中国寄生虫学与寄生虫病杂志 ›› 1985, Vol. 3 ›› Issue (3): 170-173.

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湖南桂东七年来的疟疾监测

  

  1. 桂东县卫生防疫站; 湖南省卫生防疫站; 郴州地区卫生防疫站
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1985-08-31 发布日期:2017-01-12

SEVEN YEARS' MALARIA SURVEILLANCE IN GUIDONG COUNTY, HUNAN

  • Received:2017-01-12 Revised:2017-01-12 Online:1985-08-31 Published:2017-01-12

摘要: 桂东县自六十年代末以来,属以中华按蚊为主要传疟媒介的间日疟流行区。1973年起年发病率控制在0.1‰以下,1974年调查居民带虫率为0.28‰,表明该县已进入灭疟后期。1977~1983年间开展了以下的灭疟后期的监测措施:在各级政府的领导下,健全防治队伍,制订较完善的管理制度;采用镜检发热病人血片中的疟原虫和间接荧光抗体试验,搜索残存传染源;监测流动人口,防止疟疾的输入;及时处理病灶点,控制疟疾扩散;观察主要传疟媒介的变化,预测疟情动向;组织灭疟联防,逐步扩大保护圈,从而达到巩固和发展灭疟成果的目的。

关键词: 疟疾监测, 中华按蚊, 媒介能量, 病灶点, 桂东县, 发热病人血检, 灭疟后期, 叮人率, 监测措施, 阳性率

Abstract: Since the end of 1960's, Guidong County in Hunan has been an endemic area of tertian malaria with Anopheles hyrcanus sinensis as transmission vector. The annual in cidence has been controlled under the level of 1/10,000 since 1973. In 1974,the parasite rate of inhabitants was 0.28 per thousand, showing that the county was at the final stage of malaria eradication. A surveillance programme was launched to eradicate malaria from 1977 to 1983. Under the leadership of Party Committees and Governments at all levels, professional contingent was instructed (1) to carry out blood examinations of all febril patients and IFAT to search for remnant source of infection, with special emphasis on migrating population; (2) to prevent the transmission by strict surveillance of former infection foci and survey on the changes of the main vector of malaria transmission and (3) to organize joint prevention team, to enlarge the protective zones. In 1983, onlyone positive case was recorded from 14,584 febril patients among local inhabitants and none from 288 febril cases among immigrants.