泸州市基本消灭疟疾后疟疾流行特征

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目的了解泸州市基本消灭疟疾达标后疟疾流行特征及防治效果,为防治策略和措施的调整提供依据,以便如期实现消除疟疾目标。方法采用描述流行病学方法对泸州市2005-2012年疟疾疫情资料进行分析。结果 8年间共报告疟疾95例,无死亡,年均报告发病率为0.03/万,无继发二代病例和暴发疫情发生。其中间日疟56例,恶性疟32例(混合感染1例),未分型7例,各年度报告发病率呈波动下降趋势;本地病例31例(无恶性疟),输人性病例64例(恶性疟32例),输入性疟疾构成比逐年上升。中华按蚊为唯一传疟蚊种,平均雌蚊密度为0.13只/(台.h)。结论泸州市实现基本消灭疟疾达标后采取的以消灭传染源、控制传播途径、加强疫情监测、及时发现和治管现症患者的综合性防治措施成效显著。由于疟疾传播媒介客观存在,输入性疟疾已成为泸州市的主要危险因素,加强流动人口的监测管理及媒介控制工作是巩固疟疾防治成果,实现消除疟疾的关键。 Objective To understand the malaria epidemic characteristics and control effect after basically eliminating malaria in Luzhou City and to provide evidence for the prevention and control strategies and measures so as to achieve the goal of eliminating malaria on schedule. Methods Descriptive epidemiological methods were used to analyze the malaria epidemic data of Luzhou from 2005 to 2012. Results A total of 95 cases of malaria were reported in 8 years without death, with an average annual incidence rate of 0.03 / million. No secondary second-generation cases and outbreaks were reported. There were 56 cases of Plasmodium falciparum, 32 cases of Plasmodium falciparum (1 case of mixed infection) and 7 cases of undifferentiated cases. The incidence of each case was fluctuating downward. There were 31 local cases (no falciparum malaria) and 64 cases of human cases 32 cases of falciparum malaria), the constituent ratio of imported malaria increased year by year. Anopheles sinensis is the only mosquito species to pass on and the average density of female mosquitoes is 0.13 / (Taiwan .h). Conclusion The comprehensive prevention and treatment measures of Luzhou City after the achievement of the standard of eliminating malaria basically eliminate the source of infection, control the transmission route, strengthen the surveillance of epidemic situation and timely find out and control the current disease patients. Due to the objective existence of malaria transmission media, imported malaria has become a major risk factor in Luzhou City. Strengthening monitoring and media control of floating population is the key to consolidating malaria prevention and treatment results and achieving malaria elimination.
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