山东省2013年疟疾疫情分析与防控策略探讨

Kong Xiang-li, Zhao Chang-lei, Bu Xiu-qin, Xu Yan, Zhang Ben-guang, Chen Xi-xin, Liu Xin, Wang Yong-bin

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2014 Aug;26(4):387-90, 398.

OBJECTIVE

To understand the malaria situation of Shandong Province in 2013, so as to provide the evidence for formulating targeted prevention and control strategy and measures.

METHODS

The data of malaria cases of Shandong Province in 2013 were collected from the Information Management System for Infectious Diseases Report and Information Management System for Parasitic Diseases Control and Prevention. The data of epidemiological characteristics of malaria situation and the diagnosis and treatment of malaria cases were analyzed by Microsoft Excel 2007.

RESULTS

There were 131 malaria cases reported in 2013, all of them were imported cases, and 127 cases (96.95%) were imported from African countries. A total of 116 cases (88.55% ) were falciparum malaria cases. Totally 97.71% of the cases were male and the average age of malaria cases was 39 years. A total of 61.83% of the cases were peasants and 65.65% of the cases only received junior high school education. The distribution of malaria cases was concentrated in Tai'an City (32 cases), Yantai City (19 cases) and Weihai City (17 cases),totally acounting for 53.13%. There was no significant seasonal variation in the reporting time of the cases. The median time from on- set to seeing doctor was four days and the median time from seeing doctor to being diagnosed was one day. Totally 35.88% of the cases were misdiagnosed when the first visit to a doctor. All of the cases were laboratory confirmed and 100% of them received the standard treatment after diagnosis.

CONCLUSIONS

All of the malaria cases were imported cases in Shandong Province in 2013. To control the imported malaria in Shandong Province, it is necessary to further strengthen the multi-sectoral cooperation, health education, malaria screening and professional training.

目的

了解山东省2013年疟疾疫情，为制定针对性的防控策略和措施提供依据。

方法

从传染病报告信息管理系统和寄生虫病防治信息管理系统收集山东省2013年疟疾病例数据，采用Microsoft Excel 2007对疟疾疫情的流行病学特征及疟疾病例诊治数据进行分析。

结果

2013年共报告疟疾病例131例，均为输入性病例，其中127例（96.95%）来自非洲国家。恶性疟病例116例（88.55%）。病例中男性占97.71%，疟疾病例平均年龄39岁。病例职业以农民为主，占61.83%；文化程度以初中为主，占65.65%。疟疾病例分布集中在泰安市（32例）、烟台市（19例）和威海市（17例），共占53.13%。病例报告时间无明显季节性差异。发病至就诊中位时间为4天，就诊至确诊中位时间为1天。首诊误诊率为35.88%。所有病例均经实验室确诊，确诊后100%接受规范治疗。