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目的分析评价原为广西疟疾高度流行区的中国和越南边境县1952-2010年疟疾防治效果,为国际边界县疟疾防治提供依据。方法查阅收集全县历年疟疾防治资料,包括历年疟疾疫情报告、防治方案、各乡镇卫生院疟疾病人诊断和治疗资料等,采用Excel软件进行统计和分析。结果该县原为广西疟疾高度流行区,1953年疟疾患者达31 200例,人群发病率为19 074.87/10万,并有恶性疟(PM)、间日疟(PV)和三日疟(PF)流行。60年代下降为909.64/10万,70年代为424.54/10万,80年代为88.48/10万,90年代为1.44/10万,本世纪为0.16/10万。80年代初期在当地居民中未发现三日疟病例,后期未发现恶性疟病例。本世纪未发现当地居民疟疾患者。1982年对流动人口疟疾患者进行监测,90年代至本世纪主要以流动人口疟疾病例为主,并有恶性疟病例传入。结论该县自1995年基本消灭疟疾后,疟疾流行在当地得到有效控制,但在流动人口中近十年发现7例疟疾病人,并有恶性疟存在,仍需继续加强流动人口疟疾检测。
Objective To analyze and evaluate the malaria control effect of 1952-2010 in the frontier counties of China and Vietnam, which was originally a high prevalence area of malaria in Guangxi, and provide the basis for malaria control in international border counties. Methods The data of malaria control over the whole county were collected, including reports of malaria epidemics over the years, prevention and treatment programs, diagnosis and treatment of malaria patients in township hospitals, and so on. Statistical analysis was carried out using Excel software. Results The county was originally a highly endemic area of malaria in Guangxi. There were 31,200 cases of malaria in 1953, with a population incidence of 19 074.87 / 100 000. There were also malaria-resistant (PM), Plasmodium vivax (PV) and Plasmodium malaria )popular. In the 1960s it dropped to 909.64 / lakh, compared with 424.54 / lakh in the 1970s, to 88.48 / lakh in the 1980s, to 1.44 per lakh in the 1990s and 0.16 / lakh in this century. In the early 1980s, no cases of malaria were found in the local population, and no cases of falciparum malaria were found in the later period. This century, no local residents were found malaria. In 1982, migrants were monitored for malaria. In the 1990s, the majority of malaria cases in the floating population were caused by this century and cases of falciparum malaria were introduced. Conclusion The malaria epidemic was effectively controlled in the country since the malaria elimination was basically completed in 1995 in the county. However, in the recent 10 years, 7 cases of malaria were found in the floating population and there was falciparum malaria. The detection of malaria in floating population still needs to be strengthened.