【摘要】：目的了解江蘇省瘧疾流行現(xiàn)狀,掌握瘧疾流行規(guī)律和趨勢。方法根據(jù)全省瘧疾流行程度與特征,選擇原本地病例較多的宿遷市泗洪縣和輸入性病例較多的揚州市寶應縣為國家級瘧疾監(jiān)測哨點;選擇無錫市宜興市、徐州市睢寧縣、常州市武進區(qū)、南通市海安縣、連云港市贛榆縣和淮安市盱眙縣6個縣(市、區(qū))為省級瘧疾監(jiān)測哨點。收集瘧疾監(jiān)測哨點基本情況以及發(fā)熱病人血檢、瘧疾病人個案調查、疫點調查和處置等監(jiān)測數(shù)據(jù)。結果 2014年江蘇省8個瘧疾監(jiān)測哨點共血檢發(fā)熱病人92 484人次,平均血檢率為1.15%;檢出瘧原蟲陽性61例,陽性率為0.07%。61例瘧疾病例均為實驗室診斷的境外輸入性病例,并在網(wǎng)絡直報3 d內完成血片復核和流行病學個案調查、7 d內完成疫點調查與處置。流行病學個案調查發(fā)現(xiàn),61例瘧疾病例初次就診主要集中在縣級疾控機構(37.70%,23/61)和縣級醫(yī)療機構(50.82%,31/61),明確診斷也集中在縣級疾控機構(45.90%,28/61)和縣級醫(yī)療機構(47.10%,29/61);初次就診確診率為90.16%(55/61);48例由公司外派出國,34例有同行人員。結論江蘇省瘧疾監(jiān)測哨點較好地發(fā)揮了監(jiān)測作用,有效推動了全省消除瘧疾工作。今后的瘧疾監(jiān)測工作應建立多部門合作模式,形成協(xié)查機制,加強對高危人群的主動篩查和健康宣教。
[Abstract]:Objective to understand the current situation of malaria epidemic in Jiangsu Province, and to master the rules and trends of malaria epidemic. Methods according to the epidemic degree and characteristics of malaria in the province, Sihong County of Suqian City and Baoying County of Yangzhou City, which had more cases, were selected as the national malaria surveillance sentinel. Six counties (cities, districts) of Wuxi, Xuzhou, Wujin, Nantong, Ganyu and Xuyi counties were selected as provincial malaria surveillance sentinel points in Wujin District of Changzhou City, Haian County of Nantong City, Ganyu County of Lianyungang City and Xuyi County of Huaian City. The basic data of malaria surveillance sentinel and blood examination of fever patients, case investigation of malaria patients, epidemic spot investigation and disposal were collected. Results 92,484 febrile patients were examined at 8 malaria surveillance sites in Jiangsu Province in 2014, with an average blood test rate of 1.15. 61 cases of Plasmodium were positive, the positive rate was 0.07.61 cases of malaria were all imported cases diagnosed by laboratory, and the blood smear examination and epidemiological case investigation were completed within 3 days. The investigation and disposal of the epidemic spot were completed within 7 days. An epidemiological case study showed that 61 cases of malaria were first visited mainly in county level disease control institutions (37.70% / 61) and county level medical institutions (50.822% / 61). Definite diagnosis was also concentrated in county disease control institutions (45.90 / 61) and county-level medical institutions (47.1010 / 61); The initial diagnosis rate was 90.16% (55 / 61). Conclusion the sentinel of malaria surveillance in Jiangsu province has played a better role in malaria control and effectively promoted the elimination of malaria in Jiangsu province. The future malaria surveillance should establish multi-department cooperation model, form cocheck mechanism, strengthen the active screening and health education of high-risk population.
【作者單位】： 江蘇省血吸蟲病防治研究所、衛(wèi)生部寄生蟲病預防和控制技術重點實驗室、江蘇省寄生蟲分子生物學重點實驗室;
【基金】：江蘇省自然科學基金(BK2010151) 江蘇省預防醫(yī)學科研課題(Y2013065)
【分類號】：R531.3

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