江苏省泰兴市疟疾流行与防治历程及消除措施和评价

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目的分析江苏省泰兴市疟疾流行概况与防治历程,评价防治措施和防治效果,总结推广防治经验。方法收集泰兴市1950—2014年疟疾发病资料、流行病学调查、媒介调查、防治和监测资料,并进行描述性分析。结果泰兴市自1950年至今共发现疟疾病例2 358 190人,曾经发生过2次疟疾大流行,1971年发病率最高时达到2 794/万。中华按蚊系唯一传播媒介,综合防治阶段(1979—1988年)通过“一防、三治、压高峰”等措施,休止期根治1 010 914人次,现症治疗37 945人,清理复治23 068人,流行季节预防服药4 231 309人次。2005年达到基本消灭疟疾标准。通过近10年的监测,泰兴市的疟疾发病率始终控制在1/万以下,最后1例本地病例发生在2009年。消除疟疾阶段(2010—2014年)共血检48 042人,查出疟疾阳性35人,其中恶性疟31人,间日疟1人,三日疟1人,卵形疟2人,均为输入性病例,开展主动病例侦查174个行政村,34 954人,走访结果未发现疟疾病人。近4年未有本地感染疟疾病例发生,通过消除疟疾考核评估。结论泰兴市疟疾防控措施卓有成效且防治效果巩固,已经达到消除疟疾标准。 Objective To analyze the general situation of malaria and its prevention and cure in Taixing City, Jiangsu Province, and to evaluate the prevention and control measures and prevention and cure effects. Methods The malaria incidence data, epidemiological investigation, media investigation, prevention and surveillance data of Taixing from 1950 to 2014 were collected and analyzed descriptively. As a result, a total of 2 358 190 malaria cases were found in Taixing since 1950, two malaria pandemic cases occurred, and the highest incidence in 1971 reached 27.49 million. The only transmission medium of Anopheles sinensis was the period of comprehensive prevention and control (1979-1988). By means of such measures as “one prevention, three governance and peak pressure”, 1,010,914 people were stopped during the period of prevention and cure, and 37,945 people were cured and resettled Treatment of 23 068 people, the epidemic season to prevent medication 4 231 309 person-time. In 2005, the basic malaria elimination standard was reached. Through nearly 10 years of monitoring, the incidence of malaria in Taixing has been controlled below 1 / 10,000. The last case of local malaria occurred in 2009. During the phase of malaria elimination (2010-2014), a total of 48 042 blood tests were carried out, of which 35 were positive for malaria. Among them, 31 were falciparum malaria, 1 malaria, 1 malaria and 2 were malaria. They were both imported Sexually transmitted diseases were detected in 174 administrative villages with 34 954 active cases. No malaria patients were found on the visit. In the recent 4 years, no local cases of malaria have been reported, and malaria assessment was eliminated. Conclusion The malaria prevention and control measures in Taixing have achieved remarkable success and the control effect has been consolidated, and the malaria elimination standard has been reached.
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