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2014年山东省疟疾流行情况的流行病学分析

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

作者信息

Xu Yan, Kong Xiang-li, Zhao Chang-lei, Bu Xiu-qin, Zhang Ben-guang, Wang Yong-bin

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Feb;28(1):30-3.

PMID:27356401
Abstract

OBJECTIVE

To understand the malaria epidemic situation and characteristics in Shandong Province in 2014, so as to provide evidences for taking targeted strategies and measures for malaria elimination.

METHODS

The data of malaria epidemic and malaria cases of Shandong Province in 2014 were collected from Information Management System for Infectious Diseases Report and Information Management System for Parasitic Diseases Control and Prevention. The epidemiological characteristics of malaria situation and the diagnosis and treatment of malaria cases were analyzed by Microsoft Excel 2007.

RESULTS

A total of 150 malaria cases were reported in Shandong Province in 2014, which increased by 14.50% compared with that in 2013 (131 cases). All the cases were imported from other countries except one imported from Yunnan Province in China, and most of the imported cases were from Africa (142 cases, 95.30%). All the cases were confirmed in Shandong Provincial Reference Laboratory and there were 121 cases (80.67%) infected with Plasmodium falciparum, 16 cases (10.67%) infected with P. vivax, 9 cases (6.00%) infected with P. ovale and 4 cases (2.67%) infected with P. malariae. The cases were mainly distributed in Tai'an (40 cases, 26.67%), Yantai (17 cases, 11.33%), Weihai (13 cases, 8.67%), Jining (11 cases, 7.33%) and Heze (11 cases, 7.33%) cities.

CONCLUSIONS

There have been no local malaria cases reported in Shandong Province in the continuous 3 years. However, the reported number of imported malaria cases shows an increasing trend in the province in recent years, and the species of infected Plasmodium are diverse. Imported malaria from other countries is the key of malaria control in Shandong Province at present.

摘要

目的

了解2014年山东省疟疾疫情及流行特征,为采取针对性消除疟疾策略和措施提供依据。

方法

通过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2014年山东省疟疾疫情及疟疾病例数据,采用Microsoft Excel 2007对疟疾疫情的流行病学特征及疟疾病例的诊断治疗情况进行分析。

结果

2014年山东省共报告疟疾病例150例,较2013年(131例)上升14.50%。除1例自中国云南省输入外,其余均为境外输入病例,其中大部分输入病例来自非洲(142例,占95.30%)。所有病例均在山东省参比实验室确诊,感染疟原虫种类以恶性疟原虫为主(121例,占80.67%),间日疟原虫16例(占10.67%),卵形疟原虫9例(占6.00%),三日疟原虫4例(占2.67%)。病例主要分布在泰安(40例,占26.67%)、烟台(17例,占11.33%)、威海(13例,占8.67%)、济宁(11例,占7.33%)和菏泽(11例,占7.33%)等市。

结论

山东省已连续3年无本地疟疾病例报告,但近年来境外输入疟疾病例报告数呈上升趋势,且感染疟原虫种类多样,境外输入性疟疾是目前山东省疟疾防控的重点。

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