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我国消除疟疾已取得重大进展,疟疾流行病学特征发生新的改变,消除疟疾的监测与响应体系已建立并在逐步完善,但实施中仍存在诸多问题。为顺利达到2020年全国消除疟疾的目标,必须采取以病例为基础的“线索追踪,清点拔源”策略。本文评述我国消除疟疾面临的问题、“线索追踪,清点拔源”策略,阐述其特点和核心的针对性与精准性,提出消除疟疾阶段监测与响应系统的根本目的是清点拔源,实现清点拔源要求线索追踪技术上的精准。因此,落实消除疟疾“1-3-7”工作规范,提高快速追踪传染源、保证疫点处理质量是我国达到消除疟疾预期目标的关键。
Major progress has been made in eliminating malaria in our country, new changes have been made in the epidemiological characteristics of malaria, and the monitoring and response system for eliminating malaria has been established and gradually improved. However, there are still many problems in its implementation. In order to smoothly reach the goal of eliminating malaria nationwide by 2020, we must adopt a case-based strategy of “clues to track, count and source”. This article reviews the problems we face in malaria elimination in our country, and the “clues to follow, inventory and source” strategy, elaborates its characteristics and core pertinence and accuracy, and proposes that the fundamental purpose of the malaria phase monitoring and response system is to find out the sources and achieve Counting pull sources requires clues to track technical precision. Therefore, to implement the “1-3-7 ” malaria elimination code, to improve the tracking of sources of infection and to ensure the quality of the epidemic handling is the key to our goal of eliminating malaria.