摘要
目的分析湖北省2001-2009年本地间日疟流行现状和趋势,讨论在湖北消除疟疾的可能性。方法收集湖北省2001-2009年的疟疾网络疫情报告数,采用计数资料相对数分析法,依据世卫组织消除疟疾标准,以县（市、区）为单位,分析湖北省疟疾流行现状、趋势、和病例分布以及病例分布的规律。结果截至2009年底,全省年平均发病率在1/10000以下,整体发病呈下降趋势,1/10000以上的县（市、区）仅存2个,无病例报告的县（市、区）增加到41个。中华按蚊疟区84个县（市、区）,连续三年以上无病例报告的县（市、区）18个;嗜人按蚊和中华按蚊复媒区18个县（市、区）,连续三年以上无病例报告的县（市、区）为零。结论按照世卫组织的标准,湖北省整体疟疾疫情现状已进入消除阶段,但以县（市、区）为单位来分析,疫情分布极不平衡,嗜人按蚊区疟疾流行极不稳定,5年内在嗜人按蚊区消除疟疾难度极大,需加大落实综合性技术措施的力度和完善贯彻落实技术措施的外围配套体系和措施。
Objective To analyze the status of malaria epidemic during 2001-2009 and to discuss the feasibility of malaria elimination in Hubei.Methods The data of malaria cases were collected and the status and trends of malaria epidemic were analyzed in every county with relativeinformation.Results Up to the end of 2009,the incidence of malaria was under 1/100 00 with a downtrend at provincial level,there were only two of the 102 counties where the incidence of malaria still exceeded 1/100 00,there were 41 of the total 102 counties with 1 year free of local malaria case and 18 counties with 3 years of free of indigenous malaria case.The result indicated that the counties with 3 years free of local transmission were only in Anopheles sinensis epidemic area,there was no county with zero incidence in An.Anthropophagus epidemic areas.Conclusions According to the WHO criterion of malaria elimination in a country or in a district,the incidence of malaria has entitled the certification of ＂The Move from Malaria Control to Elimination＂ in Hubei.However,malaria epidemic situation was unbalanced and unstable in some counties,especially,there will be of great difficulty to eliminate malaria within 5 years,unless great effort be made with comprehensive measures,and powerful policy be established for malaria control in An.anthropophagus epidemic areas.
出处
《公共卫生与预防医学》
2010年第4期28-30,共3页
Journal of Public Health and Preventive Medicine
关键词
消除疟疾
疟疾流行趋势
Malaria elimination
Malaria epidemic trends
