Dian Nor Diyana, Mohd Salleh Ahmad Firdaus, Rahim Mohd Amirul Fitri A, Munajat Mohd Bakhtiar, Abd Manap Siti Nor Azreen, Ghazali Nuraffini, Hassan Noor Wanie, Idris Zulkarnain Md
Department of Parasitology and Medical Entomology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
Department of Laboratory Diagnostic Service, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia.
Trop Med Infect Dis. 2021 Sep 29;6(4):177. doi: 10.3390/tropicalmed6040177.
While there has been a tremendous decline in malaria disease burden in the remote parts of Malaysia, little is known about malaria incidence in its urban localities. This study aimed to analyze trends of malaria cases in urban Kuala Lumpur, Malaysia. All suspected cases presented to a university hospital in Kuala Lumpur from January 2005 to December 2020 were examined by microscopy. Infection status was analyzed using descriptive statistics and curve estimation analysis. Of 3105 blood films examined, 92 (3%) were microscopically confirmed malaria cases. infections accounted for the majority (36.9%) of all malaria cases. Nearly half (47.8%) of cases were found among foreign cases ( < 0.001). The majority of foreign cases were male (86.4%) and came from Southeast Asian countries (65.9%). The curve estimation analysis showed significant decreases in malaria cases due to (R = 0.598; < 0.001) and (R = 0.298, = 0.029), but increases for (R = 0.325, = 0.021) during the 16 years. This study showed that malaria incidence in urban Kuala Lumpur is low and has remained stable since 2005. However, has played a significant role in the increase in overall malaria in the area, highlighting the importance of continued vigilance and improved surveillance.
虽然马来西亚偏远地区的疟疾疾病负担已大幅下降，但其城市地区的疟疾发病率却鲜为人知。本研究旨在分析马来西亚吉隆坡市的疟疾病例趋势。对2005年1月至2020年12月期间到吉隆坡一家大学医院就诊的所有疑似病例进行了显微镜检查。使用描述性统计和曲线估计分析来分析感染状况。在检查的3105份血片中，有92份（3%）经显微镜确诊为疟疾病例。 感染占所有疟疾病例的大多数（36.9%）。近一半（47.8%）的病例为外国病例（<0.001）。大多数外国病例为男性（86.4%），来自东南亚国家（65.9%）。曲线估计分析显示，在这16年中， 导致的疟疾病例显著减少（R = 0.598；<0.001）， 导致的疟疾病例也显著减少（R = 0.298， = 0.029），但 导致的疟疾病例有所增加（R = 0.325， = 0.021）。本研究表明，吉隆坡市的疟疾发病率较低，自2005年以来一直保持稳定。然而， 在该地区总体疟疾增加中发挥了重要作用，凸显了持续保持警惕和加强监测的重要性。
