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目的了解深圳市消除疟疾主要措施的执行情况,评估实施效果。方法收集2012—2015年深圳市疟疾疫情监测、病例处置、业务培训等消除疟疾工作资料,根据广东省消除疟疾实施方案工作指标的完成情况分析实施效果。结果 2012—2015年深圳市共血检“三热”病人98 090人次,年平均血检率为2.3‰,检出境外输入性疟疾126例,其中恶性疟93例(73.81%),间日疟28例(22.22%),卵形疟4例(3.17%),三日疟1例(0.79%)。疟疾病例实验室确诊率及规范治疗率均为100%。疟疾疫情上报、个案调查及疫点处置均按“1-3-7定点清除”工作模式开展。近3年从事疟防、临床及实验室工作的相关人员接受消除疟疾专业培训的比例达到95%。卫生部门通过与出入境检验检疫机构建立疟疾联防机制以及对涉外企业归国人员排查,及时发现和处置输入性病例24例。结论深圳市2012—2015年无本地疟疾感染病例和输入继发病例报告,消除疟疾主要措施执行良好,效果显著。但仍要加强对外出非洲和东南亚高疟区务工返回人员疟疾监测和管理,保证2017年消除疟疾目标的实现。
Objective To understand the implementation of the main measures to eliminate malaria in Shenzhen and evaluate the implementation effect. Methods The data on malaria elimination in Shenzhen from 2012 to 2015 were collected, including monitoring of malaria, treatment of cases and business training in Shenzhen. The implementation results were analyzed according to the completion of work targets of malaria elimination program in Guangdong Province. Results From 2012 to 2015, a total of 98 090 blood tests were performed in Shenzhen City, and the annual average blood test was 2.3 ‰. 126 imported malaria cases were detected, of which 93 (73.81%) were positive for Plasmodium falciparum 28 cases of vivax malaria (22.22%), 4 cases of ovipositive malaria (3.17%) and 1 case of malaria (0.79%). Malaria case laboratory diagnosis and standard treatment rates were 100%. The malaria epidemic reporting, case investigation and epidemic disposal were conducted according to the “1-3-7 Fixed-point Removal” mode of operation. Nearly three years engaged in malaria prevention, clinical and laboratory work related to malaria specialist training to receive the proportion of 95%. Through the establishment of a joint anti-malaria mechanism with the exit-entry inspection and quarantine agencies and the investigation of returned personnel from foreign-related enterprises, the health department promptly discovered and disposed of 24 imported cases of disability. Conclusion There is no report of local malaria infection and secondary case input from 2012 to 2015 in Shenzhen City. The main malaria elimination measures are well implemented and the results are obvious. However, the monitoring and management of malaria out of migrant workers returning from high malaria areas in Africa and South-East Asia should be strengthened to ensure the goal of eliminating malaria in 2017.