摘要
目的了解澜沧县疟疾流行现状及其控制能力. 方法采用回顾性调查方法,统计2000～2002年疟疾发病情况,分层随机抽样调查乡、村级卫生机构的疟疾疫情报告、血检能力和疟防资源分布,问卷调查人群疟疾常识知晓、村民疟史及蚊帐使用情况. 结果 2000～2002年,澜沧县的疟疾发病率为0.253‰,22个乡均有病例分布,发病率为0.06‰～0.8‰;2002年接受入户调查的21个自然村共有11例疟疾疫情报告病例,据此估算全县血检、处方和走访漏报率分别为35.30%、0和96.79%.卫生部门占有较多的卫生资源,承担50%以上的发热病人血检任务和疟疾病人治疗.当地居民的疟疾常识知晓程度不高,村民的经验积累型疟防知识水平与中小学生接近,间接传授型疟防知识水平低于中小学生,村民蚊帐拥有和使用率各为26.2%和30.7%. 结论澜沧县的疟疾控制对策应体现多样性,应加强乡村一级疟防资源的投入及不同人群疟防知识的宣教,3种估算疟疾漏报率对该县疟疾控制的导向作用和参考价值有待进一步确定.
Objective To understand the spread status of malaria and control ability of Lancang. Methods 1 he retrospective investigation method was used to find the malaria spread situation, the ability of blood test, the knowledge level of population about malaria, malaria history and the situation of bed-net used by village people in Lancang County during 2002 by count or questionnaire. Results From 2000 to 2002, the malaria average prevalence rate was 0. 253‰ in Lancang. The malaria patients distributed all of 22 townships, the prevalence rates were from 0.06‰ to 0.8‰ ; 11 malaria patients were found in 21 natural villages in-house investigated during 2002. After checking blood test report, treatment prescription and having interview, the malaria under-report rates of blood test, prescription and malaria history were 35.30%, 0 and 96.79%, respectively. Health units owned more resources than others and bore more than 50 % workload from blood test and treatment of malaria patients. The local residents understood direct knowledge about malaria better than the indirect one and the pupils knew the indirect knowledge more than the village people. The possessing rate and using rate of bed-net among village people were 26.2 % and 30.7 %. Conclusion The synthetical malaria control strategy should be enhanced in Lancang County, antimalaria materials should be put into the village level and knowledge on malaria should be educated for local residents.
出处
《中国寄生虫病防治杂志》
CSCD
2005年第5期371-374,共4页
Chinese Journal of Parasitic Disease Control
基金
全球抗艾滋病
结核病和疟疾基金中国高传播区疟疾控制项目(No.CHN-102-G02-M-00)。
关键词
云南
疟疾
现状调查
对策
评价
Yunnan
malaria
situation study
strategy
evaluation
