Shou-Qin Yin, Jun Feng, Shang Xia, Li Zhang, Zhi-Gui Xia, Shui-Sen Zhou, Jing-Bo Xue, Xiao-Nong Zhou
Tengchong Center for Disease Control and Prevention, Yunnan Province, Tengchong 679100, China.
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 May 26;28(3):252-257. doi: 10.16250/j.32.1374.2016105.
To analyze the epidemiological characteristics of the imported malaria cases in 20 counties at the border region of Yunnan Province from 2012 to 2014, so as to provide the evidence-based proof for adjusting the strategies in the elimination stage.
The malaria epidemic data of the 20 border counties in Yunnan Province from 2012 to 2014 were collected and analyzed by using Microsoft Excel 2010.
From 2012 to 2014, a total of 1 558 malaria cases were reported in the 20 border counties in Yunnan Province, among which, 1 336 were imported cases, accounting for 85.75% (1 336/1 558), and 222 were indigenous cases, accounting for 14.25% (222/1 558). The number of the imported cases in the above years took up 80.00% (544/680), 89.10% (425/477) and 91.52% (367/401) of the total reported cases in the whole year, respectively. Among all the 1 336 imported cases, 1 045 (78.22%) were infected with , 284 (21.26%) were infected with , 3 were infected with , 3 were mixed infection and 1 was an unclassified case; 2 patients died. And 95.58% of the cases were mainly infected in Myanmar (1 277 cases). Young and middle-aged adult of 20-40 years who worked overseas were the predominant (802 cases, 60.03%) and most of the cases occurred from April to June of the year (679 cases, 50.82%). Those cases mainly distributed in Tengchong (459 cases), Ruili (366 cases), Yingjiang (191 cases) and Mangshi (78 cases).
The epidemic situation of imported malaria is serious in the border region of Yunnan Province. Therefore, the surveillance system of malaria control needs to be well planned and managed to ensure timely case detection and prompt response at the elimination and post-elimination stage.
分析2012年至2014年云南省边境地区20个县输入性疟疾病例的流行病学特征,为消除疟疾阶段调整防控策略提供依据。
收集云南省20个边境县2012年至2014年疟疾疫情数据,采用Microsoft Excel 2010进行分析。
2012年至2014年,云南省20个边境县共报告疟疾病例1558例,其中输入性病例1336例,占85.75%(1336/1558),本地病例222例,占14.25%(222/1558)。上述年份输入性病例数分别占全年报告病例总数的80.00%(544/680)、89.10%(425/477)和91.52%(367/401)。在1336例输入性病例中,感染间日疟原虫1045例(78.22%),感染恶性疟原虫284例(21.26%),感染卵形疟原虫3例,混合感染3例,未分型1例;死亡2例。95.58%的病例主要在缅甸感染(1277例)。2040岁在境外务工的中青年为主要人群(802例,60.03%),且大部分病例发生在每年46月(679例,50.82%)。病例主要分布在腾冲(459例)、瑞丽(366例)、盈江(191例)和芒市(78例)。
云南省边境地区输入性疟疾疫情严重。因此,需要精心规划和管理疟疾防控监测系统,以确保在消除疟疾及消除后阶段及时发现病例并迅速做出反应。