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湖北省2010 - 2014年疟疾流行情况的流行病学分析

[Epidemiological analysis of malaria prevalence in Hubei Province from 2010 to 2014].

作者信息

Jing Xia, Shun-Xiang Cai, Wen Lin, Su-Jian Pei, Kai-Jie Li, Ling-Cong Sun, Xiao-Rong Dong, Mu-Min Cao, Dong-Ni Wu, Hua-Xun Zhang

机构信息

Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Apr 26;28(3):247-251. doi: 10.16250/j.32.1374.2016007.

Abstract

OBJECTIVE

To understand the malaria epidemic situation in Hubei Province from 2010 to 2014, so as to provide the evidence for formulating the effective malaria elimination strategies and measures in this province.

METHODS

The data from the were collected and analyzed with the descriptive epidemiological method for the epidemiological characteristics of malaria in Hubei Province from 2010 to 2014.

RESULTS

A total of 997 malaria cases were reported in Hubei Province from 2010 to 2014, there were 618 cases of vivax malaria, 352 cases of falciparum malaria, 18 cases of infection, and 9 cases of infection. Among all the reported cases, 479 were local cases and 518 were imported cases. No local malaria cases were reported from Hubei Province since 2013. The overall imported malaria cases showed a gradual increasing trend from 2010 to 2014, the proportion of falciparum malaria increased quite significantly from 2010 to 2014. The malaria cases were mainly distributed in Xiangyang, Wuhan, Xiaogan, Yichang, Jingmen and Suizhou cities, reaching 81.85% of the cases of the whole province. There were 810 male cases and 187 female cases, with a sex ratio of 4.33:1. The local malaria cases were mainly aged from 40 to 69 years, accounted for 78.29% of the total local cases, and 88.22% (457/518) of the whole local cases were concentrated in 20-49 age groups. The local cases were mainly farmers (67.01%). Among the imported malaria cases, the occupation distribution concentrated mainly on the worker, migrant worker, and farmer (63.90%).

CONCLUSIONS

The local malaria epidemic situation has been effectively controlled in Hubei Province, which reflects the initiative achievements of malaria elimination. However, there are still many imported malaria cases from abroad. Therefore, the imported malaria from abroad still remains the key of malaria control in Hubei Province.

摘要

目的

了解湖北省2010 - 2014年疟疾流行状况,为制定该省有效的疟疾消除策略和措施提供依据。

方法

收集相关数据,采用描述性流行病学方法分析湖北省2010 - 2014年疟疾的流行病学特征。

结果

2010 - 2014年湖北省共报告疟疾病例997例,其中间日疟618例,恶性疟352例,卵形疟感染18例,三日疟感染9例。在所有报告病例中,本地病例479例,输入病例518例。自2013年起湖北省无本地疟疾病例报告。2010 - 2014年输入性疟疾病例总体呈逐年上升趋势,2010 - 2014年恶性疟所占比例上升较为明显。疟疾病例主要分布在襄阳、武汉、孝感、宜昌、荆门和随州等市,占全省病例数的81.85%。男性病例810例,女性病例187例,男女比例为4.33∶1。本地疟疾病例主要集中在40 - 69岁,占本地病例总数的78.29%,88.22%(457/518)的本地病例集中在20 - 49岁年龄组。本地病例主要为农民(67.01%)。输入性疟疾病例职业分布主要集中在工人、农民工和农民(63.90%)。

结论

湖北省本地疟疾流行状况已得到有效控制,这体现了疟疾消除工作取得的阶段性成效。但境外输入疟疾病例仍较多,境外输入性疟疾仍是湖北省疟疾防控的重点。

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