Malaria prevention and control work plan 1 In order to strengthen malaria prevention and control work, the objectives of China Malaria Elimination Action Plan (20xx-20xx) and xx Malaria Elimination Action Plan (20xx-20xx) will be achieved as scheduled, and various measures to eliminate malaria will be implemented to improve the level of malaria prevention and control. According to the Work Plan for Malaria Prevention and Control in xx City in 20xx, combined with the actual situation of our county, the Work Plan for Malaria Prevention and Control in 20xx is formulated.
First, continue to do a good job in the consolidation and monitoring of malaria eradication.
According to the requirements of the management plan of malaria control project in 20xx province, our county will continue to carry out malaria elimination, do a good job in malaria monitoring and prevention, and prevent the spread and epidemic of imported malaria.
1, and further improve the data collection of malaria elimination. Further collect and sort out data on malaria prevention and control, and improve the filing, preservation and future reference of documents, data, pictures and other related materials related to malaria prevention and control.
2. Strengthen the training of business personnel. Our county will strengthen the professional training of grass-roots personnel and county general hospital personnel, and improve the knowledge level of malaria prevention and control of medical staff.
Second, the source of infection monitoring and media monitoring
1, malaria epidemic monitoring
All medical units should promptly carry out blood tests on malaria patients who are newly diagnosed with malaria, suspected malaria and fever of unknown reasons, and fever patients who travel to and from malaria endemic areas, especially those who go abroad (Africa, Southeast Asia, South Pacific and other countries) and return from Hainan, Yunnan, Anhui, Henan, Hubei and other provinces with high malaria prevalence in China.
2, fever patients monitoring
According to the requirements of the Ministry of Health and the Health Department, our province is a three-category malaria endemic area. According to the requirements of the Action Plan, the number of people who draw blood in our county is not less than five ten thousandths of the total population (the number of people who draw blood in May 5- 10/0 is not less than 80% of the total number of people who draw blood), and there are 250 "three fever" patients in the county who need blood. Blood slides must be made according to the requirements of malaria prevention and control manual. The assignment of blood test tasks in each medical unit in 20xx is as follows.
Third, the case report and management
1, malaria cases should be reported within 24 hours after diagnosis, and the county CDC should do a good job in epidemiological investigation and epidemic treatment of each case, and send the case questionnaire to the Infectious Disease Prevention Department of the Municipal CDC in time within 3 days; Found local transmission cases should be promptly reported to the provincial CDC blood parasitic disease prevention and control departments and municipal CDC infectious disease prevention and control departments, and in accordance with the "malaria prevention and control technical plan" for processing, timely put out the epidemic.
2. Laboratory tests and molecular biological tests should be carried out for each malaria case, and the confirmed malaria patients should be given systematic and standardized treatment in time according to the malaria prevention and control plan (eight-day treatment of vivax malaria and artemether or artesunate plus primaquine for falciparum malaria) to prevent death or secondary cases of falciparum malaria; High-risk groups should take preventive drugs. In view of the easy recurrence of vivax malaria patients, last year's vivax malaria patients should be treated in the spring rest period to reduce the accumulation of infectious sources and prevent the spread of the epidemic.
Iv. floating population management and health promotion and consultation
1, strengthen the management of floating population, conduct a thorough investigation of large floating population settlements, pay special attention to the floating population, especially those who travel between malaria-endemic areas and original malaria-endemic areas at home and abroad, regularly find out the source of infection, and take preventive measures when necessary to prevent occurrence and epidemic;
2. For fever patients who come back from key malaria endemic areas abroad and outside the province, especially where Anopheles minimus is distributed, timely diagnosis and treatment should be made, and monitoring should be strengthened to prevent malaria transmission caused by imported infectious sources;
3. Strengthen health education, carry out publicity and consultation on health and pest control according to local conditions, and provide malaria consultation, diagnosis and treatment services for overseas personnel, especially the prevention and treatment of imported falciparum malaria; Combined with the "National Malaria Day" on April 26th, the knowledge of malaria prevention and control will be popularized in a form popular with the masses, so as to raise their awareness of disease prevention.
The second work plan of malaria prevention and control is to find and treat malaria cases in time, control malaria epidemic situation, effectively implement various technical measures and programs to eliminate malaria, consolidate the target achievement of eliminating malaria in the county in 20xx, and realize the Action Plan for Eliminating Malaria in China (20xx—20xx). According to the requirements of provincial and municipal malaria elimination monitoring tasks and the actual situation of our county, the Work Plan for Malaria Prevention and Control in xx County in 20xx was formulated.
I. Raising awareness
Malaria, AIDS and tuberculosis are called the three most harmful diseases in the world. Last year, Dazhou Health Bureau organized experts to conduct on-site assessment and acceptance of malaria elimination in our county. The results show that the malaria control work in xx county has reached the national malaria elimination standard and passed the county-level malaria elimination assessment. It is suggested that xx should continue to strengthen its leadership in malaria prevention and control, strengthen blood testing in medical institutions and attach importance to the quality of blood testing. Continue to carry out monitoring, training and publicity and education after malaria eradication; Strengthen the management of returnees in high malaria areas, do a good job in responding to imported malaria epidemic, protect the health of the broad masses of people, and promote coordinated economic and social development. All units should attach great importance to it, strengthen leadership, and continue to do a good job in malaria prevention and control knowledge propaganda, personnel training, health education, and blood testing of suspected malaria cases, clinically diagnosed cases, and unexplained fever cases.
Second, do a good job in training and publicity and education.
According to the principle of graded responsibility and step-by-step training, we should do a good job in the training of clinicians and inspectors in medical institutions at all levels in the county, strengthen the awareness and diagnostic level of malaria prevention and control of grassroots medical staff, and give full play to their "outpost" role in malaria prevention and control. Training coverage is required to reach 100%. According to different target groups, formulate the core information of malaria prevention and health education, make full use of health education and community publicity columns in primary and secondary schools, and widely and deeply publicize malaria prevention and control knowledge; On National Malaria Day, medical institutions at all levels should make full use of radio, television, slogans, leaflets, mobile phone messages and other ways and forms to carry out malaria prevention and control publicity activities, so as to make malaria prevention and control knowledge widely known and form a good social atmosphere in which the masses actively support and participate in malaria prevention and control work.
Three. Continue malaria surveillance.
(1) Monitoring purpose: to find and treat malaria cases in time, master malaria transmission and its influencing factors, evaluate the potential risk of malaria transmission and the prevention and control effect, and provide basis for guiding and evaluating malaria elimination.
(2) Monitoring objects: suspected cases, clinically diagnosed cases, confirmed cases and carriers of malaria (refer to Diagnostic Criteria for Malaria WS29—20xx).
(3) Monitoring content
1, epidemic situation report. Clinicians in county-level medical institutions, centers, township hospitals, village health stations and individual clinics should fill in infectious disease report cards within 24 hours once they find suspected, clinically diagnosed and confirmed malaria cases, and report directly through the national disease surveillance information reporting management system.
In case of sudden malaria epidemic, it should be reported through the national public health emergency management information system in accordance with the relevant provisions of the Malaria Emergency Response Plan (No.:20xx).
2. Case verification and case investigation. County CDC should have a special person responsible for daily browsing the national disease surveillance information report management system. After discovering the suspected, clinically diagnosed and confirmed malaria cases reported within the jurisdiction, it shall immediately contact the reporting unit to review the blood smear of the reported cases. After the case diagnosis changes, it will be revised in the disease surveillance information reporting management system in time.
According to the requirements of Technical Plan for Eliminating Malaria (20xx Edition), malaria prevention and control professionals at the county level should conduct a case investigation on each malaria case (including suspected cases, clinically diagnosed cases and confirmed cases) within the next day after the case report, and the investigation contents should include the basic situation of the case, epidemiological history, treatment history and current incidence, diagnosis and treatment; Enter the case questionnaire and report it within 2 days. Investigators should visit the case again within 1 week after the case is handled, make supplementary investigation, fill in the malaria case epidemiological case questionnaire, and report online through the parasitic disease prevention and control information management system in time.
Actively investigate and handle cases. According to the requirements of Technical Plan for Eliminating Malaria (version 20xx), within 1 week after the cases are directly reported through the network, the county CDC is responsible for organizing case screening for active and inactive epidemic spots. Visit every house in the epidemic area, collect blood samples from people with fever history within 2 weeks, and check plasmodium with microscope or rapid diagnostic test strip (hereinafter referred to as RDT monitoring). If 1 local malaria cases or carriers are found, all residents in the epidemic area should be examined by plasmodium microscopy or RDT. The malaria cases found by screening shall be investigated according to the requirements of this monitoring scheme and reported in time.
4. Take blood test for patients with fever of unknown cause. According to the standard requirements of Technical Plan for Eliminating Malaria (20xx Edition), our county will conduct 4000 blood tests on patients with fever of unknown origin (task assignment is attached). County-level medical institutions and hospitals (townships) should conduct microscopic examination of blood smears of patients with fever of unknown origin and make registration. The number of blood tests in the transmission season (-10) shall not be less than 80% of the total number of blood tests. For malaria cases found in blood tests, individual investigations should be conducted according to the requirements of this monitoring scheme, and timely reports should be made. The task of blood test must be implemented in specific departments and responsible persons, and included in the year-end assessment target to ensure the completion of the task.
Fourth, do a good job in the management of imported malaria cases.
(1) Malaria management of floating population in China
1. The medical and health institution where the case is found shall be responsible for the diagnosis, report and treatment of the case, and notify the patients with vivax malaria to go to the county disease prevention and control center for treatment during the rest period from next year to next April.
2. For found cases, the county-level centers for disease control and prevention shall be responsible for microscopic examination and review of blood smears of cases, epidemiological case investigation, judge possible infection sites according to the investigation results, and report epidemic information to provincial centers for disease control and prevention in epidemic areas within one week after finding cases.
The construction units of various construction projects with relatively concentrated floating population should be the key targets of malaria prevention and control. Once malaria cases are found, they should be reported in time and the epidemic situation should be investigated and disposed of quickly.
(2) Management of imported malaria cases. County-level centers for disease control and prevention should report the epidemic situation directly to the provincial centers for disease control and prevention in time when they find imported malaria cases, and conduct epidemiological investigation, peer follow-up investigation and health consultation on all imported malaria cases, and if necessary, conduct spread risk assessment and epidemic disposal on the environment where the cases are located.
V. Do a good job in data statistics and management.
Statistical analysis index
1. Incidence indicators: annual incidence of malaria, incidence of vivax malaria, incidence of falciparum malaria, number of malaria deaths and proportion of imported cases;
2. Microscopic indicators of cases: blood test rate and blood test positive rate;
3, case diagnosis, reporting and investigation indicators: epidemic investigation rate and epidemic screening rate;
4. Missing report indicator: missing report rate.
(2) data management. The original data of blood testing units should be properly preserved, especially the original records, forms, work summaries and other technical data of monitoring work, and attention should be paid to the collection, collation, supplement, perfection, archiving, preservation and future reference of malaria prevention and control data, so as to maintain the scientific, normative, complete and reliable records of malaria prevention and control.
Sixth, do a good job in quality control.
(1) epidemic situation verification. County CDC must verify all reported malaria cases.
(2) Verification of pathogen inspection. All blood test units should keep blood samples or filter paper blood samples of all blood test patients, and provincial and municipal CDC should review all positive blood samples; At least 10% of negative blood slides should be sampled by county-level centers for disease control and prevention.