保加利亚的输入性疟疾，1965 年消除后的现状和预后。

Imported malaria in Bulgaria, status and prognosis after eradication in 1965.

机构信息

National Centre of Infectious and Parasitic Diseases, Department of Parasitology and Tropical Medicine, 1504 Sofia, 26 Yanko Sakazov Blvd., Bulgaria.

出版信息

J Infect Public Health. 2018 Jul-Aug;11(4):534-539. doi: 10.1016/j.jiph.2017.10.010. Epub 2017 Nov 7.

DOI:10.1016/j.jiph.2017.10.010

PMID:29126828

Abstract

BACKGROUND

This retrospective analysis assessed all recorded malaria cases in Bulgaria after 1965, when the country was certified as malaria-free by the World Health Organization (WHO), and evaluated the readiness of the public health system to interrupt an outbreak of local transmission in case of infection importation.

METHODS

The cases were analyzed according to causative species; geographic origin of the imported case; and the citizenship, age, and gender of the infected individuals.

RESULTS

In the 50-year study period (1966-2015), there were a total of 3011 cases of malaria imported to Bulgaria from different regions of the world. The majority of the cases originating in Africa were caused by Plasmodium falciparum (65.5%), while most of these originating in Asia were caused by P. vivax (80.9%). The potential season for malaria transmission in Bulgaria is from April to October, and 58.5% of the malaria cases were imported during that time of the year.

CONCLUSIONS

The increasing movement of people to and from areas endemic for malaria requires the health authorities of countries with appropriate conditions for reintroduction to conduct enhanced measures for surveillance and control of this potentially deadly disease.

摘要

背景

本回顾性分析评估了自 1965 年世界卫生组织（WHO）宣布保加利亚无疟疾以来的所有疟疾病例，并评估了公共卫生系统在发生输入性感染时中断本地传播的准备情况。

方法

根据病原体种类、输入性疟疾病例的地理来源以及感染者的国籍、年龄和性别对病例进行分析。

结果

在 50 年的研究期间（1966-2015 年），保加利亚共从世界各地输入了 3011 例疟疾病例。起源于非洲的病例中，大多数由恶性疟原虫（65.5%）引起，而起源于亚洲的病例中，大多数由间日疟原虫（80.9%）引起。保加利亚潜在的疟疾传播季节为 4 月至 10 月，58.5%的疟疾病例发生在该季节。