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目的分析腾冲县2013年疟疾监测结果,为开展疟疾消除工作提供依据。方法收集2013年腾冲县疟疾疫情数据和监测资料,分析该县疟疾流行情况及不明原因发热病人血检、主动病例侦查、漏报调查、哨点监测以及传疟蚊媒的种群和密度等监测指标。结果 2013年腾冲县共报告疟疾病例138例,其中间日疟118例、恶性疟20例,均为输入性病例,无本地感染病例。该县不明原因发热病人血检和病例报告及个案调查完成率均达到100%,开展主动侦查57次,未发现阳性病例;开展2次漏报调查,发现1例漏报病例;在境内和境外同时开展哨点监测,检测疟疾疑似病例172例,共检出阳性15例;共筛查归国人员528人,均为阴性。媒介构成以中华按蚊和凉山按蚊为主,其次是微小按蚊、多斑按蚊等。结论 2013年腾冲县疟疾疫情基本稳定,各项监测工作顺利完成,但在疟疾防治及实现疟疾消除过程中仍面临一些困难,今后应加强输入性病例监测和流动人口管理,以及疟疾防治队伍能力建设。
Objective To analyze the results of malaria surveillance in 2013 in Tengchong County and provide basis for malaria elimination. Methods The malaria epidemic data and monitoring data collected in 2013 in Tengchong County were collected. The malaria epidemic situation, the blood samples of patients with unexplained fever, the investigation of active cases, the omission of reports, the sentinel surveillance and the population and density of mosquito vectors were collected . Results In 2013, 138 cases of malaria were reported in Tengchong County, including 118 cases of Plasmodium falciparum and 20 cases of Plasmodium falciparum, all of which were imported cases without any local infection. The county of unknown causes of fever, blood tests and case reports and case investigation completed rate of 100%, to carry out active detection of 57 times, no positive cases were found; carry out 2 underreporting survey found that 1 case of omission; in the territory and outside At the same time carry out sentinel surveillance, detection of suspected cases of malaria in 172 cases, a total of 15 were positive; a total of 528 returnees were screened, were negative. An. Anopheles sinensis and Anopheles sinensis dominated the media, followed by Anopheles minimus and Anopheles plague. Conclusion In 2013, the epidemic situation of malaria in Tengchong County was basically stable and the monitoring work was successfully completed. However, there were still some difficulties in malaria control and malaria elimination. In the future, monitoring of imported cases and management of floating population should be strengthened and capacity building of malaria prevention and treatment teams strengthened .