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目的:了解1955-2014年邹城疟疾流行概况,评价疟防成果,探讨疟疾防治工作经验。方法:回顾邹城市60年来疟疾防治历程,阐述不同年代和不同发病时期所采取的防制措施、成效及经验教训。结果:邹城市1970年代前间日疟高度流行,疟疾年均发病率在108/万以上,经过实施消灭传染源为主的综合性疟防措施,发病率自1979年控制在1/万以下,1985年后一直控制在1/10万以下,2008年后无当地感染疟疾病例发生。其防治历程可分为现症病人治疗、重点调查及防治试点研究、控制流行与降低发病率、巩固防治成果、消除疟疾5个阶段,每个阶段均采用相应的防治措施并积累了疟防经验。结论:60年的防治措施和经验为消除疟疾奠定了良好基础,取得了显著成效,2010年后的监测结果表明邹城已达到消除疟疾的目标,今后须加强对流动人口的健康指导,建立多部门协作机制,及时发现输入性疟疾病人的救治和处置,巩固消除疟疾工作成果。
Objective: To understand the general situation of malaria in Zoucheng from 1955 to 2014, evaluate the achievement of malaria prevention and to discuss malaria prevention and control work experience. Methods: To review the course of prevention and treatment of malaria in Zoucheng City in the past 60 years, and to elaborate the control measures, effectiveness and experiences and lessons learned in different age and different stages of disease. Results: Volatile Plasmodium vivax was highly prevalent in the 1970s in Zoucheng City. The annual average incidence of malaria was over 1.08 million. After implementing comprehensive malaria prevention measures mainly based on the elimination of the source of infection, the incidence of malaria was controlled under 1 in 10,000 in 1979, It has been controlled below 1/10 million since 1985, and no case of local malaria infection occurred after 2008. The course of prevention and treatment can be divided into the current disease patient treatment, focus of investigation and pilot prevention and control research, epidemic control and reduce the incidence, consolidate the prevention and treatment results, eliminate malaria five stages, each stage are using the appropriate control measures and accumulated malaria prevention experience . Conclusion: 60 years of prevention and control measures and experiences have laid a solid foundation for malaria elimination and achieved remarkable results. Monitoring results after 2010 indicate that Zoucheng has achieved the goal of eliminating malaria. In the future, it is necessary to strengthen the health guidance for migrant workers and establish more Departmental collaboration mechanism to promptly find out the treatment and treatment of imported malaria patients and consolidate the achievements in eliminating malaria.