摘要
目的了解深圳市消除疟疾主要措施的执行情况,评估实施效果。方法收集2012—2015年深圳市疟疾疫情监测、病例处置、业务培训等消除疟疾工作资料,根据广东省消除疟疾实施方案工作指标的完成情况分析实施效果。结果 2012—2015年深圳市共血检"三热"病人98 090人次,年平均血检率为2.3‰,检出境外输入性疟疾126例,其中恶性疟93例(73.81%),间日疟28例(22.22%),卵形疟4例(3.17%),三日疟1例(0.79%)。疟疾病例实验室确诊率及规范治疗率均为100%。疟疾疫情上报、个案调查及疫点处置均按"1-3-7定点清除"工作模式开展。近3年从事疟防、临床及实验室工作的相关人员接受消除疟疾专业培训的比例达到95%。卫生部门通过与出入境检验检疫机构建立疟疾联防机制以及对涉外企业归国人员排查,及时发现和处置输入性病例24例。结论深圳市2012—2015年无本地疟疾感染病例和输入继发病例报告,消除疟疾主要措施执行良好,效果显著。但仍要加强对外出非洲和东南亚高疟区务工返回人员疟疾监测和管理,保证2017年消除疟疾目标的实现。
Objective To understand the implementation status of measures for malaria elimination, and evaluate theeffect in Shenzhen City. Methods The data of malaria elimination work, including the comprehensive measures that focusedon malaria surveillance and prevention transmission, case disposition and professional training, were collected and analyzed inShenzhen City, 2012-2015. Results A total of 98 090 patients with fever enrolled in hospitals were examined for malaria,and the average annual blood examination rate（ABER） was 2.3‰ in Shenzhen City, 2012-2015. The number of malaria casesfound was 126, and all the cases were imported from abroad, of which 93 cases（73.81%） infected with P. falciparum, 28 cases（22.22%） with P.vivax, 4 cases（3.17%） with P. ovale and 1 case（0.79%） with P. malariae. All the malaria cases were laboratoryconfirmed and treated with malaria drugs according to the standardized malaria treatment program. The proportions of thediagnosed cases reported within 24 hours and investigated within 3 day were both 100%, and the malaria foci were disposedwithin 7 days. More than 95% of personnel engaged in malaria prevention, clinical and laboratory work accepted theprofessional training for malaria elimination in recent 3 years. A joint prevention and control mechanism for imported malariawas established by the health sectors and immigration and quarantine departments, and 24 imported malaria cases weredetected and treated in time. Conclusions There were no local infection malaria cases and secondary cases reported inShenzhen City, 2012-2015. The main measures for malaria elimination in this area were well implemented. However, it isnecessary to strengthen the malaria surveillance for migrant workers from malaria endemic areas of Africa and Southeast Asiafor achieving the goal of malaria elimination in 2017.
作者
高世同
李晓恒
黄达娜
谢旭
梅树江
GAO Shitong LI Xiaoheng HUANG Dana XIE Xu MEI Shujiang(Shenzhen Center for Disease Control and Prevention, Shenzhen, Guangdong 518055, China)
出处
《中国热带医学》
CAS
2017年第1期76-78,82,共4页
China Tropical Medicine
关键词
疟疾
消除
干预措施
深圳市
malaria
elimination
intervention
Shenzhen City
