【摘要】 上世纪建国初期,河北省疟疾年发病率在19.88/10万~74.51/10万之间,60年代和70年代曾有两次疟疾暴发,发病率分别高达368.38/10万和493.39/10万,病例主要集中在河北南部的部分地区。经过三十多年有组织大规模的抗疟行动,疟疾疫情逐渐得到有效控制,1987年后,全省疟疾病例报告数基本在几例至几十例之间。自2010年《中国消除疟疾行动计划(2010—2020年)》实施以来,认真落实各项措施,完成各项工作指标,达到消除疟疾目标要求。按照行动计划分类要求,当时全省172个县(市、区)全部为三类县,到2015年实现消除疟疾的目标。《行动计划》实施以来,累计报告全省疟疾病例273例,经证实全部为境外输入疟疾病例,未发生本地感染疟疾病例,于2014年各设区市卫生计生委(卫生局)组织完成对所辖县(市、区)消除疟疾县级考核,2015年省卫生计生委组织完成对所辖设区市的消除疟疾市级评估。在《行动计划》实施中,河北省成安县和任县消除疟疾国家试点县工作的成功经验,对推动消除疟疾工作意义重大,引领全省消除疟疾工作不断深入推进,于2015年11月,通过国家卫计委和质检总局联合开展的消除疟疾行动计划中期评估。本文较全面地总结了《行动计划》实施以来河北省消除疟疾工作完成情况,分析了面临的困难和挑战,对今后输入性疟疾疫情监测有重要的指导意义。更多还原

【Abstract】 At the early stage of the New China, malaria incidence in Hebei Province was between 19.88 and 74.51 per100 000. There were two malaria outbreaks in 1960 s and 1970 s with incidences of 368.38 and 493.39 per 100 000 respectively with the cases concentrated mainly in the southern parts of Hebei. After three decades of organized massive anti- malaria campaigns, the malaria epidemic had gradually been effectively controlled. After 1987, the number of malaria cases reported in the province ranged from a few to dozens. In 2010, after the implementation of China Malaria Elimination Action Plan(2010-2020), Hebei earnestly implemented various measures, accomplished all working tasks, and achieved the goal of eliminating malaria. According to the classification criteria in the Action Plan, 171 counties in the province were divided into three categories to achieve malaria elimination by 2015. Since the implementation of the Action Plan, a total of 273 malaria cases were reported in the whole province with all cases confirmed to be imported cases, and there was no local malaria cases occurred. In 2014, the Municipal Health and Family Planning Commissions(the Health Bureaus) in all administrative cities in the province organized and finished the county-level evaluation of malaria elimination work in the counties(cities, districts)under their jurisdiction. In 2015, Health and Family Planning Commission of Hebei organized and completed the city-level evaluation of malaria elimination work in the lower administrative districts. During the implementation of the Action Plan, the successful experience of two national pilot counties in the malaria elimination campaign, Chen’an County and Ren County in the province, had been of great significance in the promotion of fighting against malaria. In November 2015, Hebei Province had passed with excellent scores the mid-term evaluation of malaria elimination jointly held by National Health and Family Planning Commission and General Administration of Quality Supervision, Inspection and Qurantine. This paper comprehensively summarized the completion of the malaria elimination in Hebei Province since the implementation of the Action Plan, and analyzed the difficulties and challenges confronted, and provided guiding significance for the surveillance of imported malaria epidemic in the future.更多还原