1999～2003年四川省疟疾监测分析

Analysis on Malaria Surveillance in Sichuan Province from 1999 to 2003

目的了解四川省疟疾流行现状,为制定新的疟疾防治措施提供科学依据。方法根据我省疟疾监测实施方案,采用疟疾防治中的常规技术和方法。结果四川省和各监测点的疟疾均呈逐年下降趋势;近2年血检确认的病例,已达到上报疫情数的90%以上,而且"二热"(初诊疟疾、疑似疟疾)血检阳性病人已占全部血检阳性病人的90%以上;按蚊密度人房中变化不大,牛房中按蚊密度呈逐年下降趋势。结论应进一步完善各项防治监测措施,抓好现症病人的治疗,提高疟防队伍的业务素质,强化发热病人的血检疟原虫工作,继续加强流动人口的疟疾管理和疫情报告制度。

Objective To master the dynamic malaria situation in Sichuan so as to make out suitable control measures. Method Based on malaria surveillance program,routine techniques on malaria incidence and vector were adopted. Results The malaria situation in surveillance sites revealed decline tendency year by year.In recent 2 years,the confirmed malaria cases by blood examination amounted to over 90% of the information report on epidemic situation.The confirmed malaria cases of two-type fever cases(fever cases diagnosed as malaria in first visit examination and suspected malaria cases)amounted to over 90% of the total positives in blood ex- amination.The anopheles density in human rooms varied slightly but it revealed decline tendency in cow- sheds. Conclusion Based on the results,the authors suggested that the control and surveillance activities,the treatment of cases with clinical symptoms,the professional quality of malaria health workers,the blood exami- nation of fever cases,the management of floating population,and the report system of information on epidemic situation should be strengthened.