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2010 - 2014年常州市疟疾疫情分析

[Analysis of malaria epidemic situation in Changzhou City from 2010 to 2014].

作者信息

Shi-Ying Zhu, Yi-Qing Xie, Ming-Zhen He, Wei-Ming Wang

机构信息

Changzhou Centre for Disease Control and Prevention, Jiangsu Province, Changzhou 213003, China.

Jiangsu Institute of Parasitic Diseases, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Feb 29;28(4):441-443. doi: 10.16250/j.32.1374.2015213.

DOI:10.16250/j.32.1374.2015213
PMID:29376290
Abstract

OBJECTIVE

To grasp the malaria epidemic situation in Changzhou City from 2010 to 2014, so as to provide the evidence for formulating and adjusting malaria control strategies and measures.

METHODS

The epidemiological data of malaria cases in the special report system from 2010 to 2014 were collected, and the malaria epidemic situation and the diagnosis and treatment of malaria patients were analyzed.

RESULTS

There were 132 malaria cases reported in Changzhou City from 2010 to 2014, with a decrease of 27.47% compared to 182 cases from 2005 to 2009. Among the 132 cases, 2 cases were local infected cases and the remaining 130 cases were imported cases. Four cases were clinically diagnosed and 128 cases were laboratory confirmed, with 97 cases of malignant malaria, 14 cases of vivax malaria, 13 cases of ovale malaria, and 4 cases of quartan malaria. The 132 cases were distributed in five districts:56 cases in Jintan City, 51 cases in Liyang City, 19 cases in Tianning District, 3 cases in Wujin District, and 3 cases in Xinbei District. The median duration between the onset and treatment of the disease was 2 days, and the median duration between the diagnosis and treatment was 1 day. The diagnosing units were concentrated on the county-level disease control agencies, and medical institutions at county and municipal levels, accounting for 92.42% (122/132). From 2011 to 2014, there were no local malaria cases.

CONCLUSIONS

From 2012 to 2014, there have been no local malaria cases in Changzhou City, and the goal of eliminating malaria has been achieved basically. However, there are still many imported malaria cases, and the infected species are diverse. Therefore, imported malaria is still the key of malaria prevention and control.

摘要

目的

掌握常州市2010 - 2014年疟疾流行情况,为制定和调整疟疾防控策略及措施提供依据。

方法

收集2010 - 2014年专报系统中疟疾病例的流行病学资料,分析疟疾流行情况及疟疾病人的诊断和治疗情况。

结果

2010 - 2014年常州市共报告疟疾病例132例,较2005 - 2009年的182例下降了27.47%。132例中,本地感染病例2例,其余130例为输入性病例。临床诊断4例,实验室确诊128例,其中恶性疟97例,间日疟14例,卵形疟13例,三日疟4例。132例分布于五个区:金坛市56例,溧阳市51例,天宁区19例,武进区3例,新北区3例。发病至治疗的中位时间为2天,诊断至治疗的中位时间为1天。诊断单位集中在县级疾病控制机构及县市级医疗机构,占92.42%(122/132)。2011 - 2014年无本地疟疾病例。

结论

2012 - 2014年常州市无本地疟疾病例,基本实现消除疟疾目标。但输入性疟疾病例仍较多,感染虫种多样,输入性疟疾仍是防控重点。

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