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目的分析南平市疟疾流行现状及媒介监测情况,探讨消除疟疾的可持续性。方法收集2004—2013年“三热”血检疟疾病例及媒介监测资料进行统计分析。结果 10年共血检发热病人102 600人次,年均血检率3.36‰,阳性病例66例,总阳性率0.64‰。阳性病例中,输入性病例占95.5%(外出感染占81.8%);间日疟占63.6%,恶性疟占28.7%。2个监测点和101个原嗜人按蚊村(点),均未捕获嗜人按蚊。结论南平市已达到消除疟疾标准,但传播风险依然存在。提高基层医生诊治能力,提高监测系统的敏感性,及时发现和治愈传染源,提高群众知晓率,才能保证消除后的可持续性。
Objective To analyze the prevalence of malaria and the status of media surveillance in Nanping City and explore the feasibility of eliminating malaria. Methods The data of 2004-2003 “Three hot” bloodstains and malaria cases and media monitoring data were collected for statistical analysis. Results A total of 102 600 blood tests and blood tests were performed in 10 years. The average annual blood test was 3.36 ‰, and 66 cases were positive. The total positive rate was 0.64 ‰. Among the positive cases, 95.5% of imported cases (81.8% of out-migrant cases); P. falciparum 63.6% and P. falciparum 28.7%. 2 monitoring sites and 101 original Anopheles mosquitoes (spots), no Anopheles anthropophagus was captured. Conclusion Nanping City has reached the malaria elimination standard, but the spread risk still exists. Improve the diagnosis and treatment of grassroots doctors, improve the sensitivity of the monitoring system, timely detection and cure of sources of infection, raise awareness of the masses in order to ensure the sustainability of elimination.