百色市疟疾流行现状和消除疟疾可行性探讨

A discussion on status of malaria epidemic and feasibility of malaria elimination in Baise City

目的分析百色市2001-2010年疟疾流行现况和趋势，探讨百色市2018年消除疟疾的可行性。方法收集2001-2010年百色市12个县（区）当地居民发热患者、病灶点居民和流动人口监测资料进行描述和分析。结果10年间百色市共血检本地发热患者92．44万人次，病灶点居民1．90万人次，外出回归农民工2．69万人次，外来人群5．60万人次，检出疟疾病例297例，三类人群血检阳性率分别为0．0059％、0、0．7059％和0．0926％。本地疟疾病例从2001年的10例下降到2007年的1例，2008-2010年连续3年无本地病例发生。结论10年来百色市疟疾发病率控制在1／10万以下，按照世界卫生组织消除疟疾的标准，百色市疟疾疫情已进入消除疟疾阶段巩固期，但在黔桂交界、中越边境地区仍有个别本地病例发生，只要加大经费投入和技术措施执行力度，百色市2018年消除疟疾是可以实现的。

Objective To analyze the status of malaria epidemic and to discuss the feasibility of malaria elimination in Baise city, Guangxi Province. Methods The data on blood smear examination of febrile patients among local residents, focus residents and mobile population in 12 counties from 2001 to 2010 were collected and analyzed. Results A total of 924 390,19 172, 26 917 and 56 168 slides in local residents, focus residents, returned emigrants and immigrants respectively were examined. The average positive rates of blood examination were 0. 005 9% , 0, 0. 705 9% and 0. 092 6% , respectively. The indigenous malaria cases from 10 in 2001 reduced to 1 in 2007. There were no indigenous malaria cases during 2008-2010. Conclusion The malaria incidence has been under 1/100 000 for 10 years in Baise City. Malaria situation in Baise City has entered the consolidating phase of elimination according to WHO criteria of malaria elimination. There are still some indigenous malaria cases in border area of Guizhou-Guangxi and Sino-Vietnamese. The goal of malaria elimination in Baise City would be achieved as long as government pays enough attention to malaria control and the technical measures are further strengthened.