Abstract: Objective Objective To analyze the regular surveillance and evaluate its effect during the elimination stage of malaria in Ji? angsu Province from 2012 to 2014 and discuss the best way for surveillance and management，so as to provide the evidence for formulating and adjusting the strategy and methods for malaria elimination. Method Method The data of network malaria reports， blood tests of feverish patients，epidemiology investigation forms of case study of malaria patients in the report system，and in? vestigation and disposition forms of epidemic regions were collected and analyzed statistically. Results Results From 2012 to 2014， there were 894 malaria cases in total. Totally 1 625 034 feverish patients had blood tests，and 892 of them showed positive and the positive rate was 0.05%. The epidemiological case study showed that all the patients were foreign infection import patients ex? cept one was foreign import cases by blood transfusion. These cases were mainly distributed in Nantong City（125 cases），Yang? zhou City（123 cases），Huai’ an City（112 cases），Lianyungang City（111 cases）and Taizhou City（88 cases），and the total cases of the five cities accounted for 62.53%（559/894） of total cases of entire province. These cases were mainly diagnosed in country level CDC and medical organizations，and city level medical organizations. These units accounted for 87.02% of all the diagnostic organizations（778/894） . Conclusions Conclusions From 2012 to 2014，there are no reports of local malaria infection cases in Jiangsu Province，meaning the preliminary realization of eliminating malaria. However，we still should strengthen the regular surveillance and treatment of import malaria cases.

Key words: Malaria；Epidemic situation；Elimination；Surveillance；Jiangsu Province

摘要： 目的 目的 分析2012-2014年江苏省消除疟疾阶段常规监测及效果， 探讨适合本地区消除疟疾阶段的监测和管理 方法， 为制订和调整适合本省的消除疟疾策略和措施提供依据。方法 方法 收集2012-2014年江苏省网络报告疟疾疫情、 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， 并进行统计分析。结果 结果 2012-2014 年共报告疟疾病例894例， 血检发热病人1 625 034人次， 检出阳性892例， 阳性率为0.05%。个案流行病学调查显示， 除1 例为源于境外输入病例的输血感染外， 其余均为境外感染的输入病例。病例主要分布在南通 （125例）、 扬州 （123例）、 淮 安 （112例）、 连云港 （111例） 和泰州 （88例）， 5市病例数占全省报告病例总数的62.53% （559/894）。病例主要在县级医疗 机构、 县级疾控机构和地市级医疗机构明确诊断， 三者占全部确诊单位的87.02% （778/894）。结论 结论 江苏省连续3年实 现无本地感染疟疾病例报告， 初步实现消除疟疾目标。该省境外输入性疟疾病例的流行范围呈扩散状态， 并有明显的地 域分布规律， 故应根据不同地区的流行强度， 针对境外输入性疟疾病例的流行原因采取有效的预防控制措施。

关键词: 疟疾； 疫情； 消除； 监测； 江苏省