1950-2014年韶关市疟疾流行特征与防控效果评价

发布时间：2019-07-28 18:26

【摘要】：目的分析总结韶关市65年来疟疾流行动态和特征,评价防控措施和效果,为消除疟疾后阶段的监测提供科学依据。方法收集1950-2014年韶关市疟疾发病情况、控制措施及防治效果资料,分析评价不同阶段疟疾流行特点和防治措施实施效果。结果 1950-2014年共报告疟疾899 064例,年均发病率为390.64/10万,有2次流行高峰,分别是1954、1963年,发病率分别为7 292.10/10万、1 129.20/10万;主要传播媒介为微小按蚊,以间日疟流行为主;防制过程分为初级防治、控制流行、基本消灭、监测巩固达到消除4个阶段,每个阶段均采用相应的防治措施,疟疾年发病率由从1954年的7 292.10/10万降至1984年的10/10万以下,且已连续9年未发现本地感染病例。表明在不同阶段采取的防治措施可行有效。结论韶关市疟疾防治达到国家消除标准,但输入性病例不容忽视,应完善长效防控机制,加强流动人口的疟疾监测与管理,及时发现病人并有效处置,巩固消除成果。
[Abstract]:Objective to analyze and summarize the epidemic trends and characteristics of malaria in Shaoguan City in the past 65 years, to evaluate the prevention and control measures and effects, and to provide scientific basis for surveillance in the post-malaria elimination stage. Methods the incidence, control measures and control effects of malaria in Shaoguan City from 1950 to 2014 were collected, and the epidemic characteristics and implementation effects of malaria control measures in different stages were analyzed and evaluated. Results A total of 899064 cases of malaria were reported in 1950 / 2014, with an average annual incidence rate of 390.64 / 100000, with two epidemic peaks of 1954and 1963, respectively, with the incidence rates of 7.292.10 / 100000 and 1129.20 / 100000, respectively, and the main vector was Anopheles minimus, mainly Plasmodium vivax, the main vector was Anopheles minimus, and the main vector was Anopheles minimus, which was dominated by Plasmodium vivax. The prevention and control process is divided into four stages: primary control, epidemic control, basic elimination, monitoring and consolidation, and the corresponding control measures are adopted in each stage. The annual incidence of malaria has decreased from 7.292.10 / 100000 in 1954 to less than 10 / 100000 in 1984, and no local infection cases have been found for 9 consecutive years. It shows that the prevention and control measures taken in different stages are feasible and effective. Conclusion the malaria control in Shaoguan City reaches the national elimination standard, but the imported cases can not be ignored. The mechanism of long-term prevention and control should be improved, the malaria surveillance and management of floating population should be strengthened, the patients should be found and effectively disposed of in time, and the achievements of elimination should be consolidated.
【作者单位】：韶关市疾病预防控制中心;
【分类号】：R531.3;R181.3

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