Jia Cong-ying, Yang Wen-zhou, Gao Hong-xia, Yu Chao
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2015 Oct;27(5):546-8.
To understand the malaria epidemic situation in Huai'an City in 2014, so as to provide the evidence for formulating and adjusting effective strategies and measures to eliminate malaria.
The reported malaria cases from the Internet Reporting System and the epidemiological data of malaria of Huai'an City in 2014 were collected and analyzed statistically.
A total of 56 malaria cases were reported in Huai'an City in 2014 with the incidence of 0.12/10,000, and 43.59% of increasing rate compared with the previous year (39 cases). All these cases were imported from African countries. There were 50 cases of falciparum malaria, 4 cases of ovale malaria, 1 case of quartan malaria and 1 case of mixed infections. All the patients were male and aged 24-59 years. Totally 96.43% of the patients (54 cases) were peasants and 69.64% of them (39 cases) only received junior high school education. The malaria cases were mainly distributed in Huai'an District (32 cases), Xuyi County (8 cases) and Huaiyin District (6 cases), totally accounting for 82.14%. There was no significant seasonal variation in the reporting time of the cases. The median time from onset to seeing a doctor was 2 days and the median time from seeing a doctor to being diagnosed was 1 day. Totally 16.67% of the patients (8 cases) were misdiagnosed when they first visited a doctor. All the patients were laboratory confirmed and all of them received the standard treatment after diagnosis.
There have been no local malaria cases reported from Huai'an City in the last three years. However, the situation of imported malaria is more serious and the species of infected Plasmodium are more diverse. Therefore, to accomplish the aim of malaria elimination in the whole city, it is necessary to further strengthen the multi-sectoral cooperation, health education, malaria screening and professional training to control the imported malaria.
了解2014年淮安市疟疾流行状况，为制定和调整消除疟疾的有效策略与措施提供依据。
收集淮安市2014年网络直报系统报告的疟疾病例及疟疾流行病学资料并进行统计分析。
2014年淮安市共报告疟疾病例56例，发病率为0.12/万，较上一年（39例）上升43.59%。所有病例均为输入性，来自非洲国家。其中恶性疟50例，卵形疟4例，三日疟1例，混合感染1例。患者均为男性，年龄24～59岁。96.43%（54例）为农民，69.64%（39例）仅接受过初中教育。疟疾病例主要分布在淮安区（32例）、盱眙县（8例）和淮阴区（6例），共占82.14%。病例报告时间无明显季节性差异。发病至就诊中位时间为2天，就诊至确诊中位时间为1天。初诊时16.67%（8例）患者被误诊。所有患者均经实验室确诊，确诊后均接受规范治疗。
淮安市近三年无本地疟疾病例报告，但输入性疟疾形势较为严峻，感染疟原虫种类增多。因此，要实现全市消除疟疾目标，需进一步加强多部门合作、健康教育、疟疾筛查及专业培训，以控制输入性疟疾。
