1974-2015年湖北省疟疾流行与防治分析

发布时间：2018-03-17 23:29

本文选题：疟疾　切入点：防治措施　出处：《中国血吸虫病防治杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的分析1974-2015年湖北省疟疾防治措施和流行趋势,为消除疟疾路径分析提供依据。方法回顾性收集、整理1974-2015年湖北省疟疾防治资料,采用描述流行病学方法进行统计分析。结果 1974-2015年湖北省疟疾流行历经4个阶段:1974-1979年为高发流行状态,年平均发病率为174.47/万;1980-1999年为控制及巩固阶段,采取以控制传染源和蚊媒为重点的防治策略,疟疾发病率呈大幅下降趋势,年平均发病率为17.30/万;2000-2009年,采取以传染源监测和控制疟疾暴发流行为主的防治策略,加强对流动人口管理,年平均发病率为0.42/万,呈继续平稳下降趋势;2010年之后为消除阶段,发病率继续下降,2013年首次无本地感染病例。各阶段年均发病率差异有统计学意义(c2=1 254.36,P0.05)。结论湖北省疟疾流行趋势历经了高发流行阶段、大幅度下降阶段、低发平稳阶段和消除疟疾阶段,但影响疟疾发生的自然因素并未完全改变,加强输入性疟疾防控和全面监测工作是今后疟防工作的主要任务。
[Abstract]:Objective to analyze malaria control measures and epidemic trends in Hubei Province from 1974 to 2015, and to provide the basis for malaria elimination path analysis. Methods the data of malaria control in Hubei Province from 1974 to 2015 were collected retrospectively. Results the malaria epidemic in Hubei Province from 1974 to 2015 experienced four stages: 1: 1974-1979 was a high prevalence state, and the annual average incidence rate was 17447 / 10 000 from 1980 to 1999, which was the stage of control and consolidation. By adopting the control strategy focusing on controlling the source of infection and mosquito vector, the incidence of malaria decreased significantly, the annual average incidence rate was 17.30 / 10 000 from 2000 to 2009, and the main control strategy was to monitor and control the outbreak of malaria by the source of infection. To strengthen the management of the floating population, the annual average incidence rate is 0.42 / 10, 000, showing a steady downward trend; after 2010, it is the elimination phase. The incidence rate continued to decrease, and in 2013, there were no local infection cases for the first time. The average annual incidence of each stage had statistical significance. Conclusion the epidemic trend of malaria in Hubei Province has gone through the stage of high prevalence and decreased significantly. However, the natural factors affecting the occurrence of malaria have not completely changed. Strengthening the control and control of imported malaria is the main task of malaria control in the future.
【作者单位】：湖北省疾病预防控制中心;
【基金】：湖北省卫生计生委血防专项课题(WJ2015XA001) 湖北省疾控中心青年人才课题(Y2013X14)
【分类号】：R531.3;R181.3

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