中国寄生虫学与寄生虫病杂志 ›› 1984, Vol. 2 ›› Issue (4): 212-215.

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广西20多年来防治疟疾的效果和流行动态

郑家骥   

  1. 广西壮族自治区寄生虫病防治研究所
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1984-11-30 发布日期:2017-01-12

THE EFFECT OF ANTIMALARIA MEASURES OVER TWENTY YEARS AND THE CURRENT EPIDEMIC STATUS IN GUANGXI

  • Received:2017-01-12 Revised:2017-01-12 Online:1984-11-30 Published:2017-01-12

摘要: 广西的疟疾流行以山地丘陵区为主,主要传疟媒介为微小按蚊。用杀虫剂室内喷洒为主的综合性防治措施,能有效地控制微小按蚊,降低新感染率,从而控制流行。 目前恶性疟、间日疟和三日疟的发病率皆已明显下降,总的发病率降到3.4/万,三日疟已极为罕见,恶性疟流行区已大为减少,但在残存的恶性疟病原点已证明有抗氯喹恶性疟出现。 今后的抗疟措施应着重在新病例的发现和根治,部分疟疾高发区应加强室内滞留喷洒,并大力消灭抗氯喹恶性疟。

关键词: 流行动态, 防治疟疾, 微小按蚊, 恶性疟, 原虫率, 室内滞留喷洒, 疟疾监测, 山地丘陵区, 广西, 疟疾流行

Abstract: This paper outlines the history of malaria control in Guangxi Autonomous Region over the past 20 years and gives an account of current epidemic status.High incidence of malaria was restricted in hilly areas and Anopheles minimus was the main vector.Following annual malaria control measures including residual spraying, the incidence of three kifrds of malaria was progressively reduced, the total morbidity of malaria in the region being 3.4 per ten thousand. Qudrtan malaria was rarely seen, and the area epidemic to falciparum malaria was sharply reduced. Howevery in the residual foci of falcipawm malaria, chloroquine-resistant cases are now emergingi Stress should be put on the detection of new cases and the radical treatment. Indoor residual spray must be carried out and chloroquine-resistant malaria must be effectively controlled in the highly epidemic areas.