江苏省疟疾疫情预警系统的建立Ⅳ 2013年江苏省消除疟疾关键措施实施情况分析

Establishment of malaria early warning system in Jiangsu ProvinceⅣ Implementation of key measures to eliminate malaria in Jiangsu Province in 2013

目的对2013年江苏省消除疟疾关键措施落实情况进行分析,以进一步推动消除疟疾阶段江苏省疟疾防控工作的进程。方法收集网络直报系统中江苏省各级医疗机构和疾病预防控制机构报告的病例信息,收集寄生虫病专报系统中的疟疾病例流行病学个案调查和疫点调查与处置信息,对其中有关病例确诊、网络直报、流行病学个案调查以及疫点调查与处置完成时间的信息进行统计分析。结果 2013年江苏省网络直报疟疾病例341例,均为实验室确诊病例,除1例为输血感染外,其余均为境外输入性疟疾病例;全部疟疾病例均于发现后24 h内进行了网络直报,并于网络直报后3 d和7 d内分别开展了流行病学个案调查和疫点调查与处置,执行率均达100%;所有病例中,网络直报后2 d内完成流行病学个案调查的有334例,执行率为97.95%;网络直报后5 d内完成疫点调查与处置的有319例,执行率为93.55%。结论 2013年江苏省消除疟疾"1-3-7定点清除"工作模式执行率均达到了100%,全省连续2年无本地感染疟疾病例报告,消除疟疾工作初见成效。今后应加强个案调查和疫点调查与处置工作的检查和督导。

Objective To promote the malaria control process in the malaria elimination stage in Jiangsu Province. MethMethods The data from the network reporting system of medical institutions,the disease prevention and control institutions at all levels,and the special reports system of parasitic diseases were collected and analyzed statistically. Results There were 341 malaria cases directly reported from the Jiangsu provincial network in 2013. All were laboratory-confirmed cases. Except one case of blood transfusion infection,the rest were imported malaria cases abroad. All the malaria cases were reported after diagnosis within 24 hours through the directly reported network,and the implementation rate was 100%. All the malaria cases had an epidemiological investigation within 3 days with the implementation rate of 100%;in which 334（97.95%）cases were investigated within 2 days. All the cases had an epidemical investigation and disposition within 7 days with the implementation rate of100%,in which 319 cases（93.55%）were completed within 5 days. Conclusions The implementation rate of malaria elimination work mode has reached 100% in Jiangsu Province in 2013, and there are no local infected malaria cases for two consecutive years. However,the inspection and supervision of case investigation and epidemic investigation and disposal are still need to be strengthened.