2012-2013年扬州市输入性疟疾防治管理效果评估

Effect of management on imported malaria in Yangzhou City,2012-2013

目的评估扬州市输入性疟疾防治管理效果,为制定输入性疟疾防控策略提供参考依据。方法统计2012-2013年扬州市劳务输出及回国发热人员疟原虫血检率、疟疾病例中实验室确诊病例比例、恶性疟病例发病24 h内得到规范治疗的比例以及劳务输出信息平台建立情况等,对扬州市输入性疟疾防治管理效果进行综合分析评价。结果2012-2013年扬州市共报告输入性疟疾82例。全市7个县(市、区)均开展了劳务输出及回归人员监测,覆盖率为100%。2012-2013年共有劳务输出人员5 808人次,其中接受医学提醒5 575人次,服务覆盖率达95.99%;5 808名劳务输出人员中有5 525人接受健康行为,健康行为养成率达95.13%。对全市153个镜检站以及医疗、疾控专业人员进行疟疾镜检培训,两年累计达410人,培训覆盖率达100%。82例输入性疟疾病人从发病到初诊时间平均为2.5 d,从发病到确诊时间平均为2.75 d;所有病人均治愈出院,救治康复率为100%;初诊血检78人,初诊血检率为95.12%。78例初检血检均检出疟原虫,血检确诊率为100%;69例恶性疟报告病例均得到实验室确诊。69例恶性疟病例在初诊后24 h内得到规范治疗的有58例,占84.06%。结论扬州市输入性疟疾防治管理效果明显,但仍需加强对劳务输出人员的健康教育以及对医务人员的培训,以进一步防控输入性恶性疟。

Objective To evaluate the effectiveness of the management on imported malaria in Yangzhou City,so as to provide a reference for formulating the strategy for the prevention and control of imported malaria. Methods The data about the detection rate of Plasmodium of fever people in labor-exporting services and overseas returners,the proportion of laboratory confirmed cases in the whole malaria cases,the proportion of the cases with standardized treatment in the whole falciparum malaria cases within 24 hours,and the status of establishment of labor export platform were collected and analyzed in Yangzhou City from 2012 to 2013. Results There were 82 imported malaria cases in Yangzhou City from 2012 to 2013. The monitoring of laborexporting services and overseas returners was carried out in the seven counties and districts of Yangzhou City,and the coverage rate was 100%. There were 5 808 persons of export labor service,and among them,5 575 persons got the medical alert service（95.99%）,and 9 525 persons accepted the healthy behavior（95.13%）. Totally 410 medical professional persons received the malaria microscopic examination training in 153 malaria microscopy stations or medical institutions,and the training coverage rate was 100%. The average time from attack to the first visit to a doctor of 82 falciparum malaria patients was 2.5 days;the average time from attack to diagnosis confirmation was 2.75 days. All the patients were cured. In the first visit to a doctor,78 patients were diagnosed with blood tests,and the newly diagnosed blood test rate was 95.12%,and all of them were detected with Plasmodium. Totally 69 falciparum malaria cases were confirmed by the laboratory,and 58 patients were treated with the standard treatment within 24 hours after the first visit（84.16%）. Conclusions The effect of the imported malaria control and management in Yangzhou City is obvious. However,it is still necessary to strengthen the health education and relevant medical personnel training to prevent and control imported falciparum malaria efficiently.