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2014年江苏省疟疾流行情况的流行病学分析

[Epidemiological analysis of malaria prevalence in Jiangsu Province in 2014].

作者信息

Zhou Hua-yun, Wang Wei-ming, Liu Yao-bao, Cao Yuan-yuan, Gu Ya-ping, Xu Sui, Zhu Guo-ding, Cao Jun

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2015 Dec;27(6):591-4, 652.

PMID:27097475
Abstract

OBJECTIVE

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

METHODS

The reported malaria cases from the Internet Reporting System and the epidemiological data of malaria in Jiangsu Province were collected and analyzed.

RESULTS

A total of 355 malaria cases were reported in Jiangsu Province in 2014, which was increased by 4.11% comparing to that in 2013 (341 cases), and the malaria incidence was 0.046/10 000. All the 355 cases were imported from other countries, among which, 4 cases (1.13%) were from Southeast Asia; the other 351 cases (98.87%) were from 21 African countries. Though the cases were distributed in all the 13 prefecture-level cities in Jiangsu Province, the number of cases in 5 of them namely Huai' an, Nantong, Lianyungang, Yangzhou and Taizhou accounted for 63.38% (225/ 355). A total of 292 falciparum malaria cases, 4 tertian malaria cases, 10 quartan malaria cases, 46 ovale malaria cases and 3 mixed infection cases were confirmed after re-checked by Jiangsu Provincial Reference Lab of Malaria. The follow-up observation of the cases showed that among the 355 cases, 6 falciparum malaria cases recrudesced, and 4 ovale malaria cases and 1 tertian malaria case recurred.

CONCLUSIONS

There have been no local malaria cases reported from Jiangsu Province in the last three years, indicating the object of malaria elimination has been achieved initiatively. However, there are still many imported malaria cases from other countries, with a diverse species of plasmodium. Therefore, the surveillance of the imported malaria, the training for diagnosis and treatment of malaria as well as the health education to the key population should be strengthened.

摘要

目的

了解2014年江苏省疟疾流行状况及特征,为制定和调整江苏省消除疟疾的适宜策略与措施提供依据。

方法

收集江苏省互联网报告系统报告的疟疾病例及疟疾流行病学资料并进行分析。

结果

2014年江苏省共报告疟疾病例355例,较2013年(341例)上升4.11%,发病率为0.046/万。355例均为境外输入病例,其中,来自东南亚4例(1.13%);来自非洲21个国家351例(98.87%)。病例分布于江苏省13个地级市,其中淮安、南通、连云港、扬州和泰州5市病例数占63.38%(225/355)。经江苏省疟疾参比实验室复核确诊,共292例间日疟、4例三日疟、10例卵形疟、46例恶性疟及3例混合感染。对病例进行随访观察,355例中,6例恶性疟复燃,4例卵形疟和1例三日疟复发。

结论

江苏省近三年无本地疟疾病例报告,已初步实现消除疟疾目标。但境外输入疟疾病例仍然较多,疟原虫种类多样,应加强输入性疟疾监测、疟疾诊治培训及对重点人群的健康教育。

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