Analysis of assessment results of malaria elimination in counties (districts) of Huai'an City

Abstract

Objective To analyze the results of the assessment of malaria elimination in 8 counties (districts) in Huai'an City, Jiangsu Province, so as to provide evidences for consolidating the achievement of malaria elimination. Methods The data from the network reports of malaria epidemic situation, blood examinations of febrile patients, epidemiological questionnaires of malaria cases, investigation and disposal of epidemic focuses were collected and analyzed in Huai'an City from 2010 to 2016. The results of the assessment on the clinicians'ability of malaria diagnosis and treatment as well as the inspectors'skill of Plasmodium microscopic examinations were analyzed. In the natural village where the last local case of malaria was reported, no less than 200 blood filter papers were made for gene detection of Plasmodium. Results From 2010 to 2016, 308 malaria cases were reported in Huai'an City. Totally 323 002 patients received blood detection of malaria, among which 272 ones were positive and the positive rate was 0.08%. The majority of the malaria cases were imported, except 19 and 3 local infection cases in 2010 and 2011, respectively. Except Qinghe District, a total of 1 420 blood filter papers from the other 7 counties (districts) were detected genetically, and the results were all negative. Six of the eight counties (districts) gained an average score of 20 points on the Plasmodium microscopic examination, and Jinhu County and Huai'an District got a minimum average score of 19.6 points. In capacity assessment of malaria diagnosis and treatment, Hongze District gained the highest average score of 20 points, and Huai'an District got the lowest average score of 18.8 points. The malaria elimination assessment scores of the eight counties (districts) were all above 97 points. All the 8 counties (districts) in Huai'an City passed the malaria elimination assessment at county (district) level until 2016. Conclusions All the 8 counties (districts) in Huai'an City have passed the malaria elimination assessment with high scores. After the malaria elimination, the monitoring still should continue to consolidate the achievement.