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目的分析马山县1950—2014年疟疾流行情况及防治历程,评价其防控效果,为巩固已取得的成果和全面消除疟疾考核提供参考。方法收集马山县历年疟疾疫情报告资料、防治方案、流动人口疟疾监测等资料建立数据库,采用Excel软件进行统计和分析。结果经过60余年的反复防治,马山县疟疾防控取得了非常显著的效果,发病率从1954年的3 518.73/10万降至1996年的0.06/10万,1989年至今没有发现本地新感染病例和输入性继发病例,分别于1996年和2014年经考核达到基本消灭疟疾标准和国家消除疟疾标准。结论马山县已连续20多年无本地疟疾病例报告。但境外输入性疟疾一定时间将持续存在。因此,要进一步加强对外出非洲和东南亚地区务工人员疟疾监测力度,及时发现和有效治疗输入性疟疾,继续巩固防治成果。
Objective To analyze the epidemic situation of malaria and its prevention and cure in Masshan County from 1950 to 2014 and to evaluate its prevention and control effects. It provides a reference for consolidating the achievements made and for eliminating malaria. Methods Data of malaria epidemic situation, prevention and control programs, monitoring of malaria in mobile population and other data were collected and established in the county of Mingshan. The data were collected and analyzed by Excel software. Results After more than 60 years of repeated prevention and control, the malaria prevention and control in Mashan County had achieved remarkable results. The incidence rate dropped from 3 518.73 / 100 000 in 1954 to 0.06 / 100 000 in 1996, and no new local infection was found since 1989 Cases and cases of imported secondary cases were tested in 1996 and 2014 respectively to meet the basic malaria elimination standards and the national malaria elimination standards. Conclusion Mashan County has reported no cases of local malaria for more than 20 years. However, imported malaria will persist for some time. Therefore, it is necessary to further strengthen malaria surveillance of migrant workers in Africa and Southeast Asia, find and effectively treat imported malaria in a timely manner, and continue to consolidate the results of prevention and treatment.