Wiwanitkit Viroj
Department of Laboratory Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Vector Borne Dis. 2007 Sep;44(3):219-22.
BACKGROUND & OBJECTIVES: Malaria is still an important infectious disease in Thailand. The study of the incidence of malaria can provide useful data for disease prevention and control. At present, trade and travel can impact on vector-borne diseases, including malaria. Transmission of malaria from an endemic to a non-endemic area can be expected and this can affect the pattern of malaria epidemiology.
Analysis of rate of malarial infection among foreigners in a tertiary hospital of Thailand in the past decade (1996-2005) was carried out by scrutinising the available published and unpublished.
According to this study, two main groups of travellers, the migrant workers from the nearby countries, who bring malaria from the endemic area in their countries and the naive cases as the travellers from the western countries, who expose to malaria during their travelling in Thailand, can be identified.
Change of epidemiology due to high rate of infection in non-Thai patients and importance of travel on the epidemiology of malaria can be seen from this study.
疟疾在泰国仍是一种重要的传染病。疟疾发病率的研究可为疾病预防和控制提供有用数据。目前,贸易和旅行会对包括疟疾在内的媒介传播疾病产生影响。疟疾从流行地区传播到非流行地区是可以预期的,这会影响疟疾流行病学模式。
通过仔细审查现有的已发表和未发表资料,对泰国一家三级医院过去十年(1996 - 2005年)外国患者的疟疾感染率进行分析。
根据本研究,可以确定两类主要旅行者群体,一类是来自周边国家的外来务工人员,他们将本国流行地区的疟疾带入泰国;另一类是初次感染病例,即来自西方国家的旅行者,他们在泰国旅行期间感染疟疾。
从本研究中可以看出,非泰国患者的高感染率导致了流行病学的变化,以及旅行对疟疾流行病学的重要性。