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Article de Anglais | IMSEAR | ID: sea-31235

RÉSUMÉ

This paper presents the results of a study on simplified surveillance methods conducted in 23 pilot counties in 11 provinces and municipalities in China where reside 15 million people and malaria control has been in the late consolidation phase. Two simplified surveillance Schemes (A and B) taking treatment of clinical cases as the main measure were implemented in 1992-1994. The rate of annual blood examination for case detection was 1.0% in pilot Scheme A, while in areas of scheme B it was 0.3%. The implementation of both Scheme A and Scheme B, simplified or without treatment of infection foci and management of mobile populations, acquired satisfactory effects against malaria. Consequently, malaria incidence was declining steadily, only a few indigenous and introduced cases were detected. The parasite rate in residents and the IFA positive rate in children were very low. The results of pilot studies and cost-effectiveness analysis indicated that Scheme B is effective, rational and economic, and can be implemented to replace the routine surveillance measures in areas where malaria has been at the late consolidation phase in China.


Sujet(s)
Adulte , Animaux , Anopheles , Antipaludiques/usage thérapeutique , Enfant , Chine/épidémiologie , Analyse coût-bénéfice , Notification des maladies/économie , Humains , Études longitudinales , Paludisme à Plasmodium falciparum/économie , Paludisme à Plasmodium vivax/économie , Dépistage de masse/économie , Lutte contre les moustiques/économie , Évaluation des résultats et des processus en soins de santé , Projets pilotes , Surveillance de la population
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