Abstract: Objective To evaluate the effect of automatic early warning information system on the response of malaria elimi? nation in Jiangsu Province through the operation of the national automatic early warning system of infectious diseases. Methods The malaria early warning information was collected from the automatic early warning information subsystem in the national infor? mation system for diseases control and prevention. Malaria early warning signals were analyzed from September 1 to December 31， 2012. The statistical analysis was conducted for the completion rates of case investigation within 3 days before and after the applica? tion of malaria early warning information system. Results Jiangsu Province received 85 mobile phone short messages（SMS）of malaria case from early warning system from September 1 to December 31，2012. After judgments，23 cases were deleted includ? ing 8 repeated cases and 15 cases that were excluded through the microscopy examination and epidemiological investigation by the confirmation of county CDC. From July to December in 2012，the monthly completion rates of case investigation within 3 days were 55.56%，78.57%，90.00%，100%，100% and 100%，respectively. The completion rates of case investigation within 3 days in Ju? ly，August，September and October were significantly different by χ2 test（χ2 = 10.66，P＜0.05） . The completion rates of foci in? vestigation and action within 7 days in Jiangsu Province were all 100% from July to December in 2012. Conclusions The comple? tion rates of case investigation within 3 days are associated with SMS from the early warning system. The malaria warning system from the national infectious diseases can effectively improve the response to malaria cases for primary CDC. It also plays an impor? tant role for the timely confirmation and diagnosis of malaria cases.

Key words: Malaria；Infectious disease； Early warning system；Surveillance； Jiangsu Province

摘要： 目的 目的 评价全国传染病自动预警信息子系统疟疾预警系统的运行效果。方法 方法 收集中国疾病预防控制信息系 统传染病自动预警信息子系统的疟疾预警信息， 对江苏省疟疾预警信号进行统计， 比较疟疾预警信息系统运行前后的3 d 内完成个案流调率。结果 结果 2012?09?01-2012?12?31， 江苏省共接收到来自疟疾预警系统的手机短信消息85条， 其中因重 卡删除8条， 县级疾控中心血片镜检复核和流行病学个案调查后排除15条， 确认疟疾病例62例。2012年7-12月全省3 d 内完成个案流调率分别为55.56%、 78.57%、 90.00%、 100%、 100%和100%， 7、 8、 9月及10月间差异有统计学意义 （χ2 = 10.66，P < 0.05）。江苏省2012年7-12月的7 d内完成疫点调查与处置率均为100%。结论 结论 3 d内完成个案流调率与预警 手机短信有关联， 传染病自动预警信息子系统的疟疾预警信息能有效提高基层疾控中心对疟疾病例的响应速度， 对及时 核实和判断疟疾病例具有重要作用。

关键词: 疟疾； 传染病； 预警系统； 监测； 江苏省