熊昊??潘定权??唐国荣??李革莉??潘海??贺力平??张灵通??蒲宏清?+林康明??韦树姣?黎军?黄亚铭

[摘要] 目的 分析桂林市65年疟疾防制效果，为今后疟疾防制提供科学依据。方法 收集整理该市下辖的12个县1950～2015年历年疟疾防治资料，采用Excel软件进行统计分析和图表制作。结果 20世纪70年代以前该地区疟疾在当地居民中呈自然流行状况，感染的疟原虫种类有3种，有3种主要传疟按蚊种群存在。瘧疾发病率最高的1955年和1961年分别为3513.46/10万和3354.91/10万，50年代和60年代疟疾死亡病例数分别为810例和252例。70年代恶性疟流行被有效控制。21世纪以来当地居民未发现疟疾病例。80年代的输入性疟疾病例均在国内疟疾流行区感染，90年代有4.87%的疟疾病例在东南亚国家感染，近五年有97.47%疟疾病例在国外感染，在非洲感染的占72.73%，恶性疟占62.34%，每年均有重症疟疾病例出现。结论 目前该市各县区均已达到国家消除疟疾标准，但仍然受到输入性疟疾威胁，需继续加强监测和控制。

[关键词] 疟疾；流行；控制；消除；输入性疟疾

[中图分类号] R184 [文献标识码] A [文章编号] 2095-0616（2017）12-23-05

Analysis of malaria control effect in Guilin city of Guangxi Province in 1950-2015

XIONG Hao1 PAN Dingquan1 TANG Guorong1 LI Geli1 PAN Hai1 HE Liping1 ZHANG Lingtong1 PU Hongqing1 LIN Kangming2 WEI Shujiao2 LI Jun2 HUANG Yaming2，3

1. Department of Disease Control， Center for Disease Control and Prevention， Guilin 541001， China； 2. The Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention， Nanning 530028， China； 3. School of Life Science and Technology， Guangxi University， Nanning 530004， China

[Abstract] Objective To analyze the the effect of malaria control in Guilin for 65 years， and to provide scientific basis for malaria control. Methods The malaria control data from 12 counties in the city from 1950 to 2015 was collected and sorted out. Excel software was used for statistical analysis and chart making. Results Before the 70s of the last century， malaria was endemic among the local population. There were 3 species of Plasmodium infected， and 3 species mainly existed. The highest incidence of malaria in 1955 and 1961， they were 3513.46/10， Vanward， 3354.91/10 million， and malaria deaths were 810 cases and 252 cases in 50s and 60s respectively. The malaria epidemic was effectively controlled in 70s. No malaria cases had been found in this area since the beginning of this century. Imported malaria cases in 80s were infected in the malaria endemic areas of the country. In 90s， 4.87% of malaria cases were infected in Southeast Asian countries. In the past five years， 97.47% malaria cases have been infected abroad. In Africa， 72.73% were infected， falciparum malaria accounts for 62.34%， and severe malaria cases occured every year. Conclusion At present， all counties in the city have reached the national standard for eliminating malaria. But it is still threatened by imported malaria. It is still threatened by imported malaria.

[Key words] Malaria； Epidemic； Control； Elimination； Imported malaria

桂林及目前下辖的17个区、县（6区、9县、2自治县）境内，其地理环境和气候条件是疟疾传播按蚊孳生的理想场所，疟疾在该地区极易导致流行，因此，20世纪70年代以前疟疾在当地居民中基本呈自然流行状况，具有流行面广、发病人数多、病死率高的特点，经过65年的疟疾防治从控制、基本

消灭、巩固到消除等4个阶段，特别是本世纪启动《中国消除疟疾行动计划（2010-2020年）》以后[1]，到2015年桂林市及所辖的17个区、县均达到国家消除疟疾标准，因此，有必要将该市65年的疟疾防治资料收集整理并报告如下。……