Chen Wei-Qi, Su Yun-Pu, Deng Yan, Zhang Hong-Wei
Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.
Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2012 Oct 30;30(5):387-90.
To analyze the epidemiological characteristics of imported malaria in Henan Province in 2011, and provide scientific basis for the control of imported malaria.
Data of imported malaria were collected and analyzed by SPSS11.5 in 2011.
145 imported malaria cases were reported. Among them, 110 (75.9%) were falciparum malaria, 31 (21.4%) were vivax malaria, 3 (2.1%) were quartan malaria, and 1 (0.7%) was ovale malaria. The ratio of males to females was 47.3:1 (142/3). The average age was (37.7 +/- 9.4) years old. 113 patients returned from Africa, accounted for 77.9% of the total. The main reason for going abroad among the cases was labor export (82.8%, 120/145). The cases were reported every month. The median interval from symptom appearing to diagnosis was 4 d, only 19 patients (13.1%) were diagnosed within 24 h. Eighty-six cases (63.2%) were reported by municipal medical units and CDC. Forty cases (29.4%) were reported by county level medical units and CDC. A total of 143 cases recovered with chemotherapy and two cases died.
In order to avoid the death of malaria cases and reduce the risk of secondary transmission, malaria screening and health education for those returned from malaria-endemic areas should be strengthened and the diagnosis and treatment capabilities be improved at county medical units.
分析2011年河南省输入性疟疾的流行病学特征,为输入性疟疾防控提供科学依据。
收集2011年输入性疟疾数据,采用SPSS11.5软件进行分析。
共报告输入性疟疾病例145例。其中,恶性疟110例(75.9%),间日疟31例(21.4%),三日疟3例(2.1%),卵形疟1例(0.7%)。男女比例为47.3∶1(142/3)。平均年龄为(37.7±9.4)岁。113例患者来自非洲,占总数的77.9%。病例出国的主要原因是劳务输出(82.8%,120/145)。病例每月均有报告。症状出现至诊断的中位间隔时间为4天,仅19例(13.1%)在24小时内确诊。市级医疗单位和疾控中心报告86例(63.2%),县级医疗单位和疾控中心报告40例(29.4%)。143例经化疗治愈,2例死亡。
为避免疟疾病例死亡,降低二代传播风险,应加强对疟疾流行区回国人员的疟疾筛查和健康教育,提高县级医疗单位的诊断和治疗能力。