三峡库区兴山县1951-2013年疟疾防治效果评价

Evaluation Effective of Malaria Control from1951 to 2013 in the Gorges Area of Xingshan County

目的：分析评价原为疟疾高度流行的兴山县历年疟疾防治效果,为该县消除疟疾提供依据。方法：查阅收集该县1951-2013年历年疟疾防治资料,包括疟疾疫情报告、各乡镇卫生院疟疾诊断、治疗及文史资料等,采用Excel软件进行统计和分析。结果：上世纪50年代该县属于疟疾高度流行区,疟疾年均发病率为2 231.69/10万,疟疾病例占传染病总数的80.49%,60-90年代年均发病率分别为177.17、141.55、39.96和3.70/10万,2000-2013年仅为0.48/10万。1980年以前该县的疟疾病例89.50%属于临床诊断疟疾病例,2010年至今该县无内源性疟疾病例发现,当地的疟疾病例全部来自流动人口。结论：兴山疟疾已消除,但仍需加强流动人口中疟疾病例的监测及医务人员有关疟疾流行病学知识的普及。

Objective： To analyze and evaluate of malaria control effect over the years in Xingshan county that was the original of the poverty stricken and highly endemic of malaria mountain county, and to provide the basis for the county to eliminate malaria. Methods： Malaria control information of the country from 1951- 9,013, including malaria epidemic reported, the township hospitals malaria cases diagnosis, treatment and cultural and historical data were collected and analyzed statistically using Excel software. Results： The county was the annual incidence of malaria was 2 231.69/100 thousand and malaria cases accounted for 80. 49% of the total number of infectious diseases cases in 1950s of last century. The average annual incidence rate of the 1960s-1990s were 177. 17,141.55,39.96 and 3.70/100 thousand. The county＇s average annual incidence of malaria were only 0. 48/100 thousand from 2000-2013. 89. 50% malaria cases was clinical diagnosis before 1980. No endogenous malaria case was found in the county and the all cases of malaria from the floating population from 2010. Conclusion：The county local malaria epidemic has been basically eliminate, but the need to strengthen the floating population in malaria patient monitoring and medical personnel malaria epidemiology literacy.