江西省南昌市疟疾流行概况与防治历程及消除措施评价

发布时间：2018-06-27 15:31

  本文选题：疟疾 + 消除　； 参考：《中国热带医学》2016年06期

【摘要】：目的分析南昌市疟疾流行概况与防治历程,总结评估南昌市消除疟疾工作,为制订消除疟疾达标后的防制策略提供依据。方法收集南昌市1950—2015年疟疾防治疫情数据、报表、文件、工作计划、防治策略与措施等资料,采用描述流行病学方法分析南昌市疟疾流行特点与防治历程,根据国家卫生计生委《消除疟疾考核评估方案(2014年版)》,从保障措施、技术措施、防控效果3个方面对消除疟疾工作进行评估。结果疟疾曾是危害南昌市人民健康最严重的地方性传染病,1950—2015年间疟疾年发病率经统计学分析显示:1950—1954年疟疾发病率呈上升趋势(P0.01),1955—1962年略微下降(P0.01)后上升到1969年的最高发病率6 899.50/10万(P0.01),1969—1976年从高点下降(P0.01);1977—1985年开展大规模抗疟后年发病率急剧下降(P0.01),1987年发病率已降至10.01/10万,1988—2009年发病率继续下降(P0.01),2010年后年发病率均在0.5/10万以下。整个防治历程经重点防治、全面防治、基本消除疟疾、灭疟后监测阶段和消除疟疾5个阶段。消除疟疾阶段(2010—2015年)南昌市建立了多部门联防联控工作机制,按《江西省消除疟疾实施方案》要求开展消除疟疾达标评估工作,全市疟原虫血检56 586人,平均年度血检数达到总人口2.52‰,血片复核率为10.62%,发生的91例病例均得到及时有效控制。媒介监测发现本地主要传疟媒介为中华按蚊。结论南昌市经过多年疟疾防治,连续保持5年无本地疟疾病例,达到消除疟疾标准,后期的防治工作重点是加强输入性病例的监测。
[Abstract]:Objective to analyze the malaria epidemic situation and control course in Nanchang city, summarize and evaluate the work of eliminating malaria in Nanchang city, and provide the basis for making the control strategy after eliminating malaria. Methods data of malaria epidemic situation, report forms, documents, work plan, control strategy and measures from 1950 to 2015 in Nanchang City were collected, and the epidemic characteristics and course of malaria control in Nanchang City were analyzed by descriptive epidemiological method. According to the National Health and Family Planning Commission's Evaluation Program for Malaria Elimination (2014 Edition), the work of eliminating malaria was evaluated from three aspects: safeguard measures, technical measures and control effects. Results Malaria was the most serious endemic infectious disease in Nanchang City during 1950-2015. Statistical analysis showed that the incidence of malaria increased from 1950 to 1954 (P0.01) and then decreased slightly from 1955-1962 (P0.01). By 1969, the highest incidence of malaria was 6899.50 / 100000 (P0.01) and the annual incidence of large scale antimalarial diseases dropped sharply from the peak of 1969-1976 to 1977-1985 (P0.01). In 1987, the incidence of malaria decreased to 10.01% / 100000 / 100 000 / 10 000 (P 0.01), and the annual incidence rate was below 0.5 / 100 000 (P0.01) after 2010. In the whole course of prevention and control, malaria was basically eliminated, post-malaria surveillance and elimination of malaria were carried out through key prevention and control, comprehensive prevention and control. Nanchang City, in the phase of malaria eradication (2010-2015), has set up a multi-sector joint prevention and control mechanism, and has carried out the evaluation of the standard of malaria elimination in accordance with the requirements of the "implementation Plan for Malaria Elimination in Jiangxi Province". 56,586 malaria parasites were examined in blood in the whole city. The average annual number of blood tests was 2.52 鈥，

本文编号：2074387