摘要
目的 开展疟疾漏报调查 ,准确估计疟疾流行态势和评价疫情报告系统的效果与作用。方法 组成 3个调查组 ,在嗜人按蚊区根据发病情况采用分层随机抽样法 ,选择 8个县市进行调查。每个县查 2个乡 ,每个乡查 2个村 ,每个村查 2 0 0人。同时抽查乡卫生院 6月份全月门诊处方及镜检登记。结果 共调查8个县市 1 6个乡 32个村。走访群众 6 5 83人 ,发现病例 5 3人 ,疫情漏报 2 2例 ,漏报率为 4 2 .30 % ,抽查处方 2 51 1 3张 ,其中发热处方 1 6 91张 ,抗疟处方 39张 (其中正规治疗 2 8张 ) ,漏报 1 4人 ,漏报率为 35 .89%。镜检阳性登记 2 1人 ,漏报 1人 ,漏报率为 5 %。结论 疟疾疫情漏报严重。应引起重视 ,采取对策 。
Objective To investigate the malaria missing reports, to assess the malaria epidemic situation and to evaluate the effect of the reporting system.Methods The stratified random sampling method was applied, the survey was carried out by three groups in 8 relected counties (An. Anopheles areas) according to the epidemic status. Two towns in each county, two villages in each town, and 200 people in each village were investigated. At the same time, out patient prescriptions and microscopic registration were selectively examined in township hospitals in gune. Results Totally 32 villages, 16 towns and 8 counties were investigated.6583 persons were interviewed and 53 cases were found, with 22 cases of missing report(42.30%). 25113 copies of prescription(including 1691 copies of fever prescription and 39 malaria prescription) were examined selectively, with 14 cases of missing report(35.89%). 21 positives of microscopy were registered, with 1 missing report(5%).Conclusion The status of the missing report is serious. The present malaria case reporting system cannot reflect the reality, which leads to an inaccurate information on malaria situation for CDCs at all levels. In addition, malaria prevention measures were not implemented seriously, the microscopic stations were not perfect, and the professionals were not stable and of low quality, all the above factors seriously affected malaria prevention and control. If proper countermeasures were not timely taken, malaria epidemic might increase in a large scale in those areas in the coming years.
出处
《湖北预防医学杂志》
2004年第2期4-6,共3页
Hubei Journal of Preventive Medicine
