Yan-Qiang C, Zhi-Zhao P, Yun L I, Cai-Xiao J, Li L
Hebei Entry-Exit Inspection and Quarantine Bureau, Shijiazhuang 050051, China.
Center for Disease Control and Prevention of Shijiazhuang City, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Jul 18;29(4):486-489. doi: 10.16250/j.32.1374.2016252.
To analyze the overseas imported malaria situation of Shijiazhuang City from 2012 to 2015, so as to provide the evidence for exploring the prevention and control strategy. The data of overseas imported malaria were collected and analyzed with the descriptive method including Plasmodium species, population characteristics, epidemic focus distribution, onset time, diagnosis and treatment in Shijiazhuang City from 2012 to 2015, and the time from the onset to first medical visit, time from first medical visit to being diagnosed, and time from onset to being diagnosed of different Plasmodium species were analyzed respectively with the statistical analysis method. A total of 92 overseas imported malaria cases were reported in Shijiazhuang City from 2012 to 2015, including 88 cases from African countries (falciparum malaria taking 53.41%), and 4 cases from Southeast Asian and other countries (vivax malaria taking 50%). Eighty-nine cases were distributed in 28 counties (districts) of 6 cities in Hebei Province, except 2 persons with foreign nationalities and 1 with Anhui Province census register. The male and young adults were dominant. The median time from the onset to seeing a doctor was one day and the median time from seeing a doctor to being diagnosed was five days. Most cases were reported by the Fifth Hospital of Shijiazhuang which was the sentinel hospital. Totally 42.39% of the cases were misdiagnosed when the first visit to a doctor. All of the cases were laboratory confirmed and 100% of them received the standard treatment after diagnosis. The overseas imported malaria cases are increasing rapidly with years and the malignant malaria cases were more than other malaria cases in Shijiazhuang City. It is necessary to further strengthen the long-term cooperation mechanism between the medical institutions and the entry-exit inspection and quarantine department. The technician training should be strengthened to avoid the severe cases and death cases.
分析石家庄市2012 - 2015年境外输入性疟疾情况，为探索防控策略提供依据。收集石家庄市2012 - 2015年境外输入性疟疾数据，采用描述性方法分析疟原虫种类、人群特征、疫点分布、发病时间、诊断与治疗情况，并用统计分析方法分别分析不同疟原虫种类从发病到首次就诊时间、从首次就诊到确诊时间、从发病到确诊时间。2012 - 2015年石家庄市共报告92例境外输入性疟疾病例，其中来自非洲国家88例（恶性疟占53.41%），来自东南亚等国家4例（间日疟占50%）。89例分布在河北省6市28个县（区），除外2例外籍人员和1例安徽省户籍人员。以男性和青壮年为主。发病到就诊中位时间为1天，就诊到确诊中位时间为5天。多数病例由哨点医院石家庄市第五医院报告。首诊时42.39%的病例被误诊。所有病例均经实验室确诊，确诊后100%接受规范治疗。石家庄市境外输入性疟疾病例数逐年快速上升，恶性疟病例多于其他疟疾病例。需进一步加强医疗机构与出入境检验检疫部门的长期合作机制，加强技术人员培训，避免重症和死亡病例发生。
