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目的了解江城县疟疾流行现状及其控制能力。方法采用横断面回顾性调查方法,统计2002年县、乡/村级卫生机构的疟疾报告疫情、血检能力等内容,对人群疟防常识知晓、村民疟史、蚊帐使用情况进行问卷调查。使用:Epidata录入数据,并将数据转换成dBaseⅢ格式在EpiInfo2002软件分析描述。结果2000-2002年,江城县的疟疾发病率为6.49/万,7个乡均有病例分布,15.12/万为乡水平的最高发病率,1.17/万为最低发病率,被调查3个乡的疟疾发病率分别为15.12/万、5.51/万和1.17/万。接受入户调查27个自然村,在2002年共有10例疟疾疫情报告病例,对其进行发热病人血栓登记、医生疟疾治疗处方、入户调查核实后,估算得江城县的血检、处方、走访漏报率分别为45.21%、0和84.62%,3162名学生和村民的疟疾常识知晓程度不高,村民的经验积累型疟防知识水平高于中小学生,间接传授型疟防知识水平与中小学生相当,村民文盲率为15.89%,蚊帐使用率60.56%。结论江城县的疟疾控制应体现多样性,并且要进一步加强乡村一级疟防资源的投入及不同人群疟防知识的宣教,疟疾处方漏报率对该县制定疟疾策略的导向作用和参考价值有待进一步确定。
Objective To understand the status of malaria epidemic and its control in Jiangcheng County. Methods A cross-sectional retrospective survey was conducted to survey the malaria reporting and blood tests of county, township and village health institutions in 2002 and to conduct questionnaire surveys on common malaria awareness, village malaria history and use of mosquito nets. Use: Epidata Data Entry and Data Conversion into dBaseIII format described in the EpiInfo2002 Software Analysis. Results The incidence of malaria in Jiangcheng County was 6.49 per 10,000 in 2000-2002. There were 7 cases of malaria in each county, the highest incidence of 15.12 per 10,000 townships and the lowest incidence of 1.17 per 10,000 in villages. The incidence of malaria was 15.12 / million, 5.51 / million and 1.17 / million respectively. In 27 natural villages, there were 10 cases of malaria reported in 2002, thrombus registration of febrile patients, prescribing of malaria for doctors and household surveys were verified. The blood tests, prescriptions and visits of Jiangcheng County were estimated The rates of malaria awareness of villagers were higher than those of primary and secondary school students. The knowledge level of indirectly taught malaria prevention was similar to that of primary and secondary school students , The villagers illiteracy rate was 15.89%, mosquito net utilization rate of 60.56%. Conclusion Malaria control in Jiangcheng County should be diversified. And it is necessary to further strengthen the input of malaria prevention resources at the village level and the propaganda and malaria prevention knowledge of different people, and the underemployment rate of malaria to guide the malaria strategy in this county and its reference value Further confirmation.