云南省勐海县疟疾现况的基线调查分析

了解勐海县目前疟疾发病现况、防治现状、居民对疟疾知识知晓情况等,为制订疟疾防治计划及全球基金疟疾项目实施后的效果评价提供基线数据。方法:用分层随机抽样,对抽取的乡(镇)卫生院医生、村医、社医、个体医及其登记的发热病人血检记录、病人发病时间、治疗处方、疫情报告名单等资料进行摘录;对居民、中、小学生、进行逐户逐人对2002年内是否发过疟疾,求医方式、以及对疟疾症状体征、治疗、传播途径、预防等方面知识知晓情况进行问卷调查。结果:用CMR方法,推算出勐海县2002年疟疾的发病人数为2820例,是当年疫情报告数181例的15.6倍。疫情报告符合率仅为6..42%,漏报率达93.58%。3个乡镇抽查村点的部分居民、中小学生对疟疾防治知识、抗疟药物均有不同程度的了解,而不同流行区居民、中小学生的知晓情率不尽相同。结论:目前勐海县多数疟疾病例漏报疫情,根据本调查结果推算2002年疟疾漏报数多达2639例,因此,要加强疫情管理,加大疟疾防治力度。

Analysis of baseline survey of malaria prevalent status in Menghai county,Yunnan Province

Objective: To understand the status of malaria prevalent,control and anti-malaria knowledge of the residents,and provide scientific basis for the later design of control measures against malaria and offer base line data for estimating the effects of global fund program for malaria control in Menghai county,Methods: Random stratification sampling with unequal malaria incidence was used.The residents,middle school students,puupils were.interviewed with knowledge of the malaria,see a doctor wise and on the treatment in the 2002 year.Actual amount of malaria patients and rate of failing report were estimated with Capture-recapture method(CRM) in Menghai county.Results: In 2002,actual amount of malaria patient was 2820 cases and estimating rate of failing report was 93.58% in Menghai county.It is 15.6time.of 181 cases reported in 2002 year.coincident rat of the report was 6.42% only.The knowledge of anti-malaria,drug,have different degree to understand in the residents and the students of different epidemic area,also. Conclusion: At present,amount of malaria patients of the failing report were many,and the situation of malaria very serious in Menghai county,therefore,to strengthen managment of malaria patients of failing report and the disease prevention and treatment were stringent.Develop health education of prevention and treatment of malaria vill were important.