山东省滕州市1951—2019年疟疾流行情况与防控效果分析

Situation and effect analysis of malaria prevention and control in Tengzhou,Shandong,1951-2019

目的对滕州市1951—2019年疟疾流行情况和防治效果进行分析,为进一步巩固消除疟疾成果提供参考。方法收集1951—2019年滕州市疟疾疫情防治资料,采用描述流行病学方法描述和分析每个时期疟疾流行情况、采取的措施及防治效果。结果滕州市为单一间日疟流行区,中华按蚊为唯一传播媒介。1951—2019年滕州市共报告疟疾病例821589例,发病率在0~13108.15/10万之间。整个疟疾防治经历了动荡期、疟防会战期、基本消除期、监测期、消除期五个阶段,根据不同阶段防治重点采取了针对性的防治措施,取得非常显著的效果。发病率从最高1960年的13108.15/10万降至1987年的1/10万以下,达到基本消除疟疾标准。2008年后无本地感染病例发生,2014年通过国家消除疟疾标准验收。结论滕州市已进入巩固疟疾消除成果阶段,境外输入疫情是下一步防控的关键。要以监测工作为重点,做好疟疾防治宣传教育,提高疟疾防治意识和自我防护水平。执行消除疟疾"1-3-7"工作规范,提高医务人员对疟疾病例和带虫者及早发现和及时有效的应急处理能力。充分依靠党和政府的领导,强化联防联控协作机制,促进各项防控措施的落实,防止疟疾输入再传播。

Objective and we provide reference for further consolidating the results of malaria elimination.Methods and control data of malaria in Tengzhou from 1951 to 2019,and used descriptive epidemiological method to describe and analyze the epidemic situation,measures and control effect of malaria in each period.Results malaria endemic area and Anopheles sinensis was the only vector.A total of 821589 cases of malaria were reported from 1951 to 2019,with an incidence of 0-13108.15/100000.The whole malaria control has gone through five stages:turbulent period,war period,basic elimination period,monitoring period and elimination period.Targeted measures have been taken to gradually control the spread and prevalence of malaria according to the focus of different stages.The incidence rate dropped from13108.15/100000 in 1960 to less than 1/100000 in 1987,reaching the standard for basic elimination of malaria.No local infection occurred after 2008,and we passed the national malaria elimination standard acceptance in 2014.Conclusions epidemics is the key to the next step of prevention and control,publicity and education on malaria prevention and control should be carried out to raise awareness of malaria prevention and control and the level of self-protection.It is necessary to focus on surveillance,implement the"1-3-7"work standard for malaria eradication,improve the capacity for early detection and timely and effective emergency response of malaria cases and carriers,the government should play a leading role,strengthen the joint prevention and control mechanism,and promote the implementation of prevention and control measures.and block the re-transmission of malaria imported.