目的了解江门市疟疾流行态势,为制定后期疟疾防治对策提供依据。方法收集江门市2006~2015年疟疾疫情和防治工作相关材料,对全市发热居民进行疟原虫血检,数量为各区、市人口0.5‰以上及媒介密度监测,进行回顾性流行病学调查。结果 2006~2015年共血检发热居民79480例,检出疟疾患者23例;10年共报告疟疾30例,年均发病率为0.07/10万;其中输入性疟疾病例占96.7%,国外务工人员职业患病率最高;仅出现1例本地间日疟病例(2009年台山赤溪镇);共对2个监测点进行传疟媒介调查,人诱捕获优势蚊种2种(中华按蚊、微小按蚊),未发现子孢子自然感染。用除虫菊酯喷洒效果良好,仍为防治疟疾及传疟媒介有效方法 ,可作处理疟疾疫点的重要措施。结论江门市2009年至今无本地病例,并于2016年宣布为消除疟疾地区(GB26345-2010)[1]。目前疟疾流行以输入性为主,应继续加强疟疾监测,特别是输入性疟疾的防控是今后疟防工作的重点。同时要继续巩固,早诊断、早治疗、杜绝传染源、减少人蚊接触的疟防管理模式,最大限度地控制输入性疟疾流行。 Objective To understand the epidemic situation of malaria in Jiangmen City and provide evidence for the development of malaria control strategies in the late period. Methods The malaria epidemic situation and prevention and control materials were collected from 2006 to 2015 in Jiangmen City. The blood samples of feverish people in the city were collected. The blood samples were collected from all districts and cities and the media density was monitored. The epidemiological investigation was conducted retrospectively. Results A total of 79,480 residents were tested positive for blood tests during the period from 2006 to 2015. Twenty-three malaria patients were detected. In the past 10 years, 30 malaria cases were reported, with an average annual incidence of 0.07 / 100,000. Among them, 96.7% were imported malaria cases and foreign workers Occupational prevalence rate was the highest; only one case of local malaria malaria (Chixi town, Taishan City, Taiwan) occurred in a single case; malaria vector survey was conducted on two monitoring sites and two species of dominant mosquito (Anopheles sinensis, Anopheles), no natural infection of sporozoites was found. Pyrethrins spray good effect, is still an effective way to control malaria and malaria vector, can be used as an important measure to deal with malaria epidemic. Conclusion There were no local cases in Jiangmen since 2009 and they were declared malaria elimination areas in 2016 (GB26345-2010) [1]. At present, the prevalence of malaria is mainly imported, and malaria surveillance should continue to be strengthened. In particular, prevention and control of imported malaria should be the focus of malaria prevention in the future. At the same time, we should continue to consolidate, early diagnosis and early treatment, put an end to the source of infection and reduce the malaria prevention and management mode of exposure to mosquitoes and mosquitoes, and control the prevalence of imported malaria to the maximum.