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中国疟疾从控制走向消除——消除阶段的目标策略和措施

Malaria from control to elimination in China:Transition of goal,strategy and interventions

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【作者】 曹俊周水森周华云余新炳汤林华高琪

【Author】 CAO Jun;ZHOU Shui sen;ZHOU Hua yun;YU Xin bing;TANG Lin hua;GAO Qi;Jiangsu Institute of Parasitic Diseases,Key Laboratory of Parasitic Disease Control and Prevention(Ministry of Health),Jiangsu Provincial Key Laboratory of Parasite Molecular Biology;National Institute of Parasitic Diseases,Chinese Centre for Disease Control and Prevention,WHO Collaborating Centre for Malaria,Schistosomiasis and Filariasis;Zhongshan School of Medicine,Sun Yat sen University;

【机构】 江苏省寄生病防治研究所、卫生部寄生虫病预防与控制技术重点实验室、江苏省寄生虫分子生物学重点实验室中国疾病预防控制中心寄生虫病预防控制所中山大学中山医学院

【摘要】 我国于2010年正式启动了国家消除疟疾行动,计划于2020年在全国范围内消除疟疾。要如期实现消除疟疾的目标,必须要客观认识疟疾消除阶段的特点,制订科学合理的防控策略和技术措施。本文通过对疟疾控制和消除阶段的比较,分析疟疾消除阶段目标、策略和措施调整与转变的必要性和紧迫性,对我国现行的消除疟疾"1 3 7定点清除"工作模式的背景、定义、工作重点及技术难点进行阐述,以增进各级医疗卫生机构对我国当前消除疟疾目标、策略和措施的认识,促进相应策略和措施的创新和贯彻落实,推动我国消除疟疾工作。

【Abstract】 The Malaria Elimination Action Plan has been launched in China since 2010,to pursue the goal of national wide malaria elimination by 2020. To ensure the achievement of the goal,the strategy and interventions should be transited from control to elimination,based on the better understanding of malaria elimination. In this article,we delineate the difference between malar ia control and elimination phase,and explain the importance of transition of the goal,strategy and interventions from control to elimination,also decrypt the background,definition,critical points and challenges of China’s current malaria elimination strate gy and interventions,to improve health workers’ understanding and implementation of national elimination program at different levels,and eventually impact the progress of national elimination program.

【关键词】 疟疾; 消除; 目标; 策略; 措施; 中国;

【Key words】 Malaria; Elimination; Goal; Strategy; Intervention; China;

【分类号】R531.3;

【基金】 国家重大传染病防治科技重大专项(2012ZX10004-220);江苏省科教兴卫工程高技术平台(ZX201108);江苏省特色业务建设项目(BM2009902)

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