广西疟疾防治措施与效果

THE MEASURES AND EFFECTS IN THE CONTROL OF MALARIA IN GUANGXI

广西是我国著名的四大高疟区之一,恶性疟、间日疟和三日疟均有流行。通过30年来不同阶段的综合性防治措施,特别自1981年以来,在健全基层三级管理与监测体系的基础上,全面开展发热病人血检为主,重点村屯、病灶点居民血检,间接荧光抗体试验等的“查源拔灶”措施,效果更为显著。全区发病率从1954年的297.6/1000降至1988年的0.75/1000,年带虫发病率为0.60/1000;恶性疟趋于消灭,残存病例对氯喹敏感性降低;三日疟偶见输血感染。

Guangxi Zhuang Nationality Autonomous Region was previously a hyperendemic regions of malaria and falciparum malaria, vivax malaria, malariae malaria were all endemic in the region. Good results were obta-ined through integrated control measures adopted at different stages in the past 30 years. In particular since 1981, effective control measures, were comprehensively carried out based on the sound establishment of the thrce level management and of the surveillance system. The malarial incidence droped from 297.6 per ten thousands in 1954 to 0.75 per ten th-ousands in 1988 and the annual parasite incidence of malaria was 0.6 per ten thousands in the whole region. Falciparum malaria is at the verge of being eradicated and the sensitivity of the parasites to chloroquine has re-duced. Few malariae malaria infections due to blood transfusions could be occasionally found.