摘要
山西省曾属低疟流行区,在20世纪70年代以前年报告疟疾病例数较多,其中1951、1970和1974年为三个发病高峰年,年报告发病数分别为1 155、2 303和1 282例。经过多年的防治,1986年以后每年疟疾发病人数已控制在较低水平,不超过20例。2000年以后每年仅有个别病例报告,且均为输入性病例。疟疾年均报告发病率已由1950—1959年的5.25/10万下降到2000—2009年0.03/10万。2010年启动消除疟疾工作,2010—2015年全省省、市、县共培训疟防专业人员18 189人次,临床医生24 991人次,检验人员7 219人次;血检不明原因发热病人47 385例,其中1例为疑似本地感染疟疾病例(2011年),12例为输入性疟疾病例(2013和2014年各5例,2015年2例)。5年共报告疟疾病例57例,除2011年1例为疑似本地感染疟疾病例外,其余56例均为境外输入性病例,24 h疟疾病例报告及时率为100%,病例报告后3 d内个案调查率100%;2013—2015年全部病例均为实验室确诊病例,实验室确诊率为100%;2013—2015年应调查处置疫点数44个,病例报告后的7 d内疫点处置率为100%。全省连续三年无本地感染疟疾病例,11个市于2015年均通过了省级消除疟疾考核评估。
Shanxi was one of the regions with low prevalence of malaria, and there were more malaria cases reported everyyear before 1970 s, with three peaks of 1 155, 2 303, and 1 282 cases in 1951, 1970, and 1974, respectively. After years ofprevention and treatment, the number of malaria cases every year was controlled in a very low level since 1986, no more than20. After 2000, there were only a few imported cases reported every year. The annual incidence of malaria was reported to fallfrom 5.25 per 100 000 population in 1950 s to 0.03 per 100 000 population in 2000 s. Since 2010, Shanxi had carried outmalaria elimination according to Action Plan of China Malaria Elimination（2010- 2020）. From 2010 to 2015, 18 189 professional staff members, 24 991 clinicians and 7 219 microscopic inspectors were trained for malaria control. A total of 47385 patients with fever of unknown origin were tested for malaria, of which 1 was suspected of local infection of malaria cases（in 2011）, 12 of imported malaria cases（5 each in 2013 and 2014, 2 in 2015）. Totally 57 malaria cases were reported in Shanxi,of which 1 was suspected of local infection in 2011 and the remaining 56 cases were imported from other countries. The rate ofcases reported timely within 24 h was 100%, and the rate of cases surveyed within 3 days after case reported was 100%. From2013 to 2015, all the cases reported were laboratory-confirmed, with the diagnosis rate of 100%. From 2013 to 2015, therewere 44 foci needed to be investigated and disposed, and the disposal rate within 7 days after case reported was 100%. Therewas no local malaria cases reported for 3 consecutive years in Shanxi, and all 11 cities passed provincial assessment of malariaelimination in 2015.
作者
张玉农
李国华
ZHANG Yunong LI Guohua(Shanxi Center for Disease Control and Prevention, Taiyuan, Shanxi 030012, China)
出处
《中国热带医学》
CAS
2017年第1期1-5,共5页
China Tropical Medicine
关键词
疟疾
消除
中期
评估
malaria
elimination
middle-term
assessment
