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目的通过对四川省冕宁县1951-2015年疟疾发病情况的分析,对该地区疟疾流行和防治历程进行总结,并做出效果评价。方法采用流行病学调查方法,对65年期间的各年度疟疾发病率进行复核,按不同时段的病情进行统计比对,并以阶段性防治工作为主线,对消除疟疾的措施和效果做出符合客观实际的评价,为疟疾防治的可持续性提供借鉴。结果冕宁县疟疾防治工作自1951年起至2015年各个年度均保留和收集有完整的病情记录,1951-1956年为高密度流行时期,累计发病10 229例,年均发病率为126.65/万;1957-1986年(最后1例本地感染病例确诊)为病情平稳下降阶段,年均发病率为3.21/万;1987年至2015年除少数年度有零星输入病例报告以外,再无本士病例出现。结论截至2015年冕宁县已经连续29年无本地感染疟疾发生,近3年无外源性输入病例出现,表明该地区已经构建和形成了该病种防控工作的公共卫生基础,达到疟疾消除目标。
Objective To analyze the incidence of malaria in Mianning County, Sichuan Province from 1951 to 2015, and to summarize the malaria epidemic and prevention and treatment in this area and to evaluate the effect. Methods The epidemiological survey method was used to review the incidence of malaria in each year over the 65 years. Statistical comparison was made according to the disease at different time periods. The main line of prevention and treatment work was malaria and the malaria elimination measures and effects were consistent Objective and practical evaluation, provide reference for the sustainability of malaria control. Results Mianning County malaria prevention and treatment from 1951 to 2015 each year to retain and collect a complete record of the disease, 1951-1956 high-density epidemic period, the cumulative incidence of 10 229 cases, the average annual incidence of 126.65 / million; In 1957-1986 (the last case of local infection was diagnosed), the average annual incidence was 3.21 per ten thousand with a steady decline. From 1987 to 2015, there were no bosomic cases except sporadic cases reported in a few years. Conclusion Mianning County has not had any local infection malaria for 29 consecutive years since 2015, and no exogenous imported cases have been reported in the past three years, indicating that the region has constructed and formed a public health foundation for prevention and control of the disease and achieved the goal of eliminating malaria .