Chin J Schisto Control ›› 2013, Vol. 25 ›› Issue (1): 36-39.

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Status of malaria epidemic and feasibility of malaria elimination in Guangxi Zhuang Autonomous Region

GUO Chuan-kun|LI Jun|LI Jin-hui|HUANG Ya-ming|MAO We |LIN Kang-ming.   

  • Online:2013-03-04 Published:2013-03-05

广西疟疾流行现状及消除疟疾可行性分析

郭传坤|黎军|李锦辉|黄亚铭|毛玮|林康明   

  1. 广西壮族自治区疾病预防控制中心(南宁530028)
  • 作者简介:广西壮族自治区疾病预防控制中心(南宁530028)郭传坤|男|主任医师。研究方向:疟疾及媒介防控研究

Abstract:

Objective To analyze the status of malaria epidemic and discuss the feasibility of malaria elimination in Guangxi
Zhuang Autonomous Region. Methods The data of blood smear examinations of febrile patients among local residents,focus resi?
dents and mobile population in Guangxi Zhuang Autonomous Region were collected,described and analyzed statistically from
2001 to 2011. Results A total of 4 916 343 blood smear slides of local residents who had fever,195 967 slides of focus resi?
dents,282 461 slides of returned emigrants,and 228 341 slides of immigrants were examined,and the average positive rates of
blood examinations were 0.004 8%,0.007 7 %,0.480% and 0.127%,respectively. The indigenous malaria cases reduced from
51 in 2001 to 1 in 2009. There were no indigenous malaria cases during the period of 2010-2011. The malaria incidence has been
under 1/100 000 for 11 years. The imported malaria cases were dominated in the whole region. Conclusions Malaria situation in
this region has entranced the consolidating phase of elimination according to the WHO criteria of malaria elimination. The goal of
malaria elimination in Guangxi would be achieved in 2018 as long as the government and other departments pay enough attention
to the imported malaria control,and the technical measures are further strengthened.

摘要:

目的 分析广西壮族自治区(广西)当前疟疾流行现况和趋势,探讨广西2018年实现消除疟疾目标的可行性。方法收集2001-2011年广西本地发热患者、疟疾病灶点居民和流动人口等疟疾监测资料,采用流行病学方法,对全区疟疾发病情况、病例的分布与分类等进行描述和统计分析。结果 2001-2011年,广西共血检本地发热患者491.63万人次、病灶点居民19.59万人次、外出回归人员28.25万人次、外来人群22.83万人次,共检出疟疾患者1 896例,4类人群平均血检阳性率分别为0.004 8%、0.007 7%、0.480%和0.127%。本地感染病例从2001年的51例下降到2009年的1例,2010-2011年未发现本地感染病例和输入性继发病例。全区疟疾发病率控制在1/10万以下,疟疾患者以输入性病例为主。结论 对照世界卫生组织消除疟疾的标准,广西已进入消除疟疾阶段巩固期。只要政府和相关部门继续加强对全区劳务输出等归国人员监测和管理,同时采取有效的防控措施,广西于2018年达到消除疟疾的目标是可以实现的。

关键词: 疟疾;流行现状;消除疟疾;可行性分析;输入性病例

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