辽宁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 Liaoning

疟疾曾经是严重危害我省人民身体健康和影响社会经济发展的寄生虫病,最早在1921年有病例报告,20世纪50年代,在我省丹东、大连和沈阳等城市的部分地区均有间日疟流行。1951年以来我省每年均有疟疾病例报告,1953年、1962年和1973年是3个发病高峰年,发病率分别为136.66/10万、256.80/10万和32.58/10万。此后,我省确定了"三根治、一预防、积极灭蚊"的综合性防疟措施,疟疾发病率逐年下降,1977年后每年发病率均下降到1/10万以下,防疟措施效果明显。2010年全省开始实施消除疟疾行动计划以来,通过全球基金项目和中央转移支付项目投入1 109.6万元,培训业务人员140 495人次,血检"三热"病人430 142例次,消除工作取得了阶段性的成果;我省有4个二类县、96个三类县,2012年以后,除一个二类县,其他99个县区实现了无本地感染疟疾病例,96个三类县(区)完成了市级消除疟疾考核评估,省级消除评估正逐渐展开;规范了疟疾疫情管理与处置技术规范,措施落实达到了3个100%(国家1-3-7模式),全省疟疾病例实验室诊断率达到100%。

Malaria was a serious parasitic disease which was harmful to people＇s health and economic development inLiaoning. The earliest case reported in 1921. In the 1950 s, there was vivax malaria epidemic in part of Dandong, Dalian andShenyang. There was malaria cases reported every year since 1951. 1953, 1962 and 1973 were the 3 peak of incidence,incidence rates were 136.66/100 000, 256.80/100 000 and 32.58/100 000. Since then, we have defined the comprehensivemeasures of malaria prevention that was ＂Radical Treatment, Prevention, and Mosquito Eradication＂. Theincidence of malaria decreased year by year. The annual incidence rate decreased to below 1 /100 000 after 1977. Themeasures of malaria prevention effect significantly. Since the launch of ＂Action Plan of Malaria Elimination in Liaoning（2010-2020）＂in 2010, a total of 140 495 person-times had been trained and 430 142 person-times of microscopy examiners.From2010 to 2015, a total investment of 11.096 million yuan.There are 4 Type II Counties and 96 Type III Counties in our province.In addition to a Type II County, the other 99 counties realized that there was no malaria case of local infection after 2012. The＂Action Plan of Malaria Elimination in Liaoning＂progress smoothly. 96 Type III Counties had passed municipal assessment formalaria elimination, the provincial elimination assessment is gradually expanded. Malaria epidemic management and disposaltechnical specifications have been standardized. Implementation of measures has achieved＂three 100%（national 1- 3- 7mode）＂. The malaria case laboratory diagnosis rate reached 100%.