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目的 :控制海南山区部队疟疾的发生和流行 ,探索与当前的流行病学条件相适应 ,并符合现代医学模式的防治对策。方法 :以加强传染源防治为重点 ,结合健康教育和行为干预的综合性措施。采取对山区部队进行健康教育 ,留住人员进行预防性服药 ,疟疾病例进行追踪治疗 ,不采用杀虫剂喷洒或浸泡蚊帐。结果 :措施后官兵的疟疾知识、蚊帐使用率、服药率和病例正规治疗率有所提高 ,各项疟疾指数下降至低水平。年疟疾带虫发病率由 1996年的 37.0 %下降到1997年的 14.6%和 1998年的 1.6% ;恶性疟疾带虫发病率从 11.6%分别下降至 4 .3%和 0 .4 % ;疟原虫率从 1997年 1月的 9.4 %下降至 1997年 11月的 3.2 %和 1998年 6月的 1% ,其中恶性疟原虫率从 3.1%下降到 0。结论 :加强传染源防治结合、健康教育和行为干预是当前海南山区部队疟疾防治行之有效的对策
Objective: To control the occurrence and prevalence of malaria in mountainous areas of Hainan Province, and to explore ways to adapt to the current epidemiological conditions and to meet the prevention and control measures of modern medical models. Methods: To strengthen the prevention and treatment of infectious agents as the focus, combined with health education and behavioral intervention comprehensive measures. Adopt health education for mountain units, retain personnel for preventive medication and follow-up treatment of malaria cases, and do not use pesticides to spray or soak mosquito nets. Results: After the measures, malaria knowledge, mosquito net usage rate, medication rate and formal treatment rate of malaria officers and men increased. The malaria index dropped to a low level. The annual incidence of malaria worms dropped from 37.0% in 1996 to 14.6% in 1997 and 1.6% in 1998; the incidence of falciparum malaria decreased from 11.6% to 4.3% and 0.4% respectively; The rate dropped from 9.4% in January 1997 to 3.2% in November 1997 and 1% in June 1998, with the rate of Plasmodium falciparum dropping from 3.1% to 0%. Conclusion: Strengthening the prevention and treatment of infectious agents, health education and behavioral intervention are the effective measures to prevent and control malaria in the mountainous areas of Hainan