江苏省连云港市1951—2015年疟疾流行与防治历程及消除措施

Malaria epidemiology, control procedure and eliminating measures in Lianyungang Municipality,Jiangsu Province from 1951 to 2015

目的了解连云港市疟疾流行概况与防治历程,总结与评估连云港市消除疟疾工作成绩,为科学防治疟疾提供流行病学证据。方法对连云港市1951—2015年疟疾防治疫情数据、防治策略与措施等资料进行分析,参照国家卫生计生委《消除疟疾考核评估方案(2014年版)》,对连云港市消除疟疾工作进行评估。结果 1951—2015年连云港市的疟疾防治经历控制流行、实现基本消灭疟疾目标、监测巩固阶段和消除疟疾4个阶段。消除疟疾阶段(2010—2015年)连云港市建立多部门合作的防控工作机制,按《江苏省消除疟疾行动计划》开展消除疟疾工作,全市乡镇以上医疗机构、市、县(区)疾控中心均设立疟疾镜检站,长年开展疟原虫镜检,年血检率达总人口的4‰以上,报告的193例输入疫情均及时有效控制。结论连云港市经过多年疟疾防治,连续7年无本地感染病例,达到消除疟疾标准。巩固工作重点是开展消除后的监测工作。

Objective To learn the epidemic and control procedures of malaria, summarize and assess the malariaelimination in Lianyungang Municipality, so as to provide the epidemiological evidence to scientifically prevent and controlmalaria. Methods The data of malaria control, strategies and measures in Lianyungang from 1951 to 2015 were collected andanalyzed descriptively. According to ＂The Program of Elimination of Malaria（2014 Edition）＂ released by the National Healthand Family Planning Commission, China, the malaria elimination was assessed. Results From 1951 to 2015, malaria controlinvolved four stages： an epidemic control stage, a basic eradication stage, strengthened monitoring stage and malariaelimination stage. During the stage of malaria elimination（2010- 2015）, the government established the multi- sectoralprevention and control mechanism according to the ＂Jiangsu Action and Plan of Malaria Eradication＂. The malaria microscopicexamination stations were set up in all hospitals and CDCs at the above township level. The Plasmodium blood tests werecarried out all year round, the rate of annual blood tests reached more than 4‰ of the total population, and the reported 193 imported malaria cases were controlled both timely and effectively. Conclusion There have no local malaria cases occurred inLianyungang in past seven consecutive years. Lianyungang has achieved the goal of malaria elimination. In the future, the keyworks should be to enhance the monitoring after the malaria elimination.