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梅泰马-胡梅拉低地机械化农场季节性移民和成年男性固定劳工中高疟疾发病率对埃塞俄比亚疟疾消除计划的影响。

Impact of high malaria incidence in seasonal migrant and permanent adult male laborers in mechanized agricultural farms in Metema - Humera lowlands on malaria elimination program in Ethiopia.

作者信息

Lemma Wossenseged

机构信息

Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, P. o. Box - 196, Gondar, Ethiopia.

Tropical Infectious Diseases Research Center (TIDR), University of Gondar, Gondar, Ethiopia.

出版信息

BMC Public Health. 2020 Mar 12;20(1):320. doi: 10.1186/s12889-020-8415-4.

DOI:10.1186/s12889-020-8415-4
PMID:32164610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7069189/
Abstract

BACKGROUND

Seasonal migrant and permanent laborers who are working in big mechanized agricultural farms in Metema - Humera lowlands are not included in Ethiopia Malaria Elimination Program. The aim of this research was to show the high confirmed and treated malaria cases in these laborers.

METHODS

A retrospective analysis of the confirmed and treated malaria cases in all the districts of West, Central and North Gondar Zones, using Weekly Public Health Emergency Management (PHEM) reports, was conducted to show a complete picture of the malaria incidences in the areas.

RESULT

A total of 3,485,646 confirmed malaria cases were treated in Amhara region during 2013 to 2017. Of the total malaria cases in the Amhara region during these period, 1, 286, 848 cases or 37.2% were originated from West, Central and North Gondar Zones. But these 3 Zones contribute only 17% of Amhara region population. Of all the confirmed malaria cases reported in the 3 Zones, 41.7% (536,749/1286, 848) was reported from the three lowland districts (Metema, West Armachiho and Quara) of the West Gondar Zone during the same study period. But, the West Gondar Zone has only around 10% of the population in these three zones. The highest annual parasite incidence for malaria was found in West Armachiho district. Majority of above 14 years malaria cases in West Gondar zone were found from laborers.

CONCLUSION

Migrant and permanent laborers working in mechanized agricultural fields in Metema - Humera lowlands are highly exposed to malaria and immediate interventions are required.

摘要

背景

在梅特马-胡梅拉低地大型机械化农场工作的季节性移民和长期劳工未被纳入埃塞俄比亚疟疾消除计划。本研究的目的是展示这些劳工中确诊和治疗的疟疾高发病例。

方法

利用每周公共卫生应急管理（PHEM）报告，对西戈贾姆、中戈贾姆和北戈贾姆区所有地区确诊和治疗的疟疾病例进行回顾性分析，以全面了解这些地区的疟疾发病率情况。

结果

2013年至2017年期间，阿姆哈拉地区共治疗了3485646例确诊疟疾病例。在这一时期阿姆哈拉地区的所有疟疾病例中，1286848例（占37.2%）来自西戈贾姆、中戈贾姆和北戈贾姆区。但这三个区仅占阿姆哈拉地区人口的17%。在这三个区报告的所有确诊疟疾病例中，41.7%（536749/1286848）是在同一研究期间来自西戈贾姆区的三个低地地区（梅特马、西阿尔马奇霍和夸拉）。但是，西戈贾姆区在这三个区中人口仅占约10%。疟疾年寄生虫发病率最高的是在西阿尔马奇霍区。西戈贾姆区14岁以上的疟疾病例大多数是劳工。

结论

在梅特马-胡梅拉低地机械化农田工作的移民和长期劳工极易感染疟疾，需要立即采取干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/cee3ba0a7572/12889_2020_8415_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/f95b283048ca/12889_2020_8415_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/9c0e6b3409f4/12889_2020_8415_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/cdacd830c105/12889_2020_8415_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/e0a3adcbcc3e/12889_2020_8415_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/cee3ba0a7572/12889_2020_8415_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/f95b283048ca/12889_2020_8415_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/9c0e6b3409f4/12889_2020_8415_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/cdacd830c105/12889_2020_8415_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/e0a3adcbcc3e/12889_2020_8415_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3476/7069189/cee3ba0a7572/12889_2020_8415_Fig5_HTML.jpg

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