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中缅边境盈江县疟疾流行病学特征的回顾性分析。

A retrospective analysis of malaria epidemiological characteristics in Yingjiang County on the China-Myanmar border.

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; NHC Key Laboratory of Parasite and Vector Biology (National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention); WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai, China.

Yingjiang County Center for Disease Control and Prevention, Yingjiang, Yunnan, China.

出版信息

Sci Rep. 2021 Jul 8;11(1):14129. doi: 10.1038/s41598-021-93734-3.

Abstract

Yingjiang County, which is on the China-Myanmar border, is the main focus for malaria elimination in China. The epidemiological characteristics of malaria in Yingjiang County were analysed in a retrospective analysis. A total of 895 malaria cases were reported in Yingjiang County between 2013 and 2019. The majority of cases occurred in males (70.7%) and individuals aged 19-59 years (77.3%). Plasmodium vivax was the predominant species (96.6%). The number of indigenous cases decreased gradually and since 2017, no indigenous cases have been reported. Malaria cases were mainly distributed in the southern and southwestern areas of the county; 55.6% of the indigenous cases were reported in Nabang Township, which also had the highest risk of imported malaria. The "1-3-7" approach has been implemented effectively, with 100% of cases reported within 24 h, 88.9% cases investigated and confirmed within 3 days and 98.5% of foci responded to within 7 days. Although malaria elimination has been achieved in Yingjiang County, sustaining elimination and preventing the re-establishment of malaria require the continued strengthening of case detection, surveillance and response systems targeting the migrant population in border areas.

摘要

盈江县位于中缅边境,是中国消除疟疾的重点地区。本研究采用回顾性分析方法,分析盈江县疟疾的流行病学特征。结果显示,2013-2019 年盈江县共报告疟疾病例 895 例,病例以男性(70.7%)和 19-59 岁人群(77.3%)为主,以间日疟原虫(96.6%)感染为主。本地感染病例数逐渐减少,自 2017 年以来无本地感染病例报告。病例主要分布在县境南部和西南部,其中 55.6%的本地感染病例来自那邦镇,该乡也是输入性疟疾的高风险地区。“1-3-7”工作要求得到有效执行,疟疾病例报告及时率、调查处置率和疫点处置率分别为 100%、88.9%和 98.5%。尽管盈江县已达到消除疟疾标准,但要维持消除状态,防止疟疾重新流行,还需要继续加强边境地区流动人口的病例发现、监测和应对工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a1c/8266812/d90359725c3a/41598_2021_93734_Fig1_HTML.jpg

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