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目的探讨荣成市消除疟疾的可行性及实施消除疟疾所面临的问题,为消除疟疾提供科学依据。方法按照《国家消除疟疾试点方案》的要求进行分层随机整群抽样,抽取调查乡镇、村和居民。调查试点前后人群疟疾感染情况、学生疟疾抗体水平、村民疟防知识知晓情况、蚊媒及疟疾诊断能力。结果试点前荣成市村民疟防知识平均知晓率、村民的防蚊设施覆盖率、医务人员疟疾诊疗水平合格率分别为39.17%、83.08%和57.69%,试点后分别为95.37%、94.03%和96.67%,差异均有统计学意义(P<0.01)。按蚊密度、镜检员镜检技术熟练程度试点前后差异无统计学意义;中小学生疟疾抗体检测均为阴性。结论通过加强卫生宣教和技术培训、提高监测能力和加强高疟区流动人口管理,荣成市消除疟疾目标可以实现。
Objective To explore the feasibility of eliminating malaria in Rongcheng City and to implement the malaria elimination and to provide a scientific basis for the elimination of malaria. Methods According to the “National Pilot Program for Malaria Elimination”, stratified stratified random cluster sampling was conducted to investigate townships, villages and residents. Survey malaria infection before and after the pilot population, the level of malaria antibodies in students, knowledge of villagers malaria prevention knowledge, diagnosis of mosquito vectors and malaria. Results The average awareness rate of malaria prevention knowledge, villager’s anti-mosquito facility coverage rate and medical staff malaria treatment rate before trial were 39.17%, 83.08% and 57.69%, respectively, after trial, 95.37%, 94.03% and 96.67% respectively %, The differences were statistically significant (P <0.01). Anopheles density, mirror examination skilled proficiency pilot before and after the difference was not statistically significant; primary and secondary malaria antibodies were negative. Conclusion The goal of eliminating malaria in Rongcheng City can be achieved by strengthening health education and technical training, improving surveillance capacity and strengthening the management of floating population in high malaria areas.