Chin J Schisto Control ›› 2015, Vol. 27 ›› Issue (5): 520-.DOI: 10.16250/j.32.1374.2015077

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Malaria surveillance in Tengchong County of Yunnan Province in 2013

LI Sheng-guo1 | WANG Jia-zhi 1 | YIN Shou-qin1 | LI Xi-shang1 | FENG Xin-yu2*   

  1. 1 Tengchong Center for Disease Control and Prevention|Yunnan Province|Tengchong 679100|China ;2 National Institute of Parasite Diseases|Chinese Center for Diseases Control and Prevention;Key laboratory of Parasite and Vector Biology|Ministry of Health; WHO Collaborating Centre for Malaria| Schistosomiasis and Filariasis|China
  • Online:2015-10-21 Published:2015-10-21

2013年云南省腾冲县疟疾监测结果分析

李胜国1|王加志1|尹授钦1|李希尚1|冯欣宇2*   

  1. 1云南省腾冲县疾病预防控制中心 (腾冲 679100);2中国疾病预防控制中心寄生虫病预防控制所| 卫生部寄生虫病原与媒介生物 学重点实验室| 世界卫生组织疟疾、 血吸虫病和丝虫病合作中心
  • 通讯作者: 冯欣宇
  • 作者简介:李胜国| 男| 本科| 副主任医师。研究方向: 疾病控制

Abstract: Objective Objective To analyze the surveillance data of malaria in Tengchong County of Yunnan Province in 2013,so as to provide the evidence for carrying out the malaria elimination in the future. Methods Methods The data of epidemic situation and sur? veillance of malaria in Tengchong County in 2013 were collected and analyzed for the prevalence state as well as and the monitor? ing indicators including the blood examination of fever patients of unknown origin,initiative detection of cases,under?reporting survey,sentinel surveillance and species and density investigation of Anopheles mosquitoes. Results Results Totally 138 malaria cases were reported in Tengchong County in 2013,among which 118 cases were infected with Plasmodium vivax and 20 cases with P. falciparum,and all the reported cases were imported. The completion rates of blood examinations,case reports and case investi? gations all reached 100%. A total of 57 cases were involved in initiative detection,but no positive cases were found. The twice under?reporting of malaria case surveys were conducted and 1 case had been under?reported. The sentinel surveillance was car? ried out both in the domestic and overseas sites at the same time to detect the suspected malaria cases,172 cases were screened totally,and 15 ones were detected as positives. Totally 528 returnees were screened,and there were no positive case found. A. sinensis and A. liangshanensis were the dominant species,followed by A. minimus,A. maculatus and others. Conclusions Conclusions The malaria epidemic situation is stable in Tengchong County in 2013,and all the work in surveillance has been conducted success? fully,but there still exist some difficulties in the process of malaria elimination. The local health departments should further strengthen the surveillance on imported cases and the management on migrant population as well as the capability building for health workers in malaria control in the future.

Key words: Malaria;Epidemic situation;Surveillance;Imported case;Tengchong County

摘要: 目的 目的 分析腾冲县2013年疟疾监测结果, 为开展疟疾消除工作提供依据。 方法 方法 收集2013年腾冲县疟疾疫 情数据和监测资料, 分析该县疟疾流行情况及不明原因发热病人血检、 主动病例侦查、 漏报调查、 哨点监测以及传疟蚊媒 的种群和密度等监测指标。 结果 结果 2013年腾冲县共报告疟疾病例138例,其中间日疟118例、 恶性疟20例, 均为输入性 病例, 无本地感染病例。该县不明原因发热病人血检和病例报告及个案调查完成率均达到100%, 开展主动侦查57次, 未发现阳性病例; 开展2次漏报调查, 发现1例漏报病例; 在境内和境外同时开展哨点监测, 检测疟疾疑似病例172例, 共 检出阳性15例; 共筛查归国人员528人, 均为阴性。媒介构成以中华按蚊和凉山按蚊为主, 其次是微小按蚊、 多斑按蚊 等。结论 结论 2013年腾冲县疟疾疫情基本稳定, 各项监测工作顺利完成, 但在疟疾防治及实现疟疾消除过程中仍面临一 些困难, 今后应加强输入性病例监测和流动人口管理, 以及疟疾防治队伍能力建设。

关键词: 疟疾; 疫情; 监测; 输入性病例; 腾冲县

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