疟疾高度流行区回国人员的疟疾防制对策研究

目的探讨深圳市赴疟疾高度流行区回国人员的疟疾综合防制对策，为进一步加强我市的疟疾防制工作提供科学依据。方法对我市某高新企业赴疟疾高度流行区外派人员进行出国前健康教育、出国间药物预防和回国后健康排查并对该防制对策的效果进行分析研究。结果在疟疾相关知识健康教育前后，涉外员工的教育依从性和疟疾相关知识水平有显著提高，其中问卷回收率（Х^2=21．024，v=1，P〈0．001）、疫区知识正确性（Х^2=21．213，1，=1，P〈0．001）和态度行为正确性（Х^2=15．142，v=1，P〈0．001）增高明显。被干预人员的预防药物使用率逐年上升，疟疾发病率维持在较低水平。疟疾快速筛查方法与病原学检查结果符合率高，有助于病例的早期诊断和治疗。结论深圳市针对从疟疾高度流行区回国人员的疟疾防制对策为我市和其他涉外交流频繁地区的疟疾防制提供了重要的工作经验。

Strategies for the Prevention and Control of Malaria Infection in Presonnel Returning from Endemic Areas

Objective To develop strategies for the prevention and control of malaria infection in personnel returning from endemic areas. Methods Health education was provided to the personnel traveling to the malaria endemic areas and health check was provided after their return. Results in the prevention of infection were evaluated. Results After health education, the disease awareness and the knowledge of malaria infection in these sujects were significant increased. The questionnaire response rate （Х^2=21.024, v=1, P〈0.001）, knowledge of the epidemic area （Х^2=21.213, v=1, P〈0.001） and attitude ＆ behavior （Х^2=15.142,v=1, P〈0.001） were significantly improved. After education, the rates of using preventive medicine were increased and the disease incidence was maintained at low level. There was a high level of coincidence between Optimal-IT and etiological diagnosis, and it could be used in the early diagnosis. Conclusion The developed strategies are effective in the prevention and control of imported malaria through the personnel returning from the endemic areas.