting for 33.87% and 25.81% respectively. Conclusion The prevalence of malaria in Gongcheng County has been effectively controlled. Strengthening the management of malaria in floating population, and effectively treating cases of imported malaria, and avoiding the occurrence of second-generation cases are the key to consolidate the results of malaria prevention.