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确定伊朗疟疾流行地区的疟疾流行状况,作为伊朗实施疟疾消除计划的基线信息。

Determination of Malaria Epidemiological Status in Iran's Malarious Areas as Baseline Information for Implementation of Malaria Elimination Program in Iran.

作者信息

Raeisi Ahmad, Gouya Mohammad Mehdi, Nadim Abolhassan, Ranjbar Mansour, Hasanzehi Abdolghafar, Fallahnezhad Mojtaba, Sakeni Mohammad, Safari Reza, Saffari Mehdi, Mashyekhi Minoo, Ahmadi Kahnali Assadalah, Mirkhani Vahid, Almasian Elham, Faraji Leila, Paktinat Jalali Bita, Nikpour Fatemeh

机构信息

Dept. of Medical Entomology and Vector Control, Tehran University of Medical Sciences, Tehran, Iran ; Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran.

出版信息

Iran J Public Health. 2013 Mar 1;42(3):326-33. Print 2013.

Abstract

BACKGROUND

According to willingness of the Ministry of Health, Iran and presence of appropriate conditions for disease elimination, national malaria control program decided to conduct a research to clarify malaria status in 2007 and to provide required information to perform the elimination program. This review is comprised of the basis of national malaria elimination program in vision of 2025, which was started in 2010.

METHODS

In this descriptive study, data were analyzed by applications of different variables at district level. All districts in the three south eastern provinces, in which malaria has local transmission, were considered. Malaria cases has been determined and studied based on the national malaria surveillance system.

RESULTS

Since vivax malaria is predominant in Sistan & Baluchestan Province, number of vivax cases is equal to malaria positive cases approximately. The important point is that Nikshahr contains the maximum number of local vivax cases in this province and the maximum number of falciparum cases is reported from Sarbaz district. Among all districts of Hormozgan Province, no case of autochthonous falciparum was detected except in Bandar Jask and one case in Minab. There was no case of autochthonous falciparum in Kerman Province, except in Kahnoj and Ghale Ganj that each of them had one case in 2007.

CONCLUSION

It appears that the report of locally transmitted cases in Iran is increasing over the past few years, before starting malaria elimination plan. Since the Afghan refugees started to return to their own country so the main source of reporting of imported malaria cases reduced and local cases would be demonstrated more clearly.

摘要

背景

根据伊朗卫生部的意愿以及存在疾病消除的适当条件,国家疟疾控制项目决定开展一项研究,以明确2007年的疟疾状况,并提供实施消除计划所需的信息。本综述构成了2010年启动的2025年国家疟疾消除计划的基础。

方法

在这项描述性研究中,通过应用地区层面的不同变量对数据进行分析。研究考虑了东南部三个有疟疾本地传播的省份的所有地区。疟疾病例已根据国家疟疾监测系统确定并进行研究。

结果

由于间日疟在锡斯坦-俾路支斯坦省占主导地位,间日疟病例数大约等于疟疾阳性病例数。重要的是,尼克沙赫尔在该省本地间日疟病例数最多,而恶性疟病例数最多的报告来自萨尔巴斯区。在霍尔木兹甘省的所有地区中,除贾斯克港和米纳卜有1例之外,未检测到本地恶性疟病例。克尔曼省除卡赫诺伊和加勒甘杰在2007年各有1例之外,没有本地恶性疟病例。

结论

在启动疟疾消除计划之前,过去几年伊朗本地传播病例的报告似乎在增加。由于阿富汗难民开始返回本国,因此输入性疟疾病例的主要报告来源减少,本地病例将更清晰地显现出来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7377/3633804/cc5cc22fc00e/ijph-42-326f1.jpg

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