某国维和特战分队疟疾持续高发调查报告及应对措施

Investigation and control measures for malaria in a special force contingent of peace-keeping

目的促进和提高维和分队防疟、抗疟的能力与素质,切实保障维和分队遂行和平行动的持续战斗力。方法跟进随访和实地调研,查找疟疾高发的关键性诱因,督促落实相关措施,提出建设性指导意见并编写防疟手册《Malaria Pamphlet》分发至任务区各维和分队。结果自2016年9月25日至2017年7月20日,中国维和二级医院接诊任务区患者1 437例,确诊疟疾患者93例,其中E国维和分队39例;E国特战分队(ESFC)29例,E国成建制警察部队(EFPU)10例,罹患率分别为19.33%、6.67%。经防治措施落实和整改后,E国维和分队疟疾发病情况得到显著控制。结论防蚊、灭蚊是预防疟疾的关键,重点在于阻断蚊虫的繁殖、生长,防止蚊虫叮咬和传播;就寝时使用杀虫剂浸泡过的蚊帐和拟除虫菊酯类药物室内滞留喷洒是当前世界公认的媒介控制的两种主要手段。

Objective In order to control malaria in A Special Force Company（ESFC） for peace-keeping. Methods According to arrangement of Chinese 20 th Medical Contingent of peace-keeping,a thorough investigation was conducted for finding out the key predisposing causes of malaria and providing effective prevention measures. Some constructive suggestions were proposed and ＂Malaria Pamphlet＂were handed out already to all contingents.Results Chinese Level 2 Hospital has treated 1 437 patients from 25 thSeptember in 2016 to 20 thJuly in 2017,and 93 cases were diagnosed with malaria. There were 39 malaria cases of E-Country peace-keeping contingents,29 ESFC cases with the attack rate of 19. 33% and 10 EFPU cases with the rate of 6. 67%.All measures and suggestions had promoted the essential capability of malaria prevention in peace-keeping contingents,and enhanced the fighting strength of contingents to accomplish peace-keeping operations and missions. Conclusion Malaria prevention requires mosquito control,prevention of the vector from breeding.Insecticide treated mosquito nets（ITNs） and indoor residual spraying（IRS） with pyrethroids are the two main tools of mosquito-borne disease control.