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山东省自 1988年基本消灭疟疾后 ,为巩固成果 ,制订出一种适合本省的疟疾监测方法和防治对策 ,继续在全省范围内采取了以消灭传染源为主的综合性防治措施 ,即在原疟疾高发区鲁南五市地实行联防 ,设立一定数量的专职或兼职镜检站 ,负责“四热”病人的血检、流动人口管理和各项抗疟措施的落实 ;对于低疟区 ,也实行分类管理 ,凡有镜检条件的医疗单位 ,把血检疟原虫列为检验常规。 11年来 ,共血检当地居民 7790 941人次 ,阳性者 141人 ,阳性率为 0 .18/万 ;外出回归居民 30 6 5 81人次 ,阳性者 2 17人 ,阳性率为 7.0 8/万 ;外地疟区进入人员 2 176 35人次 ,阳性者 2 47人 ,阳性率11.35 /万 ,三者之间差异非常显著 (χ2 =96 0 2 .97,P<0 .0 0 1)。同时在全省各地根据不同的地理位置、经济状况 ,选择有代表性的乡 (镇 ) ,设立疟疾监测站 10处 ,负责辖区内“四热”病人的血检和蚊媒观察等 ,结果提示 ,对于单纯以中华按蚊为媒介的疟区 ,只要抓好现症病人的治疗和疫点处理 ,加强流动人口管理 ,防止外源性病例的输入和扩散 ,便能使疟防成果得到巩固 ,从而逐步达到消灭目的
After basically eliminating malaria in 1988, Shandong Province formulated a malaria monitoring method and prevention and control countermeasure that is suitable for the province to consolidate the achievements and continued to take a comprehensive prevention and treatment measures that mainly focused on eliminating the source of infection in the whole province, Five high-malaria counties Lunan five cities to implement the joint defense, the establishment of a certain number of full-time or part-time microscopy station, is responsible for the “four hot” patient blood tests, floating population management and the implementation of the anti-malaria measures; for low malaria, but also Implementation of classification management, where there are microscopic conditions of medical units, the blood as a test of malaria parasite routine. In the past 11 years, a total of 7,790,941 local blood tests were carried out, of which 141 were positive, with a positive rate of 0.18 / 10 000; 30 6 5 81 residents were returning home and 217 were positive, with a positive rate of 7.08 / There were 2 176 35 passengers in the malaria area, with a positive rate of 2 47 and a positive rate of 11.35 per 10 000. There was a significant difference among the three (χ2 = 96.0 2 .97, P <0.01). At the same time, 10 representative malaria townships were selected in different parts of the province according to their geographical location and economic status. Malaria monitoring stations were set up to take charge of the blood tests and mosquito vectors of the “four hot” patients in the area. The results suggest For the malaria endemic to China simply based on Anopheles sinensis, malaria prevention should be consolidated as long as the treatment and outbreak treatment of current disease patients are handled, the floating population management is strengthened, and the input and proliferation of exogenous cases are prevented. Thus gradually achieve the purpose of annihilation