长江三角洲输入性疟疾联合防控技术措施——沪苏浙皖专家共识

doi:10.12140/j.issn.1000-7423.2025.04.002

中国寄生虫学与寄生虫病杂志 ›› 2025, Vol. 43 ›› Issue (4): 458-462.doi: 10.12140/j.issn.1000-7423.2025.04.002

长江三角洲输入性疟疾联合防控技术措施——沪苏浙皖专家共识

朱民¹()(), 朱国鼎²()(), 王笑笑³(), 许娴⁴()(), 王真瑜¹, 曹园园², 丰燕³, 张滔⁴, 张宸罡¹, 张轩³, 余晴¹^,^*()()

1 上海市疾病预防控制中心（上海市预防医学科学院），上海 201107
2 国家卫生健康委员会寄生虫病预防与控制技术重点实验室，江苏省寄生虫与媒介控制技术重点实验室，江苏省血吸虫病防治研究所，江苏无锡 214064
3 浙江省疾病预防控制中心，浙江杭州 310051
4 安徽省疾病预防控制中心，安徽合肥 230601

收稿日期:2025-05-06 修回日期:2025-07-28 出版日期:2025-08-30 发布日期:2025-10-09
通讯作者: *余晴（ORCID：0000-0002-6459-072X），男，硕士，研究员，从事寄生虫病预防与控制研究。E-mail：yuqing_1@scdc.sh.cn
作者简介:朱民（ORCID：0000-0001-9007-8431），女，硕士，主任医师，从事寄生虫病防制研究。E-mail：zhumin@scdc.sh.cn；
朱国鼎（ORCID：0000-0002-8659-9514），男，博士，研究员，从事寄生虫病控制策略与技术研究。E-mail：zhuguoding@jipd.com；
王笑笑，女，博士，副主任医师，从事急性传染病和重点寄生虫病防制研究。E-mail：xxwang@cdc.zj.cn；
许娴（ORCID：0009-0000-4638-4853），女，硕士，主任医师，从事地方病和寄生虫病防治研究。E-mail：xx@ahcdc.com.cn
第一联系人：^# 共同第一作者。
基金资助:
上海市加强公共卫生体系建设三年行动计划（2023—2025年）重点学科(GWⅥ-11.1-13);上海市加强公共卫生体系建设三年行动计划(GWⅥ-11.1-01);上海市加强公共卫生体系建设三年行动计划(GWⅥ-11.2-XD04)

Technical measures for joint prevention and control of imported malaria in the Yangtze River Delta: Experts consensus from Shanghai, Jiangsu, Zhejiang and Anhui

ZHU Min¹()(), ZHU Guoding²()(), WANG Xiaoxiao³(), XU Xian⁴()(), WANG Zhenyu¹, CAO Yuanyuan², FENG Yan³, ZHANG Tao⁴, ZHANG Chengang¹, ZHANG Xuan³, YU Qing¹^,^*()()

1 Shanghai Municipal Center for Disease Control and Prevention, Shanghai 201107, China
2 National Health Commission Key Laboratory of Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Wuxi 214064, Jiangsu, China
3 Zhejiang Provincial Center for Disease Control and Prevention, Hanzhou 310051, Zhejiang, China
4 Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, Anhui, China

Received:2025-05-06 Revised:2025-07-28 Online:2025-08-30 Published:2025-10-09
Contact: *E-mail: yuqing_1@scdc.sh.cn
Supported by:
Three-Year Action Plan for Strengthening Public Health System in Shanghai from 2023 to 2025(GWⅥ-11.1-13);Three-Year Action Plan for Strengthening Public Health System in Shanghai from 2023 to 2025(GWⅥ-11.1-01);Three-Year Action Plan for Strengthening Public Health System in Shanghai from 2023 to 2025(GWⅥ-11.2-XD04)

摘要/Abstract

摘要：

我国已于2021年通过WHO消除疟疾认证，但全球疟疾形势依然严峻。长江三角洲（长三角）作为我国经济活跃、国际交往频繁的核心区域，输入性疟疾病例时有发生，发生再传播的风险持续存在。为持续巩固消除疟疾成果，落实《长江三角洲区域一体化发展规划纲要》要求，上海、江苏、浙江和安徽三省一市疾病预防控制中心（寄生虫病防治研究所）疟疾防治专业人员经过充分讨论和酝酿，在打通区域内信息共享与协同渠道、疟疾风险人群监测预警技术协同、疟疾疫情区域联合处置技术协同与强化、疟疾监测预警防控技能储备协同发展、抗疟药物储备与调用协同保障、区域内健康科普标准与精准化协同发展等6个方面达成共识，并依托长三角公共卫生一体化平台提出未来合作需求与展望，以进一步完善和优化区域联防联控技术，有效应对当前输入性疟疾跨地区防控面临的挑战。

关键词: 输入性疟疾, 联合防控, 专家共识, 长江三角洲

Abstract:

China was certificated malaria-free by WHO in 2021, however, the global malaria epidemic remains severe. Imported malaria cases frequently occur in the Yangtze River Delta, a core region with active economy and frequent international exchanges in China, where the risk of re-transmission remains persistently. To continuously consolidate malaria elimination achievements and implement the Outline of Regional Integrated Development Plan for the Yangtze River Delta, a consensus was reached on technical measures for joint prevention and control of imported malaria in the Yangtze River Delta by malaria control professionals from Shanghai, Jiangsu, Zhejiang and Anhui centers for disease control and prevention (institute of parasitic diseases), including opening up channels for information sharing and collaboration within the region, technical coordination for monitoring and early warning techniques among population at a high risk of malaria, technical coordination and intensification of joint response techniques for malaria epidemics, coordinative development of reserves for malaria surveillance, early warning and prevention and control skills, coordinative guarantee for reserve and requisition of antimalarial drugs and coordinative development of health science popularization standards and precision in the region, following full discussions and adequate preparation. In addition, future cooperation needs and prospects have been proposed based on the Public Health Integration Platform in the Yangtze River Delta, so as to further improve and optimize regional joint prevention and control techniques to effectively respond to current challenges in trans-regional prevention and control of imported malaria.

Key words: Imported malaria, Joint prevention and control, Expert consensus, Yangtze River Delta

中图分类号:

R531.3

朱民, 朱国鼎, 王笑笑, 许娴, 王真瑜, 曹园园, 丰燕, 张滔, 张宸罡, 张轩, 余晴. 长江三角洲输入性疟疾联合防控技术措施——沪苏浙皖专家共识[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(4): 458-462.

ZHU Min, ZHU Guoding, WANG Xiaoxiao, XU Xian, WANG Zhenyu, CAO Yuanyuan, FENG Yan, ZHANG Tao, ZHANG Chengang, ZHANG Xuan, YU Qing. Technical measures for joint prevention and control of imported malaria in the Yangtze River Delta: Experts consensus from Shanghai, Jiangsu, Zhejiang and Anhui[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2025, 43(4): 458-462.

参考文献 25

[1]	丰俊, 张丽, 夏志贵, 等. 中国消除疟疾: 重要里程碑意义及消除后的挑战[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(4): 421-428.
	Feng J, Zhang L, Xia ZG, et al. Malaria elimination in China: An eminent milestone in the anti-malaria campaign and challenges in the post-elimination stage[J]. Chin J Parasitol Parasit Dis, 2021, 39(4): 421-428. (in Chinese)
[2]	World Health Organization. World malaria report 2023[R]. Geneva: WHO, 2024: 8-12.
[3]	张丽, 丰俊, 张少森, 等. 2017年全国消除疟疾进展及疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2018, 36(3): 201-209.
	Zhang L, Feng J, Zhang SS, et al. The progress of national malaria elimination and epidemiological characteristics of malaria in China in 2017[J]. Chin J Parasitol Parasit Dis, 2018, 36(3): 201-209. (in Chinese)
[4]	张丽, 丰俊, 张少森, 等. 2018年全国疟疾疫情特征及消除工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2019, 37(3): 241-247.
	Zhang L, Feng J, Zhang SS, et al. Epidemiological characteristics of malaria and the progress towards its elimination in China in 2018[J]. Chin J Parasitol Parasit Dis, 2019, 37(3): 241-247. (in Chinese)
[5]	张丽, 丰俊, 夏志贵, 等. 2019年全国疟疾疫情特征分析及消除工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2020, 38(2): 133-138.
	Zhang L, Feng J, Xia ZG, et al. Epidemiological characteristics of malaria and progress on its elimination in China in 2019[J]. Chin J Parasitol Parasit Dis, 2020, 38(2): 133-138. (in Chinese)
[6]	张丽, 丰俊, 涂宏, 等. 2020年全国疟疾疫情分析[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(2): 195-199.
	Zhang L, Feng J, Tu H, et al. Malaria epidemiology in China in 2020[J]. Chin J Parasitol Parasit Dis, 2021, 39(2): 195-199. (in Chinese)
[7]	张丽, 易博禹, 夏志贵, 等. 2021年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(2): 135-139.
	Zhang L, Yi BY, Xia ZG, et al. Epidemiological characteristics of malaria in China, 2021[J]. Chin J Parasitol Parasit Dis, 2022, 40(2): 135-139. (in Chinese)
[8]	张丽, 易博禹, 尹建海, 等. 2022年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(2): 137-141.
	Zhang L, Yi BY, Yin JH, et al. Epidemiological characteristics of malaria in China, 2022[J]. Chin J Parasitol Parasit Dis, 2023, 41(2): 137-141. (in Chinese)
[9]	张丽, 夏志贵. 2023年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(2): 135-139.
	Zhang L, Xia ZG. Epidemiological characteristics of malaria in China, 2023[J]. Chin J Parasitol Parasit Dis, 2024, 42(2): 135-139. (in Chinese)
[10]	张丽, 夏志贵, 李石柱. 2024年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(2): 162-166.
	Zhang L, Xia ZG, Li SZ. Epidemiological characteristics of malaria in China, 2024[J]. Chin J Parasitol Parasit Dis, 2025, 43(2): 162-166. (in Chinese)
[11]	朱国鼎, 高琪, 曹俊. 取不易守更难: 我国巩固消除疟疾成果面临的挑战[J]. 中国血吸虫病防治杂志, 2022, 34(2): 109-114.
	Zhu GD, Gao Q, Cao J. Harder maintained than achieved: Challenges of maintaining malaria-free in China[J]. Chin J Schisto Cotrol, 2022, 34(2): 109-114. (in Chinese)
[12]	朱国鼎, 高琪, 曹俊. 中国防止疟疾输入再传播面临的挑战和应对策略[J]. 中国血吸虫病防治杂志, 2021, 33(1): 7-9, 21.
	Zhu GD, Gao Q, Cao J. Challenges and countermeasures in prevention of re-establishment of imported malaria in China[J]. Chin J Schisto Control, 2021, 33(1): 7-9, 21. (in Chinese)
[13]	周升. 监测与响应: 中国消除疟疾后的核心干预措施[J]. 中国血吸虫病防治杂志, 2022, 34(2): 112-114.
	Zhou S. Surveillance and response: The core intervention for malaria control during the post-elimination phase in China[J]. Chin J Schisto Control, 2022, 34(2): 112-114. (in Chinese)
[14]	尹建海, 张丽, 夏志贵. 医防协作: 巩固消除疟疾成果的重要保障[J]. 中国血吸虫病防治杂志, 2024, 36(2): 111-115.
	Yin JH, Zhang L, Xia ZG. Collaboration between clinical and public health services: An important guarantee for consolidating malaria elimination achievements[J]. Chin J Schisto Control, 2024, 36(2): 111-115. (in Chinese)
[15]	汤林华, 许隆祺, 陈颖丹. 中国寄生虫病防治与研究[M]. 北京: 北京科学技术出版社, 2012: 1044-1132.
	Tang LH, Xu LQ, Chen YD. Parasitic disease control and research in China[M]. Beijing: Beijing Science and Technology Press, 2012: 1044-1132. (in Chinese)
[16]	朱民, 蔡黎, 吴寰宇, 等. 上海市消除疟疾行动计划中期评估报告[J]. 中国热带医学, 2018, 18(4): 297-302.
	Zhu M, Cai L, Wu HY, et al. Mid-term assessment report of malaria elimination action plan in Shanghai[J]. China Trop Med, 2018, 18(4): 297-302. (in Chinese)
[17]	朱民, 张浩, 吴立明, 等. 上海市消除疟疾后输入性疟疾监测响应系统实施与成效分析[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(1): 91-97.
	Zhu M, Zhang H, Wu LM, et al. Analysis on implementation and effectiveness of imported malaria surveillance-response system post-elimination in Shanghai[J]. Chin J Parasitol Parasit Dis, 2024, 42(1): 91-97. (in Chinese)
[18]	曹园园, 王伟明, 杨蒙蒙, 等. 江苏省消除疟疾后输入性疟疾疫情及其防控[J]. 中国热带医学, 2024, 24(4): 372-376, 399.
	Cao YY, Wang WM, Yang MM, et al. Post-elimination importation of malaria and its prevention and control in Jiangsu Province[J]. China Trop Med, 2024, 24(4): 372-376, 399. (in Chinese)
[19]	Gao C, Cotter C, Zhang T, et al. Analysis of severe and relapse risks of imported malaria in five provinces of China[J]. Am J Trop Med Hyg, 2025, 112(3): 593-600.
[20]	Zhang T, Xu X, Liu BW, et al. Establishing and applying an adaptive framework for imported malaria: A field practice in Anhui Province, China from 2012 to 2022[J]. BMC Public Health, 2024, 24(1): 695.
[21]	余晴, 潘浩, 江莉, 等. 上海市生态城市建设中重点寄生虫病潜在传播风险及应对[J]. 中国血吸虫病防治杂志, 2022, 34(5): 531-536.
	Yu Q, Pan H, Jiang L, et al. Potential transmission risk of key parasitic diseases and responses to the risk during the construction of an ecological city in Shanghai Municipality[J]. Chin J Schisto Control, 2022, 34(5): 531-536. (in Chinese)
[22]	Cao J, Sturrock HJW, Cotter C, et al. Communicating and monitoring surveillance and response activities for malaria elimination: China’s “1-3-7” strategy[J]. PLoS Med, 2014, 11(5): e1001642.
[23]	顾己悦, 柴丽莹, 曹园园, 等. 我国输入性疟疾患者回国后就医时机及其影响因素的系统评价[J]. 现代预防医学, 2024, 51(17): 3223-3230.
	Gu JY, Chai LY, Cao YY, et al. Systematic review of the timing of medical consultation and influencing factors for imported malaria patients returning to China[J]. Mod Prev Med, 2024, 51(17): 3223-3230. (in Chinese)
[24]	曹俊, 刘耀宝, 曹园园, 等. 中国消除疟疾的持续挑战: 输入性疟疾[J]. 中国寄生虫学与寄生虫病杂志, 2018, 36(2): 93-96.
	Cao J, Liu YB, Cao YY, et al. Sustained challenge to malaria elimination in China: Imported malaria[J]. Chin J Parasitol Parasit Dis, 2018, 36(2): 93-96. (in Chinese)
[25]	疟疾疫点处置规范: DB31/T1257—2020[S]. 上海: 上海市市场监督管理局, 2020.
	Specification of malaria focus disposal: DB31/T1257-2020[S]. Shanghai: Shanghai Municipal Administration for Market Regulation, 2020. (in Chinese)

长江三角洲输入性疟疾联合防控技术措施——沪苏浙皖专家共识

Technical measures for joint prevention and control of imported malaria in the Yangtze River Delta: Experts consensus from Shanghai, Jiangsu, Zhejiang and Anhui

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