安徽省疟疾流行特点及防治对策探讨

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为巩固和扩大安徽省疟疾防治成果,收集并系统分析了近30年来各县的疟防资料。根据疟疾流行区的地理情况、气候特点和疟疾流行情况,把疟疾流行区分为江淮丘陵高疟区、沿江圩区中疟区、淮北平原低疟区和皖南山区低疟区。1990~1997年疟疾平均发病率分别为4.4、1.1、0.65和0.38。详细分析了各流行区自然地形、气候条件、疟疾媒介种类、居民生产、生活习惯、防疟的组织结构等对疟疾流行的影响。对各种不同流行区应采取的具体防治对策进行了讨论。强调对江淮丘陵高疟区应当采取综合性的防治策略,包括加强查治传染源、监测防治蚊媒、完善疟疾疫情报告和进行健康教育。 In order to consolidate and expand the results of malaria control in Anhui Province, we collected and systematically analyzed malaria prevention information in all counties in recent 30 years. According to the geographical conditions, climate characteristics and malaria prevalence of malaria-endemic areas, the epidemic of malaria is divided into malaria endemic areas in the Jianghuai Hilly, malaria areas in the polder areas along the river, low malaria area in the Huaibei Plain and low malaria area in the southern part of Anhui Province. The average incidence of malaria in 1990-1997 was 4.4 , 1.1 , 0.65  and 0.38 别, respectively. The impact of malaria epidemic on the natural terrain, climatic conditions, types of malaria, resident production, living habits and the organizational structure of anti-malaria were analyzed in detail. The various control measures adopted in different endemic areas were discussed. Emphasizing that a comprehensive prevention and control strategy should be adopted for high malaria areas in the Jianghuai Hilly, including strengthening the sources of infection in Zambia, monitoring and controlling mosquito vectors, improving malaria epidemic reporting and conducting health education.
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