热带病与寄生虫学

热带病与寄生虫学 ›› 2017, Vol. 15 ›› Issue (1): 36-40.doi: 10.3969/j.issn.1672-2302.2017.01.010

• 论著 • 上一篇    下一篇

1952~2015年广西钦州市疟疾防治效果分析

王卫军，劳其平，傅朝阳，赖春艳，沈平，洪波，潘朝庆，黄光华，陆玉培，黄齐华，刘霞，陈富玲，黄亚铭*   

  1. 535000 广西钦州市，广西钦州市疾病预防控制中心（王卫军、劳其平、傅朝阳、赖春艳），钦州市钦南区疾病预防控制中心（沈平、陆玉培），钦州市浦北县疾病预防控制中心（洪波、刘霞），钦州市钦北区疾病预防控制中心（潘朝庆、黄齐华），钦州市灵山县疾病预防控制中心（黄光华、陈富玲），广西壮族自治区疾病预防控制中心（黄亚铭）；* 通讯作者
  • 出版日期:2017-03-10 发布日期:2017-04-12
  • 基金资助:

    2015年钦州市科学研究与技术开发项目(201514914)

Analysis on the outcomes of malaria control in Qinzhou city of Guangxi from 1952 to 2015

Wang Weijun1,, LaoQi Ping1, Fu Zhaoyang1, Lai Chunyan1, Shen Ping2, Hong Bo3, Pan Zhaoqing4, Huang Guanghua5, Lu Yupei2, Huang Qihua4, Liu Xia3,, Chen Fuling5, Huang Yaming6.   

  1. 1. Qinzhou City Center for Disease Prevention and Control, Qinzhou 535000, China; 2. Qinnan District Center for Disease Control and Prevention of Qinzhou City, Qinzhou 535000, China;3.Pubei County Center for Disease Control and Prevention, Pubei 535300, China;4. Qinbei District Center for Disease Control and Prevention of Qinzhou City, Qinzhou 535000,China;5.Lingshan County Center for Disease Control and Prevention, Lingshan 535200, China;6.Guangxi Center for Disease Prevention and Control, Nanning 530021, China. *Corresponding Author.
  • Online:2017-03-10 Published:2017-04-12

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摘要： 目的  分析钦州市1952~2015年疟疾防治效果，为巩固消除疟疾提供科学依据。 方法  收集整理该市各县区1952~2015年疟疾防治资料，采用Excel软件进行统计分析和图表制作。 结果  该市历史上存在4种传疟按蚊，流行的是恶性疟和间日疟，50年代初期当地疟疾呈自然流行状态，疟疾发病率最高的1954年为3 829.92/10万，50年代疟疾病例占总病例的88.92%，死亡人数占历史总死亡人数的90.36%。1979年疟疾发病率下降至9.65/10万，80年代达到原卫生部基本消灭疟疾标准，2000年在当地居民中发现最后一例疟疾病人，2014年各县区达到消除疟疾标准。该市80年代开始出现在国内其他省市感染的流动人口疟疾病人，近十年的疟疾病人均在非洲感染。 结论  钦州市各县区已多年无本地疟疾病例，达到国家消除疟疾标准。但国外输入性疟疾成为目前疟疾防控的主要威胁，需继续加强监测和治疗。

关键词: 疟疾, 控制, 消除, 流动人口

Abstract:

Objective To analyze the outcomes of malaria control in Qinzhou city, Guangxi Zhuang Autonomous Region, from 1952 to 2015, for scientific evidence to consolidate the achievement and ultimately eradicate malaria. Methods The data for prevention and control of malaria were collected in counties and districts under the administration of Qinzhou city from 1952 through 2015, and software Excel was used to count and chart the data for statistical analysis. Results Historically, malaria transmission in Qinzhou areas was associated with four species of Anopheles mosquitoes as well as Plasmodium falciparum and Plasmodium vivax, and the local malaria infection appeared in natural epidemic status in the early 1950s, with the highest incidence being in 1954 by 3 829.92 in 100 000 population. The number of malaria cases accounted for 88.92% of the total infections in local areas and 90.36% of deaths were associated with malaria in 1950s. The incidence of malaria was dropped to 9.65 in 100 000 population in 1979. Assessment of prevention and control effects met the criteria of primary elimination of malaria as specified by the Nation Ministry of Health in 1980s. Only one death case was reported in local area by 2000, and control of malaria infection in all counties and districts reached the elimination criteria by 2014. Malaria infection associated with domestic migrant population was reported in 1980s, and newly infections in the past decade were imported cases from African countries. Conclusion Malaria infection is absent in population living in Qinzhou areas for many years, suggesting that our city has met the criteria of malaria eradication at national level. However surveillance on malaria infection and timely treatment of the newly reported case should be emphasized because of the risks of imported cases from foreign countries.

Key words: Malaria, Control, Elimination, Migrant population