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云南省疟疾漏报调查
引用本文:张再兴,周升,许建卫,杜尊伟,陈国伟,李丽,周红宁,郭晓芳,吴超,李菊升,刘惠,许时燕,汪丽波,陈章伟,杨沅川,夏敏,李睿洁.云南省疟疾漏报调查[J].中国病原生物学杂志,2004,17(1):25-27.
作者姓名:张再兴  周升  许建卫  杜尊伟  陈国伟  李丽  周红宁  郭晓芳  吴超  李菊升  刘惠  许时燕  汪丽波  陈章伟  杨沅川  夏敏  李睿洁
作者单位:云南省寄生虫病防治所,云南思茅,665000
摘    要:目的 调查目前云南省疟疾漏报的实际情况。 方法 采用分层随机整群抽样方法 ,对疟史进行问卷调查。高、中、低乡 (镇 )中各随机抽 1个乡 (镇 ) ,在抽到的乡 (镇 )内 ,按同样的方法从高、低度流行区行政村中各随机抽取 1个行政村为调查点 ,调查对象为行政村内所有居民 (含外来人口 )。 结果 在 4个县 (市 )共调查 3 0 5 80人 ,初步查明居民中疟疾病例漏报率为 88.8% (95 %CI 87.7%~ 89.3 % ) ,其中个别行政村几乎 10 0 %漏报 ,低疟区漏报最严重达 96.4% ,医疗机构的疟疾漏报数是疫情报告数的 5倍 ,漏报率为 80 .2 % ,而私立医院漏报数是疫情报告数的 70 .8倍 ,漏报率达 98.6%。 结论 云南省疟疾漏报严重。

关 键 词:云南  疟疾  漏报调查
文章编号:1001-6627(2004)01-0025-03
修稿时间:2003年3月17日

INVESTIGATION ON MISSING-REPORT OF MALARIA CASES IN YUNNAN, CHINA
ZHANG Zai-xing,ZHOU Sheng,XU Jian-wei,DU Zun-wei,CHEN Guo-wei,LI Li,ZHOU Hong-ning,GUO Xiao-fang,WU Chao,LI Ju-sheng,LIU Hui,XU Shi-yan,WANG Li-bo,CHEN Zhang-wei,YANG Yan-chuan,XIA Min,LI Rui-jie.INVESTIGATION ON MISSING-REPORT OF MALARIA CASES IN YUNNAN, CHINA[J].Journal of Pathogen Biology,2004,17(1):25-27.
Authors:ZHANG Zai-xing  ZHOU Sheng  XU Jian-wei  DU Zun-wei  CHEN Guo-wei  LI Li  ZHOU Hong-ning  GUO Xiao-fang  WU Chao  LI Ju-sheng  LIU Hui  XU Shi-yan  WANG Li-bo  CHEN Zhang-wei  YANG Yan-chuan  XIA Min  LI Rui-jie
Abstract:Objective To study the current situation of malaria case under-reporting in Yunnan in China. Methods Stratified random cluster sampling was applied to conduct the investigation using pre-designed and tested questionnaire. In each county surveyed,townships were classified into three groups according to malaria incidence,and then one township was selected randomly from each groups;in each selected township,administrative villages were classified into two groups according to malaria incidence,and then one administrative village was selected randomly from each group;in each selected administrative village,all the people(including mobile population) in natural villages were investigated on malaria history. Results 30 580 people were interviewed in the 4 counties. It is explored that the under-reporting rate of malaria cases in local residents was 88.8%. In some of the administrative villages, the under-reporting rates were almost 100%. In the low case reporting area,the under-reporting rate was 96.4%. The under-reporting was 5 times the reporting epdemic malaria cases in medical institutions and the under-reporting rate of medical institutions was 80.2%. The under-reporting in private medical institutions was 70.8 times the reporting epdemic malaria cases,with an under-reporting rate of 98.6%. Conclusions The under-reporting of malaria cases in Yunnan,China was severe.
Keywords:Yunnan Province  malaria  missing-report
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