A successful control programme for falciparum malaria in Xinyang, China
A successful control programme for falciparum malaria in Xinyang, China
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DOI：
10.1016/s0035-9203(96)90099-1
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发表时间：
1996-03-01
影响因子：
2.2
通讯作者：
You, XA
中科院分区：
文献类型：
--
作者：
Luo, DP;Shang, LY;You, XA
本文介绍了20世纪80年代初至1992年中国信阳地区大规模的恶性疟疾防治计划。恶性疟主要由食人按蚊传播，20世纪80年代初在信阳地区的固寺、晃川、商城和淮滨县流行，1984年报告2922例。1985年以来至1992年，在恶性疟原虫感染高危地区连续两年采用滴滴涕滞留喷洒和使用浸渍拟除虫菊酯类杀虫剂的蚊帐，随后用8年时间逐步推广至所有流行地区。自 20 世纪 70 年代以来，疟疾控制工作也是通过 4 个县的初级卫生保健系统进行的。自1988年以来，尽管进行了广泛的监测，但没有发现恶性疟病例，间日疟也大大减少。反复的横断面调查显示，经过连续两年的病媒控制计划，大多数地点都没有发现食人食人猿。病媒控制是这 4 个县成功消除恶性疟疾和降低间日疟发病率的主要因素。
This paper describes a large scale control programme for falciparum malaria in Xinyang prefecture, China, from the early 1980s to 1992. Falciparum malaria, transmitted mainly by Anopheles anthropophagus, was epidemic in Gusi, Huangchuan, Shangcheng and Huaibin counties in the prefecture in the early 1980s, 2922 cases being reported in 1984. From 1985 to 1992, DDT residual spraying and the use of bed nets impregnated with pyrethroid insecticide were introduced for 2 consecutive years in areas at higher risk of P. falciparum infection, and then gradually extended to cover all the endemic areas over a period of 8 years. Malaria control was also carried out through the primary health care system in 4 counties, as had been done since the 1970s. As a result, no falciparum malaria case has been found since 1988 in spite of extensive surveillance, and vivax malaria has also decreased greatly. Repeated cross-sectional surveys showed that A. anthropophagus could not be found in most sites after 2 consecutive years of the vector control programme. Vector control was a major factor in the successful elimination of falciparum malaria and decreasing the incidence of P. vivax in the 4 counties.