Shi-Ying Zhu, Yi-Qing Xie, Ming-Zhen He, Wei-Ming Wang
Changzhou Municipal Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China.
Jiangsu Institute of Parasitic Diseases, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 May 10;28(5):589-593. doi: 10.16250/j.32.1374.2016011.
To analyze the results of assessment and authentication of malaria elimination of 7 county-level cities and districts in Changzhou City, Jiangsu Province, and explore the suitable monitoring methods for malaria after the elimination in this region, so as to provide the evidence for formulating and adjusting the malaria elimination strategies and measures.
The data from the network reports of malaria epidemic situation, blood examinations of febrile patients, epidemiological questionnaires of malaria cases, investigation of epidemic focuses and disposal tables were collected and analyzed in Changzhou City from 2009 to 2014. The clinicians were assessed with the closed-book written examinations for their ability of the diagnosis and treatment of malaria. The inspection personnel were assessed by the microscopical examinations of . Totally 30 negative blood slides were reviewed. In the natural village where the last local case of malaria was located, 200 blood filter papers were collected for gene detection of .
From 2009 to 2014, 145 malaria cases were reported in Changzhou City. Totally 170 638 febrile patients received blood detections for malaria, of which 137 cases were positive and the positive rate was 0.08%. The majority of malaria cases were imported except 8 local malaria infection cases in 2009 and 2 local malaria infection cases in 2010. Four of seven county-level cities (districts) gained an average score of 20 points on the microscopical examinations of . Liyang City got a minimum average score of 18.8 points. In capacity assessment of malaria diagnosis and treatment, Liyang City gained the highest average score of 19.8 points, and Qishuyan District got the lowest average score of 18.0 points. The malaria elimination assessment scores of the 7 county-level cities (districts) were all above 93 points. Four county-level cities (districts) (Xinbei District, Wujin District, Liyang City, and Jintan City) carried out the active case detections. A total of 731 cases were detected and the results were all negative. Liyang City in 2012, Zhonglou District and Jintan City in 2013, Tianning District, Qishuyan District, Xinbei District and Wujin District in 2014, passed the malaria elimination assessment at county (district) level, respectively.
All the 7 county-level cities (districts) of Changzhou City have passed the malaria elimination assessment at a high score. After the malaria elimination, the monitoring should continue to consolidate the achievements.
分析江苏省常州市7个县级市、区疟疾消除评估与认证结果，探索该地区疟疾消除后适宜的监测方法，为制定和调整疟疾消除策略与措施提供依据。
收集常州市2009 - 2014年疟疾疫情网络报告、发热病人血检、疟疾病例流行病学调查问卷、疫点调查及处置表等资料并进行分析。对临床医生进行疟疾诊治能力闭卷笔试考核。对检验人员通过……血涂片镜检进行考核。共复查30份阴性血涂片。在最后1例本地疟疾病例所在自然村采集200份血滤纸进行……基因检测。
2009 - 2014年，常州市共报告疟疾病例145例。共170638例发热病人接受疟疾血检，其中阳性137例，阳性率为0.08%。除2009年8例本地疟疾感染病例和2010年2例本地疟疾感染病例外，多数疟疾病例为输入性。7个县级市（区）中有4个在……血涂片镜检考核中平均得分为20分。溧阳市平均得分最低，为18.8分。在疟疾诊治能力考核中，溧阳市平均得分最高，为19.8分，戚墅堰区平均得分最低，为18.0分。7个县级市（区）疟疾消除评估得分均在93分以上。4个县级市（区）（新北区、武进区、溧阳市、金坛市）开展了主动病例侦查。共检测731例，结果均为阴性。溧阳市于2012年、钟楼区和金坛市于2013年、天宁区、戚墅堰区、新北区和武进区于2014年分别通过县级疟疾消除评估。
常州市7个县级市（区）均高分通过疟疾消除评估。疟疾消除后，监测工作应继续巩固成果。
