CAJ | 학술논문

目的：了解江苏省疟疾流行现状及其影响因素，掌握疟疾流行规律和趋势。方法根据全省疟疾流行程度与特征，选择无锡市宜兴市、徐州市睢宁县、常州市武进区、南通市海安县、连云港市赣榆县和淮安市盱眙县等6个县（市、区）为省级疟疾监测哨点。了解监测哨点的基本情况，收集发热病人血检、疟疾病人个案调查、疫点调查和处置等病原学监测数据。结果2013年6个监测哨点共血检发热病人66723人次，平均血检率为1.10%，检出疟原虫阳性52例，阳性率为0.08%。52例病例均在网络直报3 d内完成血片复核和流行病学个案调查，明确为实验室诊断的境外输入性疟疾病例；在1周内完成疫点调查与处置，完成寄生虫病防治信息系统数据录入和上报工作。对52例疟疾病例进行流行病学调查发现，其中20例为自行出国，4例由私企带至国外务工；21例系独自回国，无同行人员；跟踪观察发现，4例病例出现再燃。结论随着江苏省消除疟疾工作的全面推进，基层能如期贯彻落实消除疟疾“1-3-7定点清除”工作模式。加大劳务出国人员的疟疾防治知识宣教，加强境外务工回归人员的疟疾监测，是江苏省今后疟疾防治工作的重点。
목적：료해강소성학질류행현상급기영향인소，장악학질류행규률화추세。방법근거전성학질류행정도여특정，선택무석시의흥시、서주시휴저현、상주시무진구、남통시해안현、련운항시공유현화회안시우이현등6개현（시、구）위성급학질감측초점。료해감측초점적기본정황，수집발열병인혈검、학질병인개안조사、역점조사화처치등병원학감측수거。결과2013년6개감측초점공혈검발열병인66723인차，평균혈검솔위1.10%，검출학원충양성52례，양성솔위0.08%。52례병례균재망락직보3 d내완성혈편복핵화류행병학개안조사，명학위실험실진단적경외수입성학질병례；재1주내완성역점조사여처치，완성기생충병방치신식계통수거록입화상보공작。대52례학질병례진행류행병학조사발현，기중20례위자행출국，4례유사기대지국외무공；21례계독자회국，무동행인원；근종관찰발현，4례병례출현재연。결론수착강소성소제학질공작적전면추진，기층능여기관철락실소제학질“1-3-7정점청제”공작모식。가대노무출국인원적학질방치지식선교，가강경외무공회귀인원적학질감측，시강소성금후학질방치공작적중점。
Objective To understand the epidemic situation and influencing factors of malaria in Jiangsu Province and grasp its epidemic regularity and trend. Methods According to the malaria prevalence in Jiangsu Province,6 counties(city,dis-trict)including Yixing,Suining,Wujin,Hai’an,Ganyu and Xuyi were selected as provincial surveillance sites to survey malar-ia epidemic conditions. The basic information,blood test results of fever patients,case investigation information of malaria pa-tients,monitoring data of investigation and disposition of the malaria focus were collected and analyzed. Results In 2013,the blood tests of 66 723 fever patients were performed,the average blood smear checking rate was 1.10%,and the average positive rate was 0.08%(52 plasmodium positive individuals)in the 6 areas. For these 52 plasmodium positive individuals,the blood re-tests and case investigations were completed within 3 days after these cases were reported by the network system,and the investi-gation confirmed that they were foreign imported malaria cases. The malaria focus investigation and disposition were finished within 1 week and the data were reported by the Parasitic Diseases Information System. Four of 52 cases were recrudescence dur-ing the follow-up. Among the 52 cases,20 people went abroad themselves and 4 were labors of private enterprises,21 people came back without the accompanied. Conclusions With the development of the malaria elimination program in Jiangsu Prov-ince,the eliminating malaria“targeted 1-3-7”working pattern has been comprehensively implemented. The personnel monitor-ing for labors who returned from overseas working will be a key in the future.