中缅边境缅方瓦族村寨疟疾病例的主动侦察

Active Detection of Malaria Cases in Myanmar Wa Ethnical Villages of China-Myanmar Border

目的探讨通过主动病例侦察,加强资源匮乏高疟区的疟疾监测和防治服务。方法逐个访问高疟村寨,寻找1周内发过烧的"四热"患者,使用疟疾快速诊断检测疟原虫抗原。结果发现和血检发热患者453例,2年疟史率77.92%;确诊疟疾270例,其中恶性疟243例,间日疟20例和三日疟7例;阳性率59.6%,恶性疟比例90.00%;当地仍为高度地方性疟疾流行区。结论在缺乏基本医疗卫生服务的高疟区,主动病例侦察应该是有效的疟疾监测和防治方法之一。

Objective To explore strengthening malaria surveillance and control service in resource-short areas through active case detection. clear reason and catching a cold） Method Four kinds of febrile patients （malaria, suspected malaria, no with fever episodes within a week were looked for and screened by rapid diagnosis tests through visiting village by village in China-Myanmar border. Result Totally 453 fever patients were found and tested, and 77.92% of them with malaria episodes in last two years. 270 malaria cases were confirmed, and in which 243 infected with Plasmodiumfalciparum, 20P. vivax and 7 P. malariae. The positive rate of tests was 59.6% and the proportion of Plasmodiumfalciparum among malaria cases was 90. 00%. The results showed that the visited villages were hyper-endemie areas. Conclusion In such kind of malaria hyper-endemic areas because of lacking basic primary health care, active detection should be one of the effective alternatives for malaria surveillance and control.