扬州市输入性恶性疟防控体系的建立与运用

扬州市针对由赴境外劳务而引起的输入性恶性疟逐年增多的疫情特点， 建立了一套基于 “以劳务输出回归人员管理为抓手， 以主动开展医学提醒服务为措施， 提高诊治能力， 强化健康教育， 实现医患协同， 避免延误就诊和误诊， 及时治疗患者， 减少重症病例发生率， 防止发生死亡病例” 的输入性恶性疟防控体系。该体系自2010年实施以来， 全市在赴境外劳务回归人员中发现输入性恶性疟病例164例， 患者从发病到确诊的时间从实施前的6.8 d缩短为2.7 d天， 重症病例发生率降为1.8%， 未再出现死亡病例。

Establishment and application of imported falciparum malaria control sys- tem in Yangzhou City

To aim at the characteristics of epidemic situation that the imported falciparum malaria cases increased year by year in Yangzhou City, an imported falciparum malaria control system was established. This control system was based on enhanc- ing the management of returned labor service export persons from falciparnm malaria endemic areas, the active medical remind ser- vice, the diagnostic capability and health education, and the cooperation of medical personnel and patients, and also avoiding di- agnosis delay and misdiagnosis and promoting the treatment in time so as to decrease the serious patients and prevent them from death. After the application of the control system, there were 164 imported falciparum malaria cases from the returned persons of labor service export. The time from the attack of the disease to the diagnosis confirmed decreased from 6.8 days before the applica- tion of the system to 2.7 days after the application, and the rate of serious patients was 1.8% and there were no death cases.