山东省消除疟疾行动计划中期评估报告

Mid-term assessment report of Malaria Elimination Action Plan in Shandong

山东省属于单一疟疾流行区,间日疟流行于全省各地。在上世纪60年代和70年代初期发生两次疟疾暴发流行。1988年通过原卫生部考核率先在全国范围内达到了基本消灭疟疾的标准。1989年以来,疟疾疫情有所波动,但均不超过1/10万。2010年山东省启动消除疟疾工作,原省卫生厅下发消除疟疾工作实施方案,提出到2018年全省达到消除疟疾的目标。连续两年下发消除疟疾考核评估方案,目前已顺利完成82个县和2个市的消除疟疾考核评估工作。自启动消除疟疾工作以来,山东省认真实施中央补助地方公共卫生专项疟疾项目,圆满完成项目规定的各项任务。另外,省财政每年列出专项经费用于疟防工作。2010—2015年山东省疟疾防治经费累计投入5 092.49万元,从经费上保证了消除疟疾工作顺利实施。为满足消除疟疾工作需要,该省通过分级培训的方式开展了各种技术培训,累计培训各级镜检员15 494人次,临床医生56 382人次,疟疾防治人员34 624人次。全省基本建成较为完善的省、市、县、乡四级疟疾镜检网络系统,每年均按照指标要求开展血检工作,2010—2015年共血检发热病人1 774 321人,检出疟疾病人747例,检出率为0.42‰。严格按照"1-3-7"工作管理要求开展病例的管理和疫点调查处置工作,2010—2015年山东省共报告疟疾病例819例,开展疫点处置819个,有效避免了疫情扩散及二代病例的发生。为动员全社会共同关注和支持消除疟疾工作,广泛宣传疟疾危害和防治知识,全省各级疾控机构结合"4.26"全国疟疾宣传日,每年均开展大规模的宣传活动,2010—2015年山东省累计发放健教材料7 040 504份。山东省已连续三年无本地感染病例,但逐年增加的境外输入性疟疾病例为消除疟疾工作带来新的挑战。针对当前疟疾形势,山东省在继续做好消除疟疾工作的同时必须加强对输入性疟疾的监测和管理,确保全省如期实现消除疟疾目标。

Shandong province is malaria endemic area with only Vivax malaria prevalent across the province. There weretwo malaria outbreaks occurred in 1960＇s and early 1970＇s in the province. Taking the lead in the country, Shandong passedthe assessment of the former Ministry of Health to reach the standard of primary malaria elimination in 1988. Since 1989,malaria incidence had remained no more than 1/100 000 despite of epidemic fluctuations. In 2010, Shandong launched malariaelimination work. The former provincial health department issued a work plan to eliminate malaria, and proposed the target toeliminate malaria in 2018. According to the national program requirements, the province issued the Assessment program toeliminate malaria for two consecutive years. Up to now, examination and assessment of malaria elimination had beensuccessfully completed in 82 counties and 2 cities in Shandong. Since the launch of malaria elimination work, Shandong hadconscientiously implemented central government subsidies to local public health for special malaria project, and had completedall the tasks specified in the project. Furthermore, provincial finance provided special funds each year for malaria preventionefforts. From 2010 to 2015, the total funding invested for malaria prevention and control was 50.92 million to financially ensureimplementation of malaria elimination work. Shandong had carried out various technical trainings through the way of grade-training to meet the need of malaria elimination work. A total of person-times trained as microscopic inspectors at differentlevels, clinicians and malaria control personnel were 15 494, 56 382 and 34 624 respectively. Malaria microscopy networksystem had been primarily set up at provincial, city, county and township four levels. Blood inspection was carried out eachyear according to requirements. From 2010 to 2015, blood was inspected in a total of 1 774 321 fever patients with 747 cases（0.42‰） detected positive. Malaria case management and foci investigation and disposal had been carried out in strictaccordance with the ＂1-3-7＂ Work management requirements. From 2010 to 2015, a total of 819 malaria cases was reportedand disposed, and effectively prevented the spread of the epidemic and the occurrence of secondary cases. To mobilize thewhole society to pay attention to and support the malaria elimination work, and to widely publicize malaria hazards and prevention knowledge, the province＇s disease control institutions at all levels carried out large-scale publicity activities eachyear combined with ＂4.26＂ National Malaria Awareness Day. From 2010 to 2015, a total of 7 040 504 health educationmaterials had been distributed in Shandong. There had been no local malaria case for three consecutive years in Shandong, butyearly increase in imported malaria cases brought new challenges for malaria elimination. In view of the current situation,Shandong must strengthen the monitoring and management on imported malaria while continues a good job in malariaelimination in order to ensure timely realization of the province＇s goal to eliminate malaria.