桐乡市1990～2009年疟疾“三热”病人监测结果分析

Analysis of malaria survey in ‘three fever’ patients in Tongxiang of 1990～2009

目的：了解20年来桐乡市疟疾发病情况,为进一步巩固疟防成果提供依据。方法：对桐乡市疾病预防控制中心1990～2009年疟疾监测资料采用描述性流行病学方法进行分析。结果：20年来共检测疟疾＂三热＂病人血片28429人份,检出疟疾125例,检出率为0.44%。其中本地感染发病18例,占14.40%;输入病例107例,占85.60%。输入病例中以外来人口输入为主,计99例,占输入病例的92.52%。本地人口国外感染本地发病8例,占输入病例的7.48%,外省人口外地感染本地发病在90年代以四川最多56.45%（35/62）,2000年后以安徽最多43.24%（16/37）。结论：在灭疟后期的病例侦查中,应对外来流动人口的发热病人高度关注。切实加强流动人口的管理和监测,及时处置疫点和有效治疗疟疾现症病人,是巩固疟防成果的重点和关键措施。

Objective：To understand the incidence of malaria in Tongxiang city in recent 20 years for the further consolidation of malaria prevention and control.Methods：The malaria survey data in Tongxiang from 1990 to 2009 was analyzed by employing the descriptive epidemiology.Results：Blood slides from 28429 ＇3 fever＇ patients were detected and 125 of them were malaria positive in the 20 years.The positive rate was 0.44%.The patients infected by native were 18 and the positive rate was 14.40%（18/125）.The inputting cases were 107 and the positive rate was 85.60%（107/125）.The migrant cases,counting 99,possessed 92.52%（99/107） in inputting cases.The native people infected overseas were 8,which possessed 7.48%（8/107） in inputting cases.People came from other province and infected in Tongxiang were mainly came from Sichuang province in 1990′s with the composing of 56.45%（35/62）and came from An-Hui after 2000′s with the composing of 43.24%（16/37）.Conclusion：For the case spy in the later period of malaria eliminated,the fever in migrant people should be highly concerned.It was the key point that administration and survey in migrant people,treating epidemic spot and patients in time for solidifying the achievement of malaria prevention and control.