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2005 - 2014年江苏省疟疾疫情分析

[Analysis of epidemic situation of malaria in Jiangsu Province from 2005 to 2014].

作者信息

Luo En-pei, Wang Wei-ming, Liu Yao-bao, Cao Yuan-yuan, Zhou Hua-yun, Xu Tan

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2015 Jun;27(3):251-4.

Abstract

OBJECTIVE

To understand the epidemic situation and epidemiological characteristics of malaria in Jiangsu Province from 2005 to 2014, so as to provide the evidence for formulating and adjusting the strategies and measures on malaria elimination in this province.

METHOD

The epidemiological data of malaria in Jiangsu province from 2005 to 2014 were collected, and the prevalence situation, infection sources as well as the temporal, regional and population distribution of the cases were analyzed.

RESULT

A total of 5,069 malaria cases were reported in Jiangsu Province form 2005 to 2014, there were 3,422 cases (67.51%) of vivax malaria, 1,497 cases (29.53%) of falciparum malaria, and 150 cases (2.96%) that were unclassified. Among all the reported cases, 2,139 (42.20%) were local cases, 1,131 were (22.31%) imported cases from other places in China, and 1,799 (35.49%)were imported cases from abroad. There were 3,809 male cases and 1,260 female cases, with a sex ratio of 3.02:1. The patients were mainly aged from 25 to < 60 years (accounting for 67.15%), and were mainly young adult farmers (40.26%) and migrant workers (23.63%), who mainly distributed (accounting for 60.58%) in Xuzhou, Suqian, Huai'an, Suzhou and Nantong cities. The predominant malaria type from 2005 to 2009 were vivax malaria, while after 2010, it changed to falciparum malaria.

CONCLUSIONS

The malaria epidemic situation has been effectively controlled in Jiangsu Province, which reflects the initiative achievements of malaria elimination. However, there are still many imported malaria cases from abroad, and the species of the Plasmodium are diverse. Therefore, the imported malaria from abroad still remains the key of malaria control in Jiangsu Province.

摘要

目的

了解2005 - 2014年江苏省疟疾流行状况及流行病学特征,为制定和调整该省疟疾消除策略与措施提供依据。

方法

收集江苏省2005 - 2014年疟疾流行病学资料,分析疟疾发病情况、感染来源以及病例的时间、地区和人群分布。

结果

2005 - 2014年江苏省共报告疟疾病例5069例,其中间日疟3422例(67.51%),恶性疟1497例(29.53%),未分类150例(2.96%)。报告病例中,本地病例2139例(42.20%),国内输入病例1131例(22.31%),国外输入病例1799例(35.49%)。男性病例3809例,女性病例1260例,男女比例为3.02∶1。患者年龄主要集中在25~60岁(占67.15%),以青壮年农民(40.26%)和农民工(23.63%)为主,主要分布在徐州、宿迁、淮安、苏州和南通5市(占60.58%)。2005 - 2009年疟疾优势病种为间日疟,2010年后变为恶性疟。

结论

江苏省疟疾疫情得到有效控制,体现了疟疾消除工作的初步成效。但境外输入疟疾病例仍然较多,疟原虫种类多样,境外输入性疟疾仍是江苏省疟疾防治工作的重点。

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