摘要
在20世纪50—60年代,疟疾在甘肃数十个县流行,1950—2011年甘肃共报告疟疾病例37 957例,其中间日疟37 750例,占总病例的99.45%。1963年报告病例最多,达5 000余例,之后经过加强防制,疟疾病例逐年减少。1990年后疟疾仅在5个县有本地病例报告,年发病例在1~40例之间。2010年《中国消除疟疾行动计划(2010—2020年)》实施以来,甘肃省通过加强组织领导,大力开展技术培训,广泛促进部门间合作,全面开展发热病人血检,各级疟疾防治机构努力完成规划制定的各项指标,目前全省已经达到消除疟疾行动制定的阶段规划目标。2010年后全省未发生本地感染病例和疟疾死亡病例。省卫生计生委组织的市级消除疟疾考核评估结果表明:消除疟疾行动推动了全省各疟疾流行县的疟疾防治工作;全面提高了各级医疗和疾控机构相关人员的诊治和防制水平,全省疟疾流行三类县已经实现消除疟疾目标。2010—2015年6月甘肃省报告疟疾病例113例,其中输入性疟疾112例,不断发生的输入性疟疾疫情,给全省消除疟疾行动增加了新的困难。通过消除疟疾中期评估总结经验,寻找和解决问题,在输入性疟疾疫情严峻的新形势下,为全省2018年提前实现消除疟疾目标奠定了良好基础。
In the 1950 s and the 1960 s, malaria was prevalent in more than ten counties in Gansu Province. The number ofcases reported peaked in 1963, reaching over 5 000. From 1950 to 2011, 37 957 cases of malaria were reported in Gansu,which included 37 750 cases of Plasmodium vivax, accounting for 99.45% of the total cases. Following intensified preventionand control, malaria cases were only locally reported in five counties after 1990, with an annual report of 1 to 40 cases. Sincethe launch of＂Action Plan of China Malaria Elimination（2010-2020）＂in 2010, malaria prevention and control institutions atall levels in Gansu Province, by enhancing organization and leadership, vigorously carrying out technical training, extensivelypromoting inter-departmental cooperation and conducting blood smear tests in febrile patients, have made a concerted effort tocomplete the tasks in the program. The staged goal of the malaria elimination action plan has been achieved over the province.No local infection case or malaria-related death has been reported ever since 2010. According to the results of the municipalmalaria elimination appraisal organized by the provincial health and family planning commission, the malaria eliminationaction has promoted the malaria prevention and control in the malaria- endemic counties in Gansu Province, andcomprehensively improved the personnel＇s ability to diagnose, treat, prevent and control malaria in the medical and diseasecontrol institutions at all levels. The goal of malaria elimination has been realized in type-Ⅲ counties of malaria prevalence inGansu Province. From 2010 to June 2015, 113 cases of malaria were reported in Gansu Province, including 112 cases ofimported malaria. The imported malaria epidemic, occurred successively, has brought new challenges to the malaria eliminationaction. To conduct mid-term assessment of malaria elimination, summarize experience, identify and solve problems will lay asolid foundation for achieving the target of malaria elimination ahead of schedule in 2018.
作者
李凡
杨成明
冯宇
杨国兵
余大为
LI Fan YANG Cheng ming FENG Yu YANG Guobing YU Dawei(Center for Disease Control and Prevention of Gansu Province, Lanzhou , Gansu 730000, Chin)
出处
《中国热带医学》
CAS
2017年第1期6-9,共4页
China Tropical Medicine
关键词
疟疾
消除
中期评估
输入性
malaria
elimination
mid-term assessment
imported
