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[中国西藏墨脱县疟疾疫情流行病学调查]

[Epidemiological survey on malaria situation in Motuo County of Tibet, China].

作者信息

Zhang Zai-Xing, Zhou Hong-Ning, Zhao Xiao-Tao, Chang Fu-Xing, Wang Hong-Ju, Li Xiao-Ju, Zhuoma Yang-Jin, Ciren Quzhen, Bianma Zuoma, Sangdan Lamu, Zhang Wei, Yong Jian, Xu Hui-Mei, Bian Jiang, Wang Li-Ying

机构信息

Yunnan Institute of Parasitic Diseases, Yunnan Center for Malaria Research, Dali University Institute for Pathogens and Vectors, Yunnan 665000, China.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2008 Oct 30;26(5):343-8.

Abstract

OBJECTIVE

To make an epidemiological investigation on malaria in Motuo County, Linzhi Prefecture of Tibet.

METHODS

In July of the year 2006, the following activities were conducted in 2 selected villages from each of the three townships, i.e., Motuo, Dexing and Beibeng: malaria history survey among inhabitants in recent 2 years; collection of blood samples of inhabitants for examining malaria parasites, IFAT and detecting G6PD, respectively; mosquito collection in human dwellings and cattle shelters at night and various resting sites at day-time; mosquito collection by outdoor human baiting capture; classification and composition calculation of mosquito species and man biting rates; ELISA for detecting sporozoite infection of Anopheles.

RESULTS

The mean rate of two-year malaria history was 8.98% (118/1314) and the parasite rate was 3.13% (38/1216, all P. vivax) in the inhabitants. The parasite positive rate among the feverish patients was 7.14% (3/42). IFAT revealed a malaria antibody rate of 40.24% (472/1173). The G6PD deficiency rate was 1.74% (21/1208). Five hundred and thirteen anopheline mosquitoes were caught. They were An. maculatus (474) which occupied 92.4% (474/513), An. peditaeniatus (35), An. kochi (3) and An. sinensis (1). The mean indoor density of An. maculatus was 4.75/night in human houses, and 69.5/night in cattle shelters. The outdoor human biting rate was 22.75/half-night/person, and the sporozoite rate of An. maculatus in anopheline saliva glands was 0 by ELISA.

CONCLUSION

Motuo County is an endemic area of vivax malaria with An. maculatus as the potential vector.

摘要

目的

对西藏自治区林芝地区墨脱县疟疾进行流行病学调查。

方法

2006年7月,在墨脱、德兴和背崩三个乡各选取2个村开展以下工作:对居民进行近2年疟疾病史调查;采集居民血样分别检测疟原虫、间接荧光抗体试验(IFAT)及葡萄糖-6-磷酸脱氢酶(G6PD);夜间在居民住房和牛棚以及白天在各类休息场所捕蚊;采用户外人饵诱捕法捕蚊;计算蚊种分类及构成并计算人叮咬率;采用酶联免疫吸附测定法(ELISA)检测按蚊子孢子感染情况。

结果

居民中两年疟疾病史平均率为8.98%(118/1314),疟原虫率为3.13%(38/1216,均为间日疟原虫)。发热患者中疟原虫阳性率为7.14%(3/42)。IFAT显示疟疾抗体率为40.24%(472/1173)。G6PD缺乏率为1.74%(21/1208)。捕获按蚊513只,其中多斑按蚊474只,占92.4%(474/513),微小按蚊35只,高砂按蚊3只,中华按蚊1只。多斑按蚊在居民住房内平均密度为4.75只/夜,在牛棚内为69.5只/夜。户外人叮咬率为22.75只/半夜间/人,ELISA检测多斑按蚊唾液腺子孢子率为0。

结论

墨脱县是间日疟流行区,多斑按蚊为潜在传播媒介。

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