Cong-Ying J, Wei-Ming W, Wen-Zhou Y, Hong-Xia G
Huai'an Municipal Center for Disease Control and Prevention, Jiangsu Province, Huai'an 223001, China.
Jiangsu Institute of Parasitic Diseases, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 May 24;29(4):482-485. doi: 10.16250/j.32.1374.2017035.
To analyze the results of the assessment of malaria elimination in 8 counties (districts) in Huai'an City, Jiangsu Province, so as to provide evidences for consolidating the achievement of malaria elimination. The data from the network reports of malaria epidemic situation, blood examinations of febrile patients, epidemiological questionnaires of malaria cases, investigation and disposal of epidemic focuses were collected and analyzed in Huai'an City from 2010 to 2016. The results of the assessment on the clinicians'ability of malaria diagnosis and treatment as well as the inspectors'skill of microscopic examinations were analyzed. In the natural village where the last local case of malaria was reported, no less than 200 blood filter papers were made for gene detection of . From 2010 to 2016, 308 malaria cases were reported in Huai'an City. Totally 323 002 patients received blood detection of malaria, among which 272 ones were positive and the positive rate was 0.08%. The majority of the malaria cases were imported, except 19 and 3 local infection cases in 2010 and 2011, respectively. Except Qinghe District, a total of 1 420 blood filter papers from the other 7 counties (districts) were detected genetically, and the results were all negative. Six of the eight counties (districts) gained an average score of 20 points on the microscopic examination, and Jinhu County and Huai'an District got a minimum average score of 19.6 points. In capacity assessment of malaria diagnosis and treatment, Hongze District gained the highest average score of 20 points, and Huai'an District got the lowest average score of 18.8 points. The malaria elimination assessment scores of the eight counties (districts) were all above 97 points. All the 8 counties (districts) in Huai'an City passed the malaria elimination assessment at county (district) level until 2016. All the 8 counties (districts) in Huai'an City have passed the malaria elimination assessment with high scores. After the malaria elimination, the monitoring still should continue to consolidate the achievement.
分析江苏省淮安市8个县（区）疟疾消除评估结果，为巩固疟疾消除成果提供依据。收集并分析2010年至2016年淮安市疟疾疫情网络报告、发热病人血检、疟疾病例流行病学调查问卷、疫点调查处置等数据。分析临床医生疟疾诊治能力及检验人员镜检技能的考核结果。在报告最后1例本地疟疾病例的自然村制作不少于200份血滤纸进行基因检测。2010年至2016年，淮安市共报告疟疾病例308例。共323002人接受疟疾血检，其中272例阳性，阳性率为0.08%。除2010年和2011年分别有19例和3例本地感染病例外，大部分疟疾病例为输入性。除清河区外，其他7个县（区）共1420份血滤纸进行基因检测，结果均为阴性。8个县（区）中有6个在镜检方面平均得分为20分，金湖县和淮安区平均得分最低，为19.6分。在疟疾诊断治疗能力考核中，洪泽区平均得分最高，为20分，淮安区得分最低，为十八点八分。8个县（区）疟疾消除评估得分均在97分以上。截至2016年，淮安市8个县（区）均通过县级疟疾消除评估。淮安市8个县（区）均高分通过疟疾消除评估。疟疾消除后仍应继续监测以巩固成果。
