Abstract:

Objective Objective To establish a system of the prevention and control of imported falciparum malaria in Jiangsu Prov? ince and provide the new scientific basis for the prevention and control of imported falciparum malaria. Methods Methods The databas? es for overseas labor companies and labors in Jiangsu Province were built and the health education was conducted to the overseas labors. The "1?3?7" elimination strategy was established. A weekly reporting system for malaria case details was established. A system for screening accompanies of imported malaria patients was established. Results Results At the end of 2013，the database of companies engaged in labor export was built and 405 companies were incorporated into the database. The time interval between the symptom onset and the first health facility visit was reduced to 3.07 days in 2013. The time interval between the first health facility visit to malaria diagnosis was reduced to 1.57 days in 2013. The rate of laboratory confirmation was increased to 100% in 2013，and there was a statistically significant difference among the rates of laboratory confirmation from 2009 to 2013（χ2 = 36.35，P < 0.05） . The proportion of severe imported falciparum malaria cases was decreased to 3.15% in 2013 and there was a statistically significant difference among the proportions of severe cases from 2009 to 2013（χ2 = 301.16，P < 0.05） . No death malaria case was reported in the whole province in 2013. Conclusion Conclusion Jiangsu Province has built a preliminary system of the prevention and control of imported falciparum malaria，which plays an important role in the prevention and control of overseas imported falciparum malaria.

Key words: Falciparum malaria；Imported case；Prevention and control system；Early warning；Surveillance；Database；Ji? angsu Province

摘要：

目的 目的 构建输入性恶性疟防控体系， 为其防控提供全新的科学依据。 方法 方法 建立劳务输出单位数据库和劳务输出人员数据库， 并对劳务输出人员开展健康教育； 建立 “1?3?7” 工作模式、 疟疾疫情周报制度及输入性疟疾患者同行人员协查制度。 结果 结果 至2013年底， 全省各级疾控中心掌握劳务输出公司405家， 初步建立了江苏省劳务输出单位数据库； 患者发病至就诊的平均时间缩短至3.07 d； 输入性恶性疟病例初诊至确诊的平均时间缩减至1.57 d； 实验室确诊率提高到100%， 与2009年实验室确诊率间差异有统计学意义 （χ2 = 36.35，P < 0.05）； 输入性恶性疟重症病例比例下降至 3.15%， 与2011年重症病例比例间差异有统计学意义 （χ2 = 301.16，P < 0.05）； 2013年全省无疟疾死亡病例报告。 结 结论 论 江苏省初步构建了输入性恶性疟防控体系， 对境外输入性恶性疟的有效防控发挥了重要作用。

关键词: 恶性疟； 输入性病例； 防控体系； 预警； 监测； 数据库； 江苏省