淮安市消除疟疾综合防控措施实施效果

Effect of comprehensive prevention and control measures for eliminating malaria in Huai'an

目的分析淮安市实施消除疟疾综合防控措施情况,评估措施效果,为消除疟疾提供依据。方法通过对淮安市2010—2015年疟疾疫情、现症病人处理、高危人群休止期根治、"三热"病人血检、疫点处置、疟防人员培训、健康教育等数据分析,判断淮安市综合防控措施对消除疟疾的效果。结果 2010—2015年淮安市共网报疟疾病例267例,其中22例为本地间日疟病例,245例为国外输入性疟疾病例,199例为输入性恶性疟,占74.53%,2例死亡病例。高危人群休止期服药1 430例,正规服药率99.93%。共血检"三热"病人303 016例次,血检阳性231例,阳性率0.08%。处置疟疾活动性疫点117处,室内滞留喷洒1 389户。培训疟防人员4 542人次,居民健康教育受益人数13 222 607人次。结论淮安市6年来消除疟疾综合防控措施效果显著,已连续4年无本地病例,建议今后消除疟疾工作的重点是加强流动人口管理和输入性疟疾病例的监测。

Objective To evaluate the effect of comprehensive prevention and control measures for eliminating malaria,so as to provide the evidence for malaria elimination in Huai＇an City. Methods The data including malaria epidemicsituation, current patient treatment, radical treatment of high risk patients at the telogen phase, blood tests in febrile patients,disposal of epidemic focuses, staff training, and health education were collected and analyzed for evaluating the effect ofcomprehensive prevention and control measures for eliminating malaria in Huai＇an City from 2010 to 2015. Results InHuai＇an City from 2010 to 2015, 267 malaria cases were reported through network with 22 local vivax malaria cases and 245 imported malaria cases including 199 malignant malaria cases（74.53%）. Two malaria patients died. No secondary cases werereported. Totally 1 430 high risk patients took medication at the telogen phase with regular medication rate of 99.93%. Totally303 016 person-times of blood tests for malaria were performed in febrile patients with 231 positive cases（0.08%）. A total of117 malaria epidemic focuses were disposed and there were 1 389 households with indoor residual spraying. The staff trainingwas performed with 4 542 person-times and health education was carried out with 13 222 607 person-times. Conclusions The effect of prevention and control measures for eliminating malaria is significant in Huai＇an City during the past 6 years, andthere have been no local malaria cases for four successive years. In the future, the malaria elimination work should focus onstrengthening the management of migrating population and monitoring imported malaria cases.