邳州市2001~2010年疟疾流行及防治效果评价.docVIP

邳州市2001~2010年疟疾流行及防治效果评价[摘要] 目的 分析邳州市2001～2010年疟疾流行趋势和防治效果，探讨防治对策，为制定今后的疟疾防治措施提供依据。方法 采用描述流行病学方法对邳州市2001～2010年疟疾疫情动态分析,研究疟疾疫情变化与防治措施的关系。结果 邳州市2000～2010年疟疾发病呈不稳定状态，年发病率0.52/10万～2.21/10万； 2002年起疟疾发病率逐年上升，2007年达高峰，疟疾发病具有明显季节性，7～10月疟疾病例数占81.09％；病例高度散发，发病最多的职业是农民，占53.73％；2000～2010年治疗疟疾现症病人1813人次，休止期治疗5569人次，发热病人血检191480人次。结论 通过实施疟疾传染源管理和媒介控制并重的综合性防治措施以及全球基金疟疾项目以后，遏制疟疾流行，疟疾发病率逐年下降。 [关键词] 疟疾；发病率；流行；评价 [中图分类号] R531.3 [文献标识码] B [文章编号] 1673-9701（2011）35-12-02 Preventive Evaluation and Epidemiology of Malaria in Pizhou City from 2001 to 2010 LIU Tiya YUAN Fumiao SHAN Yong ZHANG Ying Pizhou Center for Disease Control and Prevention in Jiangsu Province, Pizhou 221300, China [Abstract] Objective To analyze the trends and preventive effect of malaria-epidemic for prevention and control of malaria in the future. Methods Descriptive epidemiology was used to analyse the dynamic malaria epidemic and relationship between malaria-epidemic and preventive measures from 2001 to 2010. Results Malaria-epidemic displayed unstable situation from 2010 to 2010 and annual incidence rate was 0.52/100000～2.21/100000. From 2002 the incidence rate rose annually and reached a peak in 2007. Malaria was seasonal disease and accounted for 81.09% from July to October annually. Malaria cases were sporadic and most occupational cases were peasants who accounted for 53.73%. Treatment of malaria cases were 1813 and the treatments of anti-relapse stage were 5569. Blood tests of patient with fever were 191480 person-times. Conclusion Comprehensive measures of management of malaria-epidemic and vector controls and Global Fund malaria project carried out. Malaria incidence decreased year by year through suppressing malaria-epidemic. [Key words] Malaria； Incidence；Epidemiology；Evaluation 邳州市历史上曾是疟疾高发地区，传播媒介为中华按蚊。1960年和1971年曾出现两次疟疾暴发流行，发病率分别高达53.12%和42.37%，严重危害了人民群众的身体健康，影响经济发展和社会稳定。经过多年采取以控制传染源为主的综合性防治措施，取得了显著效果，发病人数逐年减少，至1986年疟疾发病率已降至1/万以下，1990年达到了基本消灭疟疾[1]。至2000年疟疾发病率降至历史最低，为0.07/10万。从200