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目的分析江苏(苏)、安徽(皖)、河南(豫)三省恶性疟联防成效,为其他地区消除恶性疟提供借鉴资料。方法收集苏、皖、豫三省1984—1994年恶性疟疫情报告和联防统计数据,查阅相关文献,回顾性调查分析恶性疟联防实施成效。结果中部江苏、安徽和河南三省1986年起开展恶性疟联防,采取统一策略、统一行动的“两统一”联防模式,建立轮流检查、轮流值班的联防机制,实施以控制传播媒介为主和加强传染源管理的综合性防治措施,实现中部地区消除恶性疟。三省恶性疟病例由1984年的3 438例下降到1991年的0例,江苏、河南自1988年起,安徽自1991年起未发生本地恶性疟感染病例。结论恶性疟联防工作模式促进了江苏、安徽、河南三省消除恶性疟,应探索向其他地区推广的可适用性。
Objective To analyze the effectiveness of the prevention and control of falciparum malaria in Jiangsu (Jiangsu), Anhui (Anhui) and Henan (Henan) provinces and to provide references for the elimination of P. falciparum in other areas. Methods The data of epidemic situation of falciparum malaria in the three provinces of Jiangsu, Anhui and Henan from 1984 to 1994 were collected, and related literature was reviewed. The effectiveness of prevention and treatment of falciparum malaria was analyzed retrospectively. Results Central provinces of Jiangsu, Anhui and Henan started to carry out the prevention and control of falciparum malaria in 1986, adopting a unified strategy and united actions to establish a “two unified” joint prevention mode and establishing a joint defense mechanism of rotation inspection and rotation on duty. Strengthen the comprehensive prevention and control measures for infection source management and eliminate falciparum malaria in the central region. Three cases of falciparum malaria in three provinces dropped from 3 438 in 1984 to 0 in 1991 in Jiangsu and Henan. Since 1988, no cases of local falciparum malaria have been reported in Anhui since 1991. Conclusion The work mode of preventing and treating falciparum malaria has promoted the elimination of falciparum malaria in three provinces of Jiangsu, Anhui and Henan, and should explore the applicability of promotion to other areas.