卫东区1980-2013年疟疾监测结果分析及防控效果评估

Analysis on Surveillance Results and Evaluation on Prevention and Control Effect of Malaria in Weidong District from 1980 to 2013

目的收集整理卫东区30多年疟疾疫情监测资料,分析既往疟疾疫情流行特征,为今后疟疾的防控工作提供科学依据。方法疟疾防治资料来源于卫东区1980-2013年的疟疾防治历史资料、文件和工作报表、工作总结、上报的疟疾病例,并借助于统计学软件进行研究分析。结果卫东区疟疾防治经过四个防治阶段:流行控制阶段、基本消灭阶段、基本消灭后监测阶段、消除疟疾阶段。目前,卫东区已成为河南省首批消除疟疾的县区,在消除疟疾阶段(2010-2013年),全区共进行疟原虫血检19 727人,发现本地输入性恶性疟疾1例、外地输入性恶性疟疾2例。结论经过多年疟疾监测与防治,卫东区已连续10年无本地疟疾病例,根据国家、河南省消除疟疾评估方案,达到消除疟疾考核的各项指标。但是近年来卫东区对国外特别是非洲等恶性疟流行国家的劳务输出,致使输入性疟疾病例时有发生。因此,今后要重点加强输入性恶性疟疾的监测和防治工作。

Objective The surveillance data for malaria epidemic of Weidong district over 30 years is collected and arranged to analyze past epidemic characteristics of malaria epidemic and provide scientific basis for future prevention and control work. Methods Control data for malaria roots in prevention of historical information, document,forms for work reporting,work summary,reported malaria cases in Weidong district from 1980-2013, and was analyzed by statistical software. Results Control and prevention for malaria in Weidong district goes through four stages：epidemic control stage, stage that the malaria was eliminated mainly, surveillance stage after eliminating malaria mainly, stage that the malaria was eliminating completely Currently, Weidong district was first batch district that malaria was eliminated.In fourth stage（2010-2013）, 19 727 persons have taken part in plasmodium blood test in Weidong district, and one local person was infected with pernicious malaria which was imported, two foreign persons were infected with pernicious malaria which were imported. Conclusion According to scheme evaluation of country and Henan province, local malaria cases have not taken place for 10 years in Weidong district by malaria surveillance and control, and all examination indicators for eliminating malaria were satisfied.However, Cases of Imported malaria have occurred from time to time for labor export to foreign countries especially to Africa countries that pernicious malaria is epidemic in recent years. Therefore, surveillance and control for imported pernicious malaria should be strengthened in the future.