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目的:分析评价原为疟疾高度流行的广西资源县历年疟疾防治效果,为该县消除疟疾提供依据。方法:查阅收集该县1953年至2012年历年疟疾防治资料,包括疟疾疫情报告、各乡镇卫生院疟疾诊断、治疗及文史资料等,采用Excel软件进行统计和分析。结果:上世纪50年代该县属于多种疟原虫种类疟疾高度流行区,疟疾年均发病率为2 609.04/10万,疟疾病例占传染病总数的86.49%,60和70年代年均发病率分别为69.83/10万和3.94/10万。1980年以前该县的疟疾病例98.76%属于临床诊断疟疾病例,1983年至今该县无内源性疟疾病例发现,当地的疟疾病例全部来自流动人口;上世纪八十年代至本世纪该县疟疾年均发病率分别为0.27/10万、1.18/10万和0.14/10万。近几年有在非洲感染恶性疟原虫回到该县后死亡的病例。结论:资源县自1990年基本消灭疟疾后,当地疟疾流行得到有效控制,但需加强流动人口中的疟疾病例的监测及医务人员有关疟疾流行病学知识的普及。
OBJECTIVE: To analyze and evaluate the malaria control effect of Guangxi Ziyuan County, which was originally highly endemic to malaria, and provide a basis for eliminating malaria in this county. Methods: The data of malaria control, including the malaria epidemic situation report, malaria diagnosis, treatment and literary and historical data of township hospitals were collected and collected from 1953 to 2012 in the county. The software was used for statistics and analysis. Results: In the 1950s, the county belonged to a highly endemic area of malaria. The annual incidence of malaria was 2 609.04 / lakh and malaria cases accounted for 86.49% of the total number of infectious diseases. The annual average incidence of malaria was 69.83 / 100,000 and 3.94 / 100,000 respectively. Before 1980, 98.76% of the malaria cases in this county belonged to the clinical diagnosis of malaria cases. Since 1983, no cases of endogenous malaria have been found in this county. All the local cases of malaria have come from floating population. From the 1980s to the present malaria year of this century The average incidence was 0.27 / 100,000, 1.18 / 100,000 and 0.14 / 100,000 respectively. In recent years there have been cases of death after the return of P. falciparum to Africa in Africa. Conclusion: After the malaria elimination in Zuoyuan County was basically completed in 1990, the local epidemic of malaria has been effectively controlled. However, monitoring of malaria cases in floating population and popularization of malaria epidemiology among medical staff should be strengthened.