【摘要】 目的了解目前云南省疟疾流行和防治情况。方法采用全国疟疾监测方案在云南省选择5个点,开展疟疾监测。结果瑞丽等5个疟疾高发县市的年疟疾发病率为34.94,用抗疟药使用量推算的疟疾发病率为314.46,疫情漏报率为88.99%。中华按蚊叮人率为3.20只/人.夜,微小按蚊叮人率为2.00只/人.夜。当地村民蚊帐使用率57.28%。实验室诊断疟疾占总病例数的53.43%,乡村医生诊治的疟疾病例占总例数的61.70%,当地疟疾病人17.61%为境外感染,26.57%为复发病例。结论云南疟疾流行态势依然严峻,境外输入疟疾对边境地区的防治工作造成一定的困难。村医生担负着61.70%的疟疾病人诊断和治疗任务,但各级CDC提供疟疾防治方面的培训和治疗药物的供给等主要还是在乡镇级以上医疗机构。为了更好地防控疟疾,应该选择适合云南流行特点的防治措施,将防治的重点进一步放到村级及流动人员出入境频繁的边境地区。更多还原

【Abstract】 Objective To understand malaria epidemic and control situation of Yunnan Province.Methods Carry out malaria surveillance work at 5 sentinel sites in Yunnan on the basis of the scheme for malaria surveillance of China.Results Annual malaria incidence at the 5 sentinel sites was 34.94.Calculated annual malaria incidence was 314.46 according to the use of quantity of antimalarial drug.The leak out rate of malaria cases was 88.99%.Biting rate for An.sinensis was 3.20/person/night and for An.minimus was 2.00/person/night.Mosquito net use rate was 57.28% in local people.The malaria cases diagnosed by microscope were 53.43% and by village doctors were 61.70%.17.61% of local malaria cases were infected from foreign country and 26.57% of local malaria cases belong to relapse cases.Conclusion Malaria epidemic situation is still serious in Yunnan.Although village doctor undertaked 61.70% task of malaria diagnosis and treatment,but they were nearly no chance to accept training and to gain supply such as treatment drug et al,because most training and supply which offered by each level CDC was aimed at township and up level medical treatment organization.In order to control malaria better,malaria control measure which fit to malaria epidemic feature need to be chosen earnestly and emphasis of malaria control ought to be put into village level and border area where floating population come in and go out frequently.更多还原