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伊朗西南部布什尔省疟疾的流行病学特征。

Epidemiological features of malaria in Bushehr province, southwest of Iran.

机构信息

Department of Public Health, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.

The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran.

出版信息

Ann Parasitol. 2022;68(1):93-101. doi: 10.17420/ap6801.413.

DOI:10.17420/ap6801.413
PMID:35491835
Abstract

The purpose of this research was to describe the malaria situation in Bushehr province from 2011 to 2018. The current study is a descriptive cross-sectional study based on available data. Between 2011 and 2018, 715 malaria patients were registered in the Bushehr province. The data were analyzed using IBM SPSS Statistics version 22. Male patients made up 92.7% of the total, while female patients made up 7.3%. The age group of 20-29 years had the highest frequency of malaria patients (42.3%), while the age group of over 50 years had the lowest frequency patients (2.5%). Regarding nationality, (96.9%) of malaria patients were Afghans, (2.2%) were Pakistanis, (0.8%) were Iranians, and (0.1%) were Indians. The disease was reported to be the most prevalent in 2017 and the least common in 2013 (29.6% and 2.6%). During this time, malaria prevalence has risen and fallen. Bushehr county had the greatest malaria prevalence (42%) and was followed by Kangan county (20.1%) and Asaluyeh county (12.9%). In terms of parasites, Plasmodium vivax was responsible for (94%) of the cases, P. falciparum for (2.4%), and mixed infection (P. vivax and P. falciparum) for (3.6%). Regarding disease transmission, (93.6%) was imported, (1%) was relapse, (0.4%) was indigenous, and (1.3%) was relapse and imported. Bushehr province is at risk of transmitting malaria due to suitable climatic conditions for the reproduction of vector mosquitoes. As well, it confronts the threat of imported malaria, which has caused concern in recent years as a result of the increase of job-seeking migrants. Strategies of malaria control, basic measures in the field of timely diagnosis and rapid and complete treatment of patients, especially in foreign nationals, vectors control, and preventive approaches are required to eliminate malaria in this province.

摘要

本研究旨在描述 2011 年至 2018 年布什尔省的疟疾情况。本研究是一项基于现有数据的描述性横断面研究。2011 年至 2018 年期间,布什尔省共登记疟疾病例 715 例。采用 IBM SPSS Statistics 版本 22 对数据进行分析。男性患者占总数的 92.7%,女性患者占 7.3%。年龄在 20-29 岁的患者发病率最高(42.3%),年龄在 50 岁以上的患者发病率最低(2.5%)。就国籍而言,(96.9%)疟疾病例为阿富汗人,(2.2%)为巴基斯坦人,(0.8%)为伊朗人,(0.1%)为印度人。该疾病报告发病率最高的年份为 2017 年,最低的年份为 2013 年(分别为 29.6%和 2.6%)。在此期间,疟疾的发病率呈上升和下降趋势。布什尔县的疟疾发病率最高(42%),其次是坎甘县(20.1%)和阿萨卢耶赫县(12.9%)。在寄生虫方面,间日疟原虫(Plasmodium vivax)引起的病例占(94%),恶性疟原虫(P. falciparum)引起的病例占(2.4%),混合感染(间日疟原虫和恶性疟原虫)引起的病例占(3.6%)。就疾病传播途径而言,(93.6%)为输入性病例,(1%)为复发性病例,(0.4%)为本地病例,(1.3%)为复发性和输入性病例。由于适合媒介蚊子繁殖的气候条件,布什尔省存在疟疾传播的风险。此外,由于寻求就业的移民人数增加,近年来输入性疟疾也构成了威胁。为了在该省消除疟疾,需要采取疟疾控制策略、在及时诊断和快速、彻底治疗患者方面的基本措施,特别是在外国国民中,还需要采取病媒控制和预防措施。

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