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目的分析评价基本消灭恶性疟后的疟疾监测效果,为消除恶性疟提供依据。方法开展疟疾病例侦查,治疗病人,疫点处理;加强临床医生疟疾诊疗知识培训,提高疟疾诊治能力;开展健康教育,增强农民工防治疟疾意识。结果 2005-2011年,常住人口监测检出疟疾占疟疾病例总数2.40%(15/624)。血检常住人口疟原虫阳性率为0.001%(15/2 454 711),间日疟15例,未检出本地感染恶性疟和输入恶性疟二代病例;流动人口监测检出疟疾占疟疾病例总数97.60%(609/624),输入性疟疾病例数增加,致使2009-2011年疟疾发病率比上一年发病率分别上升11.11%、30.00%和69.23%。结论广西消除恶性疟后,控制输入性疟疾传播是巩固成果的关键。
Objective To analyze and evaluate the effect of malaria surveillance after the eradication of falciparum malaria and provide basis for the elimination of falciparum malaria. Methods To carry out the investigation of malaria cases, treatment of patients and treatment of outbreaks; to strengthen clinicians’ knowledge on malaria diagnosis and treatment, to improve the ability of malaria diagnosis and treatment; to carry out health education and enhance awareness of migrant workers in malaria control. Results From 2005 to 2011, malaria accounted for 2.40% (15/624) of total malaria cases detected by resident population monitoring. The positive rate of malaria parasite was 0.001% (15/2 454 711) in the resident population of blood tests, 15 cases of Vivax malaria were not detected, and the cases of the second generation of imported falciparum malaria were not detected. The total number of malaria cases detected by floating population 97.60% (609/624). The number of cases of imported malaria increased, resulting in an increase of 11.11%, 30.00% and 69.23% respectively in the incidence of malaria in 2009-2011 as compared with the previous year. Conclusion After the elimination of falciparum malaria in Guangxi, controlling the spread of imported malaria is the key to consolidate the achievements.