中国寄生虫学与寄生虫病杂志 ›› 1988, Vol. 6 ›› Issue (1): 57-60.

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广西大新县灭疟后期巩固防治效果的经验

郑家骥,覃业新,黄亚铭,杜葵森,许世雄,苏积恩,韦成坤   

  1. 广西寄生虫病防治研究所; 广西寄生虫病防治研究所; 广西寄生虫病防治研究所; 大新县卫生防疫站; 大新县卫生防疫站; 大新县卫生防疫站; 大新县卫生防疫站
  • 收稿日期:2017-01-10 修回日期:2017-01-10 出版日期:1988-02-28 发布日期:2017-01-10

EXPERIENCE IN THE CONSOLIDATION MEASURES AT THE FINAL STAGE OF MALARIA ERADICATION IN DAXIN COUNTY, GUANGXI

  • Received:2017-01-10 Revised:2017-01-10 Online:1988-02-28 Published:2017-01-10

摘要: 大新县1980年带虫发病率已降至0.57‰。以中华按蚊为主要媒介的地区,只发现间日疟患者,残存病灶点甚少,病例呈散在性分布;以微小按蚊为主要媒介的地区,发现间日疟患者和恶性疟患者,残存病灶点较多,病例较集中。1980年起在病灶点内采取室内DDT喷洒和全面开展疟疾监测,防治效果显著。1983年后全县年带虫发病率降至0.1‰以下,恶性疟已基本消灭,间日疟呈高度散发,三日疟仅偶见于输血感染。该县灭疟后期发病率的下降与开展灭疟后期的监测管理、清除残存病灶点和加强群众性防蚊措施等有关。

关键词: 灭疟后期, 防治效果, 微小按蚊, 大新县, 病灶点, 间日疟, 恶性疟, 寄生虫病, 年带虫发病率, 发热病人血检

Abstract: Daxin County is situated in the south-western part of Guangxi with a population of more than 32.8 thousands. In 1957 the malaria parasite rate were as follows: 22.1% in hilly district where Au. minimus was the mam vector and 4.6% in plain district where An. sinensis was the main vector.Since 1958, DDT indoor residual spraying and drug administration of malaria had been used as control measures. From then till 1979 the malaria morbidity was decreased to 0.2‰ and parasite rate to 0.03%. Malaria was almost eradicated in those districts where An. sinensis was the main vector, but in other districts where Are. minimus was the main vector, a lot of foci still existed. Therefore, we strengthened the antimalaria project in those districts by indoor residual spraying, detection of cases, presumptive trcatment, radical treatment, and tracing of malaria cases. After three years, all the malaria foci were eliminated and the annual blood examination rate of the febril patients was about 11.5%, the annual parasite incidence decreased to 0.1%, quartan malaria and falciparum malaria absent and the tertian malaria has been decreased. In the Encheng village under malaria surveillance from 1980 to 1985, we have examined 11256 febril patients with only two positires and among 903 infants and 6806 inhabitants examined, none had malaria parasite.