上海市基本消灭疟疾后的监测与管理

上海市１９８６年基本消灭疟疾，１９８７－１９９２年纵向监测结果表明本地疟疾带虫发病率巩固在１／万以下，外源病例占疟疾总数的７５．４％。媒介能量维持低水平。血检对象以“两热”病人为主，年血检率控制在０．１－０．３％间能有效地发现疟疾病人。     

崇州市1989～1998年灭疟后期管理疟疾病例个案分析

崇州市辖３０个乡镇，６５万人口，１９８８年达到基本消灭疟疾标准后，进入灭疟后期管理与监测，疟疾发病一直控制在１／万以下。现将１９８９～１９９８年血检确诊的８５例间日疟病例分析如下。１　病例来源为全市各医疗机构“四热”病人血检确诊疟疾病例。还有外县、市转来的血检确诊的疟疾病例。２　结果２－１　病例确诊单位市级医疗单位确诊５４例，占６３－５３％；乡镇医疗机构确诊２６例，占３０－５９％；外县、市转来确诊病例５例，占５－８８％。２－２　病例分类２－２－１　血传疟疾４６例，占５４－１２％。１９９０年和１９…     

上海市基本消灭疟疾后的监测与管理

上海市１９８６年基本消灭疟疾．１９８７—１９９２年纵向监测结果表明本地疟疾带虫发病率巩固在１／万以下,外源病例占疟疾总数的７５．４％。媒介能量维持低水平。血检对像以“两热”病人为主,年血检率控制在０．１—０．３％间能有效地发现疟疾病人。     

1983—1997年浙江省遂昌县丝虫病监测报告

浙江省遂昌县于１９８２年基本消灭丝虫病后，开展以监测为主的综合防治措施，１０年内血检１０个乡镇７９７９人，占全县流行区乡镇的５０％，占流行区人口的４．６％；１０年后上乡镇１９１７人，占流行乡镇的２０％，占流行区人口１．１％；累计捕蚊４５９７只，剖检中华按蚊１０４０只。监测结果均无微丝蚴阳性和人体幼丝虫感染蚊，无２０岁以下症状体征病人，表明已消灭残存传染源，完全阻断传播流行。作认为今后防治工作的     

贵州省凯里等12个基本消灭疟疾县（市）的监测结果

目的：评价本地区基本消灭疟疾９年来的监测结果。方法：采用传统的疟疾度量调查各项指标。结果：（１）年带虫发病率波动在０．００５６‰至０．０００３３‰间；（２）居民发热病人血检阳性率平均为０．７３，居民普查原虫率平均为０．８２；（３）流动人口发热病人血检阳性率及原虫率分别为４１３．１和７．０６；（４）在９９４个疫点中，活动性疫点占１０．７％。结论：输入病例是疟疾病例的主要来源（９３．４％），仍需继续加强流动人口的管理。     

海南省10个山区乡镇黎,苗族患疟求医行为及就医去向回顾性…

１９９４年９月在海南省１０个山区乡镇对３８６户１７９４人进行了该项调查，结果显示患疟就医率和患疟服抗疟药率分别高达９１．８％和９８．４％，患疟就医较及时（发病至血检时隔为２．７－２．９天），在各类就医地点中以村卫生室频率最高（５１．４％），但患疟就医者的血检率不高（４９．２％），正规治疗的依从性很差（服药４ｄ以上仅占１６．１％），显示存在滥用蒿甲醚现象等，认为这是影响当前疟疾控制的重要因素之一，提     

海南省10个山区乡镇黎、苗族患疟求医行为及就医去向回顾性调查

１９９４年９月在海南省１０个山区乡镇对３８６户１７９４人进行了该项调查，结果显示患疟就医率和患疟服抗疟药率分别高达９１．８％和９８．４％，患疟就医较及时（发病至血检时隔为２．７～２．９ｄ），在各类就医地点中以村卫生室频率最高（５１．４％），但患疟就医者的血检率不高（４９．２％），正规治疗的依从性很差（服药４ｄ以上仅占１６．１％），显示存在滥用蒿甲醚现象等，认为这是影响当前疟疾控制的重要因素之一，提示需要在疟区广泛开展疟疾知识的健康教育和加强医药管理。     

古蔺县疟疾发病概况

古蔺县疟疾发病概况四川古蔺县卫生防疫站古蔺６４６５００付至忠古蔺县６７万人，疟疾发病率１９７３年始降至０．５／万以下，以后逐年下降。１９８１－１９９０年，共发病７０例，血检确诊占８７．１４％，临床诊断为１２．８６％。本地发病１２例，均在前７年，每年１...     

海南省流动人口发热病人血检疟疾分析

本文报告海南省１９９３年－１９９５年流动人口发热病人感染疟疾结果，三年共血检流动人口１１２３０８人，检出阳性病人１０１４３例，检出率为９．０３％，流动人口疟疾感染呈逐年下降的趋势，从１９９３年的１０．４２％，降至１９９５年５．９９％，流动人口疟疾血检阳性病例占全省“四热”病人血检阳性病例的比例也逐年下降，从１９９３年的５７．１５％     

陆川县消除疟疾后13年监测效果评价

1994-2006年对消除疟疾后的广西陆川县血检发热病人及重点人群荧光抗体监测。13年间共血检发热病人25313人次，检出疟疾病例58例，阳性率为0．23％，其中外出回归人员感染病例占96．55％，外来流动人口病例占3．45％。检测62928份人群血清，未检出抗体阳性者。疟疾监测和防治措施可行有效。     

青少年高血压的研究进展

随着人们生活和行为方式的改变,高血压发病明显呈年轻化趋势。在青少年时期识别高血压病高危人群有助于早期进行有效干预和治疗,降低未来高血压的发生率及其严重性。现试从青少年高血压的诊断、发病因素、特点、治疗策略等方面的研究进展作一综述。     

Morbidity in cardiovascular diseases in immigrants in Sweden

INTRODUCTION: Although immigration to Sweden has increased in the last few decades, the incidence rates of cardiovascular disease and coronary heart disease in immigrants are unknown. The aim of the present study is to estimate whether place of birth affects the incidence rates of cardiovascular disease and coronary heart disease. MATERIAL AND METHODS: The study was designed as a follow-up study on morbidity in cardiovascular disease and coronary heart disease between 1 January 1997 and 31 December 1998, including three and a half million persons with age range 35-64 years, of whom 550 000 were born abroad, from the database MigMed consisting of the whole Swedish population. Incidence rates and relative risks were estimated by indirect standardization and a proportional hazard model. RESULTS: The age-adjusted risk of coronary heart disease was higher in most foreign-born groups than in Swedes. For example, in nine of 12 male groups, the relative risks varied between 1.1 and 2.2, and in seven of 12 female groups, the relative risks varied between 1.4 and 2.5. When also adjusting for level of education and employment status, the risks were still high, but on a lower level. CONCLUSIONS: Foreign-born people possess an over-risk of cardiovascular or coronary heart disease(CVD/CHD) compared with Swedish-born persons, also when level of education and employment status are taken into account.     

C·肉毒杀鼠素(冻干剂)应用研究

目的为研究C·肉毒杀鼠索对杀灭达乌尔黄鼠(简称黄鼠)的大面积应用情况和对家畜、家禽的毒害作用,进行了C·肉毒杀鼠素的应用研究.方法大面积投毒采用ES-2药饵撒播机[1],间隔约80m进行条投.羊、鸡采用直接灌胃.结果大面积应用的灭鼠率为83.72%.对羊、鸡最高剂量分别为500万MLD、150万MLD,均未出现中毒现象.结论 C·肉毒杀鼠素是较为理想的草原大面积杀灭黄鼠的理想、首选药物.     

Pulmonary sporotrichosis in Oklahoma in susceptibilities in vitro

Six cases of pulmonary sporotichosis were observed in 2 institutions in Oklahoma City, Okla. Three of the patients were treated with iodides with or without surgery. Although one patient required a second course of iodides, the patients have remained well after at least 34 months of follow-up. Three patients treated with amphotericin B, single course as well as multiple courses, and other antifungal agents (hydroxystilbamidine and miconazole) have all relapsed. These cases and a reviewed of more than 40 cases of pulmonary sporotrichosis susceptibilities of Sporothrix schenckii that we observed in vitro suggest that amphotericin B is not an effective agent for the treatment of pulmonary sporotrichosis. It is our opinion that the treatment of choice for pulmonary sporotrichosis is a supersaturated solution of potassium iodide. If the patient is allergic to the medication or fails to respond, then a combination of amphotericin B plus flucytosine may be tried.     

高龄老年高血压的临床研究进展

随着社会老龄化进程的加快,80岁以上高龄老人的绝对数量以及占总人口的比例均在增加,如何提高高龄老年高血压的防治水平备受关注。现试从高龄老年高血压的临床特点、治疗策略等方面的临床研究进展作一综述。