Chin J Schisto Control ›› 2016, Vol. 28 ›› Issue (5): 589-.

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Assessment and authentication of malaria elimination in Changzhou City

ZHU Shi-ying1|XIE Yi-qing1|HE Ming-zhen1|WANG Wei-ming2*   

  1. 1 Changzhou Municipal Center for Disease Control and Prevention|Jiangsu Province|Changzhou 213022|China;2 Jiangsu In? stitute of Parasitic Diseases|China
  • Online:2016-10-25 Published:2016-10-26
  • Contact: WANG Wei?ming

常州市消除疟疾达标考核评估认证

朱仕英1|谢轶青1|何明祯1|王伟明2*   

  1. 1 江苏省常州市疾病预防控制中心血防所(常州213003);2 江苏省血吸虫病防治研究所
  • 通讯作者: 王伟明
  • 作者简介:朱仕英|女|副主任医师。研究方向:疟疾控制
  • 基金资助:
    江苏省卫生厅预防医学科研课题(Y2013065)

Abstract: Objective To analyze the results of assessment and authentication of malaria elimination of 7 county?level cities and districts in Changzhou City,Jiangsu Province,and explore the suitable monitoring methods for malaria after the elimination in this region,so as to provide the evidence for formulating and adjusting the malaria elimination strategies and measures. Meth? ods The data from the network reports of malaria epidemic situation,blood examinations of febrile patients,epidemiological questionnaires of malaria cases,investigation of epidemic focuses and disposal tables were collected and analyzed in Changzhou City from 2009 to 2014. The clinicians were assessed with the closed?book written examinations for their ability of the diagnosis and treatment of malaria. The inspection personnel were assessed by the microscopical examinations of Plasmodium. Totally 30 negative blood slides were reviewed. In the natural village where the last local case of malaria was located,200 blood filter pa? pers were collected for gene detection of Plasmodium. Results From 2009 to 2014,145 malaria cases were reported in Chang? zhou City. Totally 170 638 febrile patients received blood detections for malaria,of which 137 cases were positive and the posi? tive rate was 0.08%. The majority of malaria cases were imported except 8 local malaria infection cases in 2009 and 2 local ma? laria infection cases in 2010. Four of seven county?level cities(districts)gained an average score of 20 points on the microscopi? cal examinations of Plasmodium. Liyang City got a minimum average score of 18.8 points. In capacity assessment of malaria diag? nosis and treatment,Liyang City gained the highest average score of 19.8 points,and Qishuyan District got the lowest average score of 18.0 points. The malaria elimination assessment scores of the 7 county?level cities(districts)were all above 93 points. Four county?level cities(districts)(Xinbei District,Wujin District,Liyang City,and Jintan City)carried out the active case detections. A total of 731 cases were detected and the results were all negative. Liyang City in 2012,Zhonglou District and Jin? tan City in 2013,Tianning District,Qishuyan District,Xinbei District and Wujin District in 2014,passed the malaria elimina? tion assessment at county(district)level,respectively. Conclusions All the 7 county?level cities(districts)of Changzhou City have passed the malaria elimination assessment at a high score. After the malaria elimination,the monitoring should contin? ue to consolidate the achievements.

Key words: Malaria;Elimination;Assessment;Epidemic;Monitoring;Changzhou City

摘要: 目的对江苏省常州市7县(区)通过消除疟疾达标考核的评估结果进行分析,探讨适合本地区消除疟疾后的 监测工作,为制订和调整消除疟疾策略和措施提供依据。方法收集2009-2014年常州市网络报告疟疾疫情、发热病人 血检、专报系统中疟疾病例个案流行病学调查表、疫点调查和处置表等数据进行统计分析。现场对临床医生采用闭卷书 面考试进行疟疾诊治知识考核;对检验人员进行疟原虫镜检技能考核;复核30张阴性血片。对当地最后1例疟疾病例所 在自然村,采制不少于200人份居民滤纸血采样并进行疟原虫基因检测。结果2009-2014年常州市共报告疟疾病例 145例,血检发热病人170 638人次,检出阳性137例,阳性率0.08%;常州市除2009年和2010年分别有8例和2例本地感 染疟疾病例外,其余均为输入性病例。7县(区)疟原虫镜检技能考核有4家单位平均分为20分,溧阳区平均分最低,为 18.8分;疟疾诊治能力考核溧阳区平均分最高,为19.8分,戚墅堰区平均分最低,为18.0分;常州市7县(区)消除疟疾总 考核得分均在93分以上。新北区、武进区、溧阳市和金坛市4个县(区)开展主动病例侦查,共检测731人份居民滤纸血 采样,检测结果均为阴性。溧阳市于2012年,钟楼区和金坛市于2013年,天宁区、戚墅堰区、新北区和武进区于2014年 通过消除疟疾县(区)级达标考核。结论常州市7县(区)均以高分通过消除疟疾达标考核,今后应继续做好消除后监 测工作,巩固已取得的消除疟疾成果。

关键词: 疟疾;消除;考核;疫情;监测;常州市

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