论文部分内容阅读
目的 了解掌握陇川县疟疾流行程度与防治状况,为全球基金疟疾控制项目实施的效果评价提供依据。 方法 按《全球艾滋病、结核病和疟疾基金中国高传播区疟疾控制项目管理与技术方案》中的“疟疾基线调查技术方案”对陇川县的赛号乡、姐乌乡、城子镇进行疟疾流行程度、防治措施、居民疟疾防治知识等调查。 结果 陇川县、乡、村三级网络基本健全,基本能够开展疟疾病源监测工作。发热病人疟原虫血片镜检阳性率县级、乡级分别为11.58％、2.90％;疟疾病人规范化治疗率乡级59.85％,村级62.16％。当地居民疟疾知识知晓率仅为15.44％,中小学生疟疾知识知晓率29.67％。3个乡发热血检、处方和走访的实际疟疾发病数估算分别是255例、2445例、955例,是原疫情报告数的1.67倍、16倍、6.24倍。疫情漏报率估算分别为43.50％、93.75％、84.93％。 结论 陇川县疟疾流行势态仍然严重,必须进一步加强乡村防保人员疟疾技术培训和乡卫生院显微镜镜检设备,增强当地居民疟疾防治知识意识,规范疫情管理制度和疟疾正规治疗方案。
Objective To understand the malaria epidemic and control status in Longchuan County and provide evidence for the evaluation of the effectiveness of the Global Fund’s malaria control project. Methods According to the “Malaria Baseline Survey Technical Program” in “Management and Technical Program of Malaria Control in High Transmission Zone of China for the Global AIDS, Tuberculosis and Malaria”, malaria was conducted in Race No. 7, Chengwu Township and Chengzi Town in Longchuan County Prevalence, prevention and treatment measures, prevention and treatment of malaria residents knowledge survey. Results Longchuan county, township and village network basically sound, basically able to carry out malaria disease surveillance. The positive rate of blood samples from febrile patients was 11.58% and 2.90% respectively. The standard treatment rate of malaria patients was 59.85% of the township and 62.16% of the villages. Malaria awareness of local residents was only 15.44%, primary and secondary malaria awareness of 29.67%. The incidence of actual malaria cases in 3 townships was 255, 2445 and 955, respectively, which were 1.67 times, 16 times and 6.24 times of the original ones. The estimated rate of outbreaks were 43.50%, 93.75% and 84.93% respectively. Conclusion The epidemic situation of malaria in Longchuan County is still serious. It is necessary to further strengthen the technical training of malaria prevention and control personnel and the microscopic examination equipment of township hospitals so as to enhance local residents’ awareness of malaria prevention and control, standardize the epidemic management system and the formal treatment program of malaria.