Prasad R N, Virk K J, Sharma T, Dutta G D
Malaria Research Centre (Field Station), Shahjahanpur, India.
Indian J Malariol. 1992 Dec;29(4):219-24.
Many deaths were recorded in village Baniyani of Talgram PHC of District Farrukhabad, U.P. during August to November 1991, which is the malaria transmission season in this area. Integrated measures, like one-round spraying of DDT and HCH, six-round fogging of malathion and six-time application of Baytex in mosquito breeding sites, were adopted by the Health Department of the U.P. government to avert an epidemic. Investigations carried out by the Malaria Research Centre during November and December 1991 showed low mosquito densities and larval positivity but very high incidence of malaria in the village. No malaria case was recorded by the surveillance worker of the Health Department of the state government before the outbreak of the disease. However, high slide falciparum rate (51.57), child parasite rate (40.0), infant parasite rate (66.66) and spleen rate (82.90) in the village clearly indicated hyperendemic conditions in the area and hence deaths recorded in the village during the malaria transmission period could be due to malaria only. Major factors responsible for the deaths due to malaria in the village were poor surveillance, faulty diagnosis, and low literacy and socio-economic status of the villagers.
1991年8月至11月期间，印度北方邦法鲁卡巴德县塔尔格拉初级卫生保健中心的巴尼亚尼村记录了多起死亡事件，该时段正是该地区的疟疾传播季节。北方邦政府卫生部门采取了综合措施，如对滴滴涕和六六六进行一轮喷洒、对马拉硫磷进行六轮喷雾以及在蚊虫滋生地六次施用倍硫磷，以避免疫情爆发。疟疾研究中心在1991年11月和12月进行的调查显示，该村蚊虫密度低、幼虫阳性率低，但疟疾发病率很高。在疾病爆发前，邦政府卫生部门的监测人员未记录到疟疾病例。然而，该村高比例的恶性疟原虫率（51.57）、儿童寄生虫率（40.0）、婴儿寄生虫率（66.66）和脾脏率（82.90）清楚地表明该地区处于高度流行状态，因此在疟疾传播期间该村记录的死亡可能仅由疟疾导致。该村疟疾死亡的主要原因是监测不力、诊断错误以及村民识字率低和社会经济地位低。
