【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(shì)。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(yáng)州市寶應(yīng)縣為國(guó)家級(jí)瘧疾監(jiān)測(cè)哨點(diǎn);選擇無(wú)錫市宜興市、徐州市睢寧縣、常州市武進(jìn)區(qū)、南通市海安縣、連云港市贛榆縣和淮安市盱眙縣6個(gè)縣(市、區(qū))為省級(jí)瘧疾監(jiān)測(cè)哨點(diǎn)。收集瘧疾監(jiān)測(cè)哨點(diǎn)基本情況以及發(fā)熱病人血檢、瘧疾病人個(gè)案調(diào)查、疫點(diǎn)調(diào)查和處置等監(jiān)測(cè)數(shù)據(jù)。結(jié)果 2014年江蘇省8個(gè)瘧疾監(jiān)測(cè)哨點(diǎn)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(chóng)陽(yáng)性61例,陽(yáng)性率為0.07%。61例瘧疾病例均為實(shí)驗(yàn)室診斷的境外輸入性病例,并在網(wǎng)絡(luò)直報(bào)3 d內(nèi)完成血片復(fù)核和流行病學(xué)個(gè)案調(diào)查、7 d內(nèi)完成疫點(diǎn)調(diào)查與處置。流行病學(xué)個(gè)案調(diào)查發(fā)現(xiàn),61例瘧疾病例初次就診主要集中在縣級(jí)疾控機(jī)構(gòu)(37.70%,23/61)和縣級(jí)醫(yī)療機(jī)構(gòu)(50.82%,31/61),明確診斷也集中在縣級(jí)疾控機(jī)構(gòu)(45.90%,28/61)和縣級(jí)醫(yī)療機(jī)構(gòu)(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(guó),34例有同行人員。結(jié)論江蘇省瘧疾監(jiān)測(cè)哨點(diǎn)較好地發(fā)揮了監(jiān)測(cè)作用,有效推動(dòng)了全省消除瘧疾工作。今后的瘧疾監(jiān)測(cè)工作應(yīng)建立多部門合作模式,形成協(xié)查機(jī)制,加強(qiáng)對(duì)高危人群的主動(dòng)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(chóng)病防治研究所、衛(wèi)生部寄生蟲(chóng)病預(yù)防和控制技術(shù)重點(diǎn)實(shí)驗(yàn)室、江蘇省寄生蟲(chóng)分子生物學(xué)重點(diǎn)實(shí)驗(yàn)室;
【基金】：江蘇省自然科學(xué)基金(BK2010151) 江蘇省預(yù)防醫(yī)學(xué)科研課題(Y2013065)
【分類號(hào)】：R531.3

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