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2018年至2023年伊朗东南部锡尔万市及其郊区疟疾流行病学

Epidemiology of malaria in saravan city and its suburbs from 2018 to 2023, Southeast Iran.

作者信息

Dabirzadeh Shaghayegh, Bayegan Hamidaldin, Kahkhazhaleh Mahdi Rezaei, Dabirzadeh Mansour

机构信息

Department of Public Health, School of Medicine, Islamic Azad University of Medical Sciences Najaf Abad (IAUN), Najaf Abad, Iran.

Department of Parasitology and Mycology, Faculty of Medicine, Zabol University of Medical Sciences, Sistan-Baluchistan Province, Zabol, Iran.

出版信息

J Res Med Sci. 2024 Aug 2;29:50. doi: 10.4103/jrms.jrms_781_23. eCollection 2024.

Abstract

BACKGROUND

Malaria, transmitted by parasites and anopheline mosquitoes, continues to be a leading cause of global disease and death. This retrospective investigation from 2018 to 2023 examines the epidemiological attributes of malaria in Saravan, southeastern Iran. It seeks to evaluate the prevalence, transmission causes, local population impact, and health system effects.

MATERIALS AND METHODS

Blood samples from suspected malaria cases in Saravan health centers were collected for this analysis. Each positive case was detailed with demographic data in a questionnaire. The SPSS 26 statistical program scrutinized data with -tests comparing the variables.

RESULTS

The study indicated fluctuating malaria cases peaking in 2023, with an annual parasite incidence. (API) of 17.27. was the predominant species ( < 0.001), with the majority of cases in individuals over 15, notably males. A significant number of cases were reported in September (20.7%).

CONCLUSION

The findings emphasize the persistent malaria challenges in Saravan, accentuating the urgent need to strengthen prevention and control strategies. Reducing disease burden demands focused approaches, including improving prevention and treatment programs, enhancing surveillance systems, developing health infrastructures, and implementing localized therapies, especially considering recent climatic and rainfall patterns.

摘要

背景

疟疾由寄生虫和按蚊传播,仍然是全球疾病和死亡的主要原因。这项2018年至2023年的回顾性调查研究了伊朗东南部锡尔詹疟疾的流行病学特征。它旨在评估患病率、传播原因、对当地人口影响以及对卫生系统的影响。

材料与方法

收集锡尔詹各卫生中心疑似疟疾病例的血样用于本分析。每个阳性病例在问卷中详细记录人口统计学数据。使用SPSS 26统计程序通过t检验比较变量来审查数据。

结果

研究表明疟疾病例数波动,在2023年达到峰值,年寄生虫发病率(API)为17.27。间日疟原虫是主要种类(P<0.001),大多数病例为15岁以上人群,男性尤为显著。9月报告的病例数较多(20.7%)。

结论

研究结果强调了锡尔詹持续存在的疟疾挑战,凸显了加强预防和控制策略的迫切需求。减轻疾病负担需要有针对性的方法,包括改进预防和治疗方案、加强监测系统、发展卫生基础设施以及实施本地化治疗,特别是考虑到近期的气候和降雨模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a25/11472872/8dbd9750e296/JRMS-29-50-g001.jpg

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