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2006年8月,科西嘉岛,一例本地间日疟原虫疟疾病例。

A case of autochthonous Plasmodium vivax malaria, Corsica, August 2006.

作者信息

Armengaud A, Legros F, D'Ortenzio E, Quatresous I, Barre H, Houze S, Valayer P, Fanton Y, Schaffner F

机构信息

Cellule inter régionale d'épidémiologie sud, Marseille, France.

出版信息

Travel Med Infect Dis. 2008 Jan-Mar;6(1-2):36-40. doi: 10.1016/j.tmaid.2007.09.042. Epub 2007 Nov 5.

Abstract

A case of Plasmodium vivax malaria was diagnosed in Corsica in summer 2006. This is the first case of autochthonous transmission of malaria to be reported in Corsica since 1972. Corsica is a well-known malaria endemic region characterised, for several years now by an anophelism situation without malaria disease, due to the presence of An. labranchiae and An. saccharovi able to transmit P. vivax. The occurring sequence of malaria signs in an imported case on 9 July and in an autochthonous case on 5 August, both in Porto, implies a transmission by local Anopheles. This suspicion is reinforced by the results of entomological investigations. However, from June to September 2006, no other P. vivax malaria case and no other autochthonous case were detected in Corsica. Therefore, it seems that no permanent malaria transmission occurs in this island. Mosquito eradication actions and anti-vectorial measures have been reinforced as well as individual prevention measures against imported diseases while travelling in tropical countries. Obviously, detection of one exceptional autochthonous transmission of one malaria case in Corsica does not justify proposing malaria protection to tourists.

摘要

2006年夏季,科西嘉岛确诊了一例间日疟原虫疟疾病例。这是自1972年以来科西嘉岛报告的首例疟疾本土传播病例。科西嘉岛是一个著名的疟疾流行地区,多年来,由于存在能够传播间日疟原虫的拉氏按蚊和嗜糖按蚊,一直处于有按蚊但无疟疾的状态。7月9日的一例输入性病例和8月5日在波尔图的一例本土病例中疟疾症状的出现顺序,表明是由当地按蚊传播的。昆虫学调查结果进一步证实了这一怀疑。然而,在2006年6月至9月期间,科西嘉岛未检测到其他间日疟原虫疟疾病例和其他本土病例。因此,该岛似乎不存在永久性的疟疾传播。已加强了灭蚊行动和抗媒介措施,以及在热带国家旅行时针对输入性疾病的个人预防措施。显然,在科西嘉岛检测到一例罕见的疟疾本土传播病例,并不足以向游客提议提供疟疾防护。

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