论文部分内容阅读
目的了解江苏省疟疾流行现状,掌握疟疾流行规律和趋势。方法根据全省疟疾流行程度与特征,选择原本地病例较多的宿迁市泗洪县和输入性病例较多的扬州市宝应县为国家级疟疾监测哨点;选择无锡市宜兴市、徐州市睢宁县、常州市武进区、南通市海安县、连云港市赣榆县和淮安市盱眙县6个县(市、区)为省级疟疾监测哨点。收集疟疾监测哨点基本情况以及发热病人血检、疟疾病人个案调查、疫点调查和处置等监测数据。结果 2014年江苏省8个疟疾监测哨点共血检发热病人92 484人次,平均血检率为1.15%;检出疟原虫阳性61例,阳性率为0.07%。61例疟疾病例均为实验室诊断的境外输入性病例,并在网络直报3 d内完成血片复核和流行病学个案调查、7 d内完成疫点调查与处置。流行病学个案调查发现,61例疟疾病例初次就诊主要集中在县级疾控机构(37.70%,23/61)和县级医疗机构(50.82%,31/61),明确诊断也集中在县级疾控机构(45.90%,28/61)和县级医疗机构(47.10%,29/61);初次就诊确诊率为90.16%(55/61);48例由公司外派出国,34例有同行人员。结论江苏省疟疾监测哨点较好地发挥了监测作用,有效推动了全省消除疟疾工作。今后的疟疾监测工作应建立多部门合作模式,形成协查机制,加强对高危人群的主动筛查和健康宣教。
Objective To understand the status of malaria in Jiangsu Province and to grasp the laws and trends of malaria epidemic. Methods According to the extent and characteristics of the malaria epidemic in the province, Sihong County, Suqian City, which had more local cases and Baoying County, Yangzhou City, which had more imported cases, were selected as the national sentinels for the surveillance of malaria. In Yixing City and Xuzhou City, Wujin District of Changzhou City, Hai’an County of Nantong City, Ganyu County of Lianyungang City and Xuyi County of Huai’an County (cities and districts) are the provincial-level malaria sentinel surveillance posts. Collect the basic conditions of the sentinel surveillance of malaria as well as the blood test data of fever patients, case investigation of malaria patients, epidemic investigation and disposal. Results In 2014, a total of 92 484 fever-seeking patients were found in 8 malaria surveillance sentinel sites in Jiangsu Province, with an average blood test rate of 1.15%. 61 cases were positive for Plasmodium, the positive rate was 0.07%. 61 cases of malaria were imported cases of laboratory diagnosis, and in the network direct report within 3 d to complete blood chip review and epidemiological case investigation, within 7 days to complete the investigation and disposal of the epidemic. The epidemiological case study found that the first visit of 61 cases of malaria cases mainly focused on county-level CDC (37.70%, 23/61) and county-level medical institutions (50.82%, 31/61), with a clear diagnosis also concentrated at the county level CDC (45.90%, 28/61) and county-level medical institutions (47.10%, 29/61); the initial diagnosis rate was 90.16% (55/61); 48 cases were dispatched from the company and 34 cases had counterparts personnel. Conclusion The malaria sentinel surveillance in Jiangsu Province played a good monitoring role and effectively promoted the elimination of malaria in the province. In the future, malaria surveillance should establish a multi-sectoral cooperation model and establish an investigation mechanism to strengthen the initiative screening and health education of high-risk groups.