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山西省曾属低疟流行区,在20世纪70年代以前年报告疟疾病例数较多,其中1951、1970和1974年为三个发病高峰年,年报告发病数分别为1 155、2 303和1 282例。经过多年的防治,1986年以后每年疟疾发病人数已控制在较低水平,不超过20例。2000年以后每年仅有个别病例报告,且均为输入性病例。疟疾年均报告发病率已由1950—1959年的5.25/10万下降到2000—2009年0.03/10万。2010年启动消除疟疾工作,2010—2015年全省省、市、县共培训疟防专业人员18 189人次,临床医生24 991人次,检验人员7 219人次;血检不明原因发热病人47 385例,其中1例为疑似本地感染疟疾病例(2011年),12例为输入性疟疾病例(2013和2014年各5例,2015年2例)。5年共报告疟疾病例57例,除2011年1例为疑似本地感染疟疾病例外,其余56例均为境外输入性病例,24 h疟疾病例报告及时率为100%,病例报告后3 d内个案调查率100%;2013—2015年全部病例均为实验室确诊病例,实验室确诊率为100%;2013—2015年应调查处置疫点数44个,病例报告后的7 d内疫点处置率为100%。全省连续三年无本地感染疟疾病例,11个市于2015年均通过了省级消除疟疾考核评估。
Formerly a malaria-endemic area, Shanxi Province reported a large number of malaria cases in the pre-1970s, of which 1951, 1970 and 1974 were the three peak incidence years with annual incidences of 1 155,2 303 and 1 respectively 282 cases. After years of prevention and treatment, the annual incidence of malaria has been controlled at a relatively low level after 1986, not exceeding 20 cases. There are only a few individual case reports after 2000, all of which are imported cases. The annual average incidence of malaria has dropped from 5.25 / 100,000 in 1950-1959 to 0.03 / 100,000 in 2000-2009. In 2010, malaria prevention work was started. From 2010 to 2015, a total of 18 189 malaria prevention professionals, 24 991 clinicians and 7 219 inspectors were trained in 47 provinces, cities and counties. 47 385 cases of blood tests with unexplained fever, One case was suspected of local malaria infection (2011) and 12 cases of imported malaria (5 cases in 2013 and 2014 and 2 cases in 2015). A total of 57 cases of malaria were reported in 5 years except for one case of suspected local infection of malaria in 2011. The remaining 56 cases were all imported cases with 24-hour malaria reporting in 100% of cases. Cases within 3 days after the case report were reported The surveyed rate was 100%. In 2013-2015, all the cases were laboratory confirmed cases, with a laboratory diagnosis rate of 100%. In 2013-2015, there were 44 epidemic points to be investigated and dealt with. The treatment rate of outbreaks within 7 days after the case report was 100%. There were no cases of local malaria infection in the province for three consecutive years, and 11 municipalities passed the provincial malaria assessment assessment in 2015.