湖北省赴高疟区务工人员疟疾防控现状调查

目的了解湖北省赴高疟区务工人员疟疾防控现状,提出输入性疟疾干预措施。方法选取武汉、宜昌、黄石、潜江等4个市,调查赴高疟区劳务派出单位、派出人数、派往国家及所采取的疟防措施等信息,访问回归人员个人基本情况、境外疟疾发病情况、个人防护措施及疟防知识知晓情况等。结果 2011-2012年,共26个企业和公司向非洲及东南亚35个国家派出务工人员10 171人,其中单位职工5 553人（54.60%）,外聘人员4 618人（45.40%）,务工人员接受疟防知识培训占62.62%。访问回归人员1 025人,境外患疟疾175人,患病率17.07%,其中工人患病高于其他工种,小学文化患疟疾高于初中以上文化,未接受疟防知识培训人员患病人数高于接受培训者。结论赴高疟区出国务工人员接受疟防知识培训和加强个人防护是控制疟疾感染的根本措施。

Investigation and analysis of malaria prevention and control measures for migrant workers to high prevalence area in Hubei province

Objective To understand the prevention and control situation of migrant workers to high malaria area in our province, and put forward measures to control import malaria. Methods Data of sending units, number of workers, the countrys sending to, and whether malaria preventive measures were taken etc, were collected from Wnhan, Yichang, Huangshi, Qianjiang cities. Data of the workers basic situation, the date of return, overseas malaria incidence and symptoms,working period,and whether personal protection and knowledge about malaria prevention were trained etc were also obtained. Results From 2011 to 2012,there were 26 enterprises and companies in four cities sending workers to Mrica and southeast Asia, altogether 35 countries, and 10 171 workers, including unit emloyees, 5 553, （ 54. 60%）, external staff,4 618 （45.40%）. The proportion of migrant workers accepting malaria prevention knowledge training, accounted for 62. 62%. 1 025 people of staff returned, among them, 175 were malaria patients,the prevalence, was 17.07%, in which workers＇prevalence was higher than that of other staff. Further more, workers of elementary grade education had higher prevalence than that with junior high school grade, Workers who had not received malaria prevention knowledge training had higher prevalence than those without receiving training. Conclusion The major measures to control malaria infection are to perform malaria prevention knowledge training and, to strengthen individual protection to avoid being infected in malria endemic countries.