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1999年至2008年克莱佩达海员中的疟疾情况。

Malaria among seamen in Klaipeda in 1999-2008.

作者信息

Scerbavicienë Ruta, Pilipavicius Rimantas

机构信息

Public Health Centre, Klaipeda, Lithuania.

出版信息

Int Marit Health. 2009;60(1-2):29-32.

Abstract

In the 10 years from 1999 to 2008, 33 imported malaria cases were recorded in Klaipeda, in 31 people from Lithuania and in 2 foreigners, from 1 to 8 cases per year. Among them, there were 28 infections of seafarers, who were probably infected in West Africa, Nigeria, Cameroon, or Angola. For all of them, malaria was a work-related health risk. Plasmodia of all species were detected in their blood, but in the majority of cases (24) it was Plasmodium falciparum. In all cases, the diagnosis was confirmed by blood examination - thick and thin films. About 10% of patients had the severe form of the disease. Two seafarers died of falciparum malaria, one in Angola and one in Klaipeda. Preventive measures such as chemoprophylaxis and avoidance of mosquito bites were not always used by them. Therefore, the staff of the Klaipeda Public Health Centre focus their work on the health training of seafarers, explaining the risk of infection, advising how to avoid mosquito bites, and how to use antimalarial drugs for prophylaxis.

摘要

在1999年至2008年的10年间,克莱佩达记录了33例输入性疟疾病例,其中31例来自立陶宛人,2例为外国人,每年1至8例。其中,有28例是海员感染,他们可能是在西非、尼日利亚、喀麦隆或安哥拉感染的。对他们所有人来说,疟疾都是与工作相关的健康风险。在他们的血液中检测到了所有种类的疟原虫,但在大多数病例(24例)中是恶性疟原虫。所有病例均通过血液检查——厚涂片和薄涂片确诊。约10%的患者患有严重形式的疾病。两名海员死于恶性疟,一名在安哥拉,一名在克莱佩达。他们并非总是采取化学预防和避免蚊虫叮咬等预防措施。因此,克莱佩达公共卫生中心的工作人员将工作重点放在对海员的健康培训上,解释感染风险,告知如何避免蚊虫叮咬以及如何使用抗疟药物进行预防。

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