平乐县1950-2011年疟疾监测结果分析

Analysis on the monitoring results of malaria during 1950 to 2011

目的了解平乐1950-2011年疟疾流行情况,评价该县疟疾防治效果,为消除疟疾提供相应的科学依据。方法收集全县各乡镇卫生院及县直医疗卫生单位1950-2011年疟疾疫情报告及监测资料,用流行病学常规统计方法及Excel软件进行分析。结果历年疟疾发病呈下降趋势,从1955年的1 260.26/10万波动性降至2003年的0.9/10万,其中60年代呈现一过性发病高峰,1961年发病率达3 386.93/10万,1981年后未发现内源性疟疾患者,均为输入性病例,2004年后该县未发现内外源疟疾病例。虫种在不同的时间也存在差异域,70年代前恶性疟(PF)、间日疟(PV)和三日疟(PM)并存,70年代后为间日疟流行。结论该县通过长期的疟疾综合防治后疟疾流行得到有效控制,但流动人口中疟疾感染的可能仍存在,加强流动人口疟疾监测是今后防疟工作的重点。

Objective To understand the epidemic status of malaria during 1950 to 2011,evaluation the prevention effect and provide scientific basis for eliminating the disease.Method Collecting the epidemic reported data and monitoring data of public health centers and medical institutions from 1950 to 2011,using statistical method and excel to carry out analyze.Results Malaria incidence rate showed downward trend over the years,it dropped from 1 260.26/10 million of 1955 undulatory property down to 0.9/10 million of 2003.In 1960s,it showed an incidence peak time,the incidence rate of 1961 was 3386.93/10 million.In 1981,there was no endogenous malaria patient,all were imported cases.The county did not find any internal or external malaria case since 2004.Befor 70s,falciparum malaria,tertian fever and febris tritaea were concomitance,after 70s,tertian fever was popular.Conclusions Malaria epidemic had valid control after long time comprehensive control,but there were possible of infection the disease among floating population,strengthen the monitoring of malaria among floating population was the focus of malaria prevention and control in the future.