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目的分析和评估宜昌市消除疟疾技术措施和实施效果。方法收集宜昌市1951年—2015年疟疾疫情资料,进行流行病学分析;评估各阶段疟疾防控措施及效果;采用国家消除疟疾标准对宜昌市消除疟疾进行验收。结果宜昌市自2011年起未再发现本地感染疟疾病例,已达到国家消除疟疾标准。消除疟疾后的主要问题是输入性疟疾防治。结论在中华按蚊为主要传播媒介的疟疾流行区,采取以控制和消除传染源为主的综合防治措施,防治效果明显,能达到消除疟疾标准,但输入性疟疾防治任务依然严峻。
Objective To analyze and evaluate the technical measures and effectiveness of malaria elimination in Yichang. Methods The data of malaria epidemic in Yichang City from 1951 to 2015 were collected for epidemiological analysis. The malaria control measures and their effectiveness were evaluated at each stage. The national malaria elimination standard was adopted to check malaria elimination in Yichang. Results No cases of local malaria infection were found in Yichang City since 2011, reaching the national malaria elimination standard. The main problem after malaria elimination is malaria control for malaria. Conclusion In the malaria endemic area where Anopheles sinensis is the main vector, comprehensive prevention and control measures based on controlling and eliminating the source of infection are adopted. The prevention and cure effect is obvious and the malaria elimination standard can be achieved. However, the malaria control task of import malaria is still severe.