Yasinzai Mohammad Iqbal, Kakarsulemankhel Juma Khan
Department of Zoology, University of Balochistan, Quetta.
J Pak Med Assoc. 2009 Mar;59(3):132-5.
To study the prevalence of malarial infections in human population of districts Loralai and Musakhel areas of Pakistan.
Malarial parasites were identified in the blood slides of suspected patients of the disease from July, 2004 to June, 2006, and encompassed 7899 subjects.
Out of 7899 suspected cases of malaria, 2275 (28.8%) were found to be positive for malarial parasite in blood smear slides. Out of positive cases, 1633 (71.7%) were identified as Plasmodium falciparum infection, 642 (28.2%) cases with P. vivax. However, seasonal variation was also noted with the highest (83.9%:287/342) infection of P. falciparum in September and lowest (65.3%: 34/52) in January in Loralai area whereas highest (76.9%:30/39) in October and lowest (3/9) in February in Musa Khel area. There was no case of Plasmodium malariae and P. ovale infection observed in the present study. These results are compared with those of other studies done in Pakistan.
The high prevalence rate (71.7%:1633/2275) of P. falciparum poses a significant health hazard but 28.2% of P. vivax (642/2275) also may lead to serious complications like cerebral malaria. No association was found between types of infection and age groups.
研究巴基斯坦洛拉莱和穆萨克赫尔地区人群中疟疾感染的流行情况。
对2004年7月至2006年6月期间该疾病疑似患者的血涂片进行疟原虫鉴定,共纳入7899名受试者。
在7899例疟疾疑似病例中,血涂片检查发现2275例(28.8%)疟原虫呈阳性。在阳性病例中,1633例(71.7%)被鉴定为恶性疟原虫感染,642例(28.2%)为间日疟原虫感染。然而,也观察到了季节性变化,洛拉莱地区9月恶性疟原虫感染率最高(83.9%:287/342),1月最低(65.3%:34/52);穆萨克赫尔地区10月最高(76.9%:30/39),2月最低(3/9)。本研究未观察到三日疟原虫和卵形疟原虫感染病例。将这些结果与巴基斯坦其他研究的结果进行了比较。
恶性疟原虫的高流行率(71.7%:1633/2275)构成了重大的健康危害,但28.2%的间日疟原虫(642/2275)也可能导致严重并发症,如脑型疟疾。未发现感染类型与年龄组之间存在关联。