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南京市2010 - 2015年疟疾流行情况的流行病学分析

[Epidemiological analysis of malaria prevalence in Nanjing City from 2010 to 2015].

作者信息

Chao-Yong Xie, Yi-Sha He, Yan-Jing Li, Pei-Cai Yang

机构信息

Nanjing Municipal Center for Disease Control and Prevention, Jiangsu Province, Nanjing 210003, China.

Co-first author.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Nov 24;28(6):657-659. doi: 10.16250/j.32.1374.2016163.

Abstract

OBJECTIVE

To analyze the epidemiological characteristics of malaria in Nanjing City, so as to provide the evidence for further formulating and adjusting the malaria prevention and control strategy.

METHODS

The data of malaria situation, malaria cases and epidemiological investigations were collected from the Internet Reporting System in Nanjing City from 2010 to 2015 and analyzed statistically.

RESULTS

A total of 137 confirmed malaria cases were reported in Nanjing City from 2010 to 2015, including 102 falciparum malaria cases (74.45%), 33 vivax malaria cases (24.09%), one ovale malaria case (0.73%) and one quartan malaria case (0.73%). Among the 137 malaria cases, 126 cases (91.97%) were imported from foreign countries, 2 cases (1.46%) were infected locally, and nine cases (6.57%) were imported from other provinces in China. Among the 126 overseas imported cases, 117 cases were imported from African countries and 9 from Asian countries. These malaria cases were majorly young men working as migrant workers, laborers and technical persons. About 19.30% of the cases went to hospital on onset day, and 55.65% were confirmed by medical institutions as malaria in the same day. The majority of diagnosis institutions were municipal hospitals (74.45%).

CONCLUSIONS

The number of malaria cases in Nanjing City is declining year by year. The local infections are eliminating gradually. However, the situation of imported malaria from overseas is still serious. Therefore, the surveillance work and health education still should be strengthened, so as to reduce the risk of imported malaria.

摘要

目的

分析南京市疟疾流行特征,为进一步制定和调整疟疾防控策略提供依据。

方法

收集南京市2010年至2015年疟疾疫情、疟疾病例及流行病学调查资料进行统计分析。

结果

2010年至2015年南京市共报告确诊疟疾病例137例,其中恶性疟102例(74.45%),间日疟33例(24.09%),卵形疟1例(0.73%),三日疟1例(0.73%)。137例疟疾病例中,境外输入126例(91.97%),本地感染2例(1.46%),外省输入9例(6.57%)。126例境外输入病例中,来自非洲国家117例,亚洲国家9例。这些疟疾病例主要为外出务工青年男性、劳务人员和技术人员。约19.30%的病例发病当日就诊,55.65%的病例当日被医疗机构确诊为疟疾。诊断机构以市级医院为主(74.45%)。

结论

南京市疟疾病例数逐年下降,本地感染逐渐消除,但境外输入疟疾形势依然严峻,应继续加强监测和健康教育,降低输入性疟疾风险。

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