河南省濮阳市疟疾防治历程及消除措施评价

Process of malaria prevention and control and evaluation on elimination measures in Puyang,Henan

目的了解濮阳市历年疟疾流行和防治历程,评价消除疟疾措施,总结工作经验,为消除疟疾后的疟疾防治工作提供依据。方法收集濮阳市1953—2017年疟疾疫情、防治措施和防治效果等资料并对其进行描述性分析。结果濮阳市1953—2017年累计疟疾病例为2 610 142人,其中1953—1983年累计发病数为2 609 633例。曾发生两次大流行,发病率最高达3 519/万(1961年),1984年起降至1/万以下,1989年达到基本消灭疟疾目标。2008年最后一例本地感染病例报告。消除疟疾阶段,濮阳市根据《河南省消除疟疾实施方案》要求开展消除疟疾工作,建立了多部门合作机制,完善了疟疾监测网络,网络报告濮阳市相关的疟疾病例143例,全部为输入性,均得到规范管理,于2017年实现市级消除疟疾标准。结论濮阳市经过持续多年综合性防治,连续9年无本地感染病例,在河南省内率先达到市级消除疟疾目标。今后工作重点是加强输入性病例监测与管理,防止发生二代病例。

Objective To understand the malaria situation and control course in Puyang City,evaluate the elimination measures,and summarize the experiences of malaria control work,in order to provide the evidence for improving malaria prevention and control work after achieving the goal of malaria elimination.Methods The data of malaria epidemic situation,control measures and effects in Puyang City from 1953 to 2017 were collected and analyzed descriptively.Results The cumulative number of malaria cases was 2 610 142,in which,the cunulative in cidence cases were 2 609 633 in 1953-1983,and there were two pandemics in Puyang City from 1953 to 2017.The highest incidence of malaria was 3 519/10-4 in 1961,and it was decreased below 1/10-4 since 1984.The goal of basic elimination of malaria was reached in 1989.The last case of local infection happened in 2008.During the stage of malaria elimination,according to the requirements of Implementation Plan of Malaria Elimination in Henan Province,the malaria elimination work was carried out,the multi-sectoral cooperation mechanism was established,and the malaria surveillance network was improved.The reported 143 malaria cases related to Puyang City were all imported and they were received the standardized management.Conclusion sAfter years of comprehensive prevention and control in Puyang City,there have been no local cases in the nine consecutive years.In 2017,the goal of malaria elimination is achieved in Puyang City,which is the first city achieving the goal at the municipal level in Henan Province.The focus of future work is to strengthen the monitoring and management of imported malaria cases,and to prevent the occurrence of second-generation cases.