本文選題：瘧疾　切入點(diǎn)：防治措施　出處：《中國血吸蟲病防治雜志》2016年04期 　論文類型：期刊論文

【摘要】：目的分析1974-2015年湖北省瘧疾防治措施和流行趨勢(shì),為消除瘧疾路徑分析提供依據(jù)。方法回顧性收集、整理1974-2015年湖北省瘧疾防治資料,采用描述流行病學(xué)方法進(jìn)行統(tǒng)計(jì)分析。結(jié)果 1974-2015年湖北省瘧疾流行歷經(jīng)4個(gè)階段:1974-1979年為高發(fā)流行狀態(tài),年平均發(fā)病率為174.47/萬;1980-1999年為控制及鞏固階段,采取以控制傳染源和蚊媒為重點(diǎn)的防治策略,瘧疾發(fā)病率呈大幅下降趨勢(shì),年平均發(fā)病率為17.30/萬;2000-2009年,采取以傳染源監(jiān)測(cè)和控制瘧疾暴發(fā)流行為主的防治策略,加強(qiáng)對(duì)流動(dòng)人口管理,年平均發(fā)病率為0.42/萬,呈繼續(xù)平穩(wěn)下降趨勢(shì);2010年之后為消除階段,發(fā)病率繼續(xù)下降,2013年首次無本地感染病例。各階段年均發(fā)病率差異有統(tǒng)計(jì)學(xué)意義(c2=1 254.36,P0.05)。結(jié)論湖北省瘧疾流行趨勢(shì)歷經(jīng)了高發(fā)流行階段、大幅度下降階段、低發(fā)平穩(wěn)階段和消除瘧疾階段,但影響瘧疾發(fā)生的自然因素并未完全改變,加強(qiáng)輸入性瘧疾防控和全面監(jiān)測(cè)工作是今后瘧防工作的主要任務(wù)。
[Abstract]:Objective to analyze malaria control measures and epidemic trends in Hubei Province from 1974 to 2015, and to provide the basis for malaria elimination path analysis. Methods the data of malaria control in Hubei Province from 1974 to 2015 were collected retrospectively. Results the malaria epidemic in Hubei Province from 1974 to 2015 experienced four stages: 1: 1974-1979 was a high prevalence state, and the annual average incidence rate was 17447 / 10 000 from 1980 to 1999, which was the stage of control and consolidation. By adopting the control strategy focusing on controlling the source of infection and mosquito vector, the incidence of malaria decreased significantly, the annual average incidence rate was 17.30 / 10 000 from 2000 to 2009, and the main control strategy was to monitor and control the outbreak of malaria by the source of infection. To strengthen the management of the floating population, the annual average incidence rate is 0.42 / 10, 000, showing a steady downward trend; after 2010, it is the elimination phase. The incidence rate continued to decrease, and in 2013, there were no local infection cases for the first time. The average annual incidence of each stage had statistical significance. Conclusion the epidemic trend of malaria in Hubei Province has gone through the stage of high prevalence and decreased significantly. However, the natural factors affecting the occurrence of malaria have not completely changed. Strengthening the control and control of imported malaria is the main task of malaria control in the future.
【作者單位】： 湖北省疾病預(yù)防控制中心;
【基金】：湖北省衛(wèi)生計(jì)生委血防專項(xiàng)課題(WJ2015XA001) 湖北省疾控中心青年人才課題(Y2013X14)
【分類號(hào)】：R531.3;R181.3

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本文編號(hào)：1627004