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[Analysis of malaria epidemic situation and control in Hubei Province from 1974 to 2015].

OBJECTIVE
To analyze the malaria control measures and epidemic trend in Hubei Province from 1974 to 2015, so as to provide the evidence for malaria elimination path analysis.


METHODS
The malaria control data in Hubei Province from 1974 to 2015 were collected and analyzed retrospectively by descriptive epidemiological methods.


RESULTS
The epidemic process of malaria in Hubei Province was divided into four stages. From 1974 to 1979, it was high prevalence state of malaria, and the average annual incidence was 174.47/10 000. From 1980 to 1999, the main control strategies were to control the infection source and mosquitoes, and the average annual incidence was 17.30/10 000, significantly downward. From 2000 to 2009, through the surveillance of infection sources and controlling malaria outbreaks and strengthening the floating population management, the average annual incidence was 0.42/10 000. After 2010, followed by the elimination phase of malaria, the incidence continued to decline. In 2013, there was no local infection for the first time. The difference of average annual incidence among above-mentioned stages was statistically significant (χ2 = 1 254.36, P < 0.05).


CONCLUSIONS
The malaria epidemic process in Hubei Provincial experienced the high epidemic stage, sharply drop stage, low incidence phase and the elimination phase. However, the natural factors affecting malaria still exist. Therefore, strengthening the control of imported malaria and surveillance should be the main task in the process of eliminating malaria in the future.