江西省消除疟疾行动计划中期评估报告

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按照要求,江西省2015年8—10月组织实施了消除疟疾行动计划中期评估工作。通过县级自评和省级复核结果显示,全省2010—2015年6月30日,共报告疟疾病例248例,年疟疾发病率波动在0.07/10万~0.12/10万之间,其中恶性疟127例,间日疟79例,未分型33例,混合感染5例,三日疟3例,卵型疟1例。报告的病例中输入性病例241例,占病例总数的97.18%,本地感染疟疾病例7例。全省已连续4年未报告本地感染的疟疾病例,53个县(市、区)通过县级考核,2个设区市通过市级评估。2010—2015年,全省累计培训各级医疗和疾控机构的临床和流行病学医生、实验室和防保人员90 537人次;累计血检“三热”病人551 447例次,检出疟原虫阳性211例,血检阳性率为0.038%。全省疟疾病例实验室确诊率由2010年的41.38%上升至2015年的96.67%,实验室检测率由62.07%上升至96.67%;疟疾病例24 h报告率达100%,规范治疗率达到100%,3 d内流调率上升至96.77%,7 d内疫点处置率亦大幅提升。评估结果证实:通过实施消除疟疾行动计划,全省各地大力推动了疟疾防治工作的进程,逐步提高了各级临床医疗机构和疾控机构疟疾防治专业人员的防治工作意识和技能水平,提高了群众的自我保护意识,较好地完成了《行动计划》提出的任务指标,实现了到2015年全省无本地感染病例的目标。 In accordance with the requirements, Jiangxi Province conducted a mid-term evaluation of the malaria elimination plan of action from August to October 2015. Through the county-level self-assessment and provincial review results show that the province from 2010 to June 30, 2015, a total of 248 cases of malaria were reported, the annual incidence of malaria fluctuations in 0.07 / 100,000 to 0.12 / 100,000, of which malignant 127 cases of malaria, 79 cases of Plasmodium vivax, 33 cases of undifferentiated type, 5 cases of mixed infection, 3 cases of malaria in 3 days and 1 case of egg-type malaria. 241 cases of imported cases were reported, accounting for 97.18% of the total cases and 7 cases of local malaria cases. The province has not reported the cases of locally infected malaria for four consecutive years. 53 counties (cities and districts) passed the county-level assessment and two municipalities and districts passed the municipal assessment. From 2010 to 2015, a total of 90 537 clinical and epidemiological doctors, laboratories and anti-injury personnel of all levels of medical and disease control institutions in the province were trained; 551 447 cumulative blood tests and “three hots” Positive malaria parasite 211 cases, blood test positive rate was 0.038%. The diagnosis rate of malaria cases in the province rose from 41.38% in 2010 to 96.67% in 2015, and the laboratory detection rate increased from 62.07% to 96.67%. The malaria cases reported 100% in 24 hours and the standard treatment rate reached 100% , The rate of flow control increased to 96.77% within 3 days and the disposal rate of outbreaks within 7 days also increased significantly. The assessment confirmed that: Through the implementation of the malaria elimination plan of action, the malaria prevention and control work has been vigorously promoted throughout the province, and awareness and skills in malaria prevention and control professionals at all levels and levels have been gradually raised and the masses Awareness of self-protection and well completed the tasks set out in the “Action Plan”, achieving the goal of no local infection in the province by 2015.
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