Sabatinelli G, Majori G, D'Ancona F, Romi R
Istituto Superiore di Sanità, Laboratory of Parasitology, Rome, Italy.
Eur J Epidemiol. 1994 Aug;10(4):399-403. doi: 10.1007/BF01719663.
Based on the official reports received from local health laboratories, an epidemiological analysis of malaria cases reported in Italy from 1989 to 1992 is presented. A total of 1,941 cases were reported, 1,287 among Italians and 654 among foreigners. The incidence of cases was on average 500 per year with a maximum in 1990. A slight, but constant decrease of incidence of malaria cases was recorded in this period among Italian citizens (-21.5%), while the incidence among foreigners increased (+80%). Plasmodium falciparum accounted for 74.2% of total infections, followed by P. vivax (19%). The highest number of cases was imported from Africa (86.5%), followed by Asia, South America, and Oceania. 11 cases were contracted in Europe (transfusion, airport and cryptic malaria). 26 people died from malaria during the four years, with a fatality rate of 2.3% among Italians. Other epidemiological features concerning incidence in the different categories of travellers, countries of infection, clinical and therapeutic aspects of cases, are also discussed.
根据从当地卫生实验室收到的官方报告，本文对1989年至1992年意大利报告的疟疾病例进行了流行病学分析。共报告了1941例病例，其中意大利人1287例，外国人654例。病例发病率平均每年500例，1990年达到最高。在此期间，意大利公民中疟疾病例发病率略有但持续下降（-21.5%），而外国人中的发病率上升（+80%）。恶性疟原虫占总感染病例的74.2%，其次是间日疟原虫（19%）。病例数最多的是从非洲输入（86.5%），其次是亚洲、南美洲和大洋洲。11例病例在欧洲感染（输血、机场感染和隐匿性疟疾）。四年中有26人死于疟疾，意大利人的死亡率为2.3%。本文还讨论了不同类别旅行者的发病率、感染国家、病例的临床和治疗方面等其他流行病学特征。
