热带病与寄生虫学 ›› 2016, Vol. 14 ›› Issue (2): 63-66,70.doi: 10.3969/j.issn.1672-2302.2016.02.001

• 论著 •    下一篇

2013~2015年安徽省境外输入性疟疾疫情分析

张滔,许娴,姜静静,卢曼曼,虞晨,李卫东*     

  1. 230601  合肥市,安徽省疾病预防控制中心(张滔、许娴、姜静静、虞晨、李卫东),安徽医科大学卫生管理学院(卢曼曼)
  • 出版日期:2016-06-10 发布日期:2016-07-11

Epidemiological analysis on the overseas imported malaria in Anhui province from 2013 to 2015     

Zhang Tao1, Xu Xian1, Jiang Jingjing1, Lu Manman2, Yu Chen1, Li Weidong1*   

  1. 1. Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China.   2. College of Health Management, Anhui Medical University, Hefei 230032, China
  • Online:2016-06-10 Published:2016-07-11

摘要: 【摘要】 目的  分析安徽省2013~2015年输入性疟疾疫情流行病学特征,为进一步提高输入性疟疾防治水平提供科学依据。 方法  收集2013年1月1日至2015年12月31日安徽省输入性疟疾病例流行病学资料,对输入性疟疾病例的三间分布、来源及诊治情况进行描述性分析。 结果  2013年1月1日到2015年12月31日我省共报告475例输入性疟疾病例,重症25例,死亡3例,病死率0.63%。输入性病例中462例来自非洲国家,占97.26%,13例来自东南亚和南亚国家,占2.74%;发病人群主要为境外务工的青壮年男性,平均年龄40.27±8.80岁;每年春节期间和5~7月份报告病例数相对较多;全省各市均有病例发生,但主要集中在外出人员数量较多的合肥市;发病到就诊的中位时间为1(0,3)天;发病到确诊的中位时间为1(0,3)天。 结论  安徽省输入性疟疾病例中重症比例较高(5.26%),且时有死亡病例发生,因此必须做好输入性疟疾病例的早诊早治工作;要及时处理输入性间日疟病例,避免其作为新的传染源在本省引起继发感染。

关键词: 疟疾, 输入性, 疫情, 防控策略, 安徽省

Abstract:

【Abstract】 Objective  To analyze the epidemiological characteristics of imported malaria in Anhui province from 2013 through 2015 for scientific evidence to prevent and control the malaria prevalence. Methods   The epidemiological data of all imported malaria cases were collected from January 1, 2013 to December 31, 2015 in Anhui provice, and descriptively analyzed regarding the distribution in time, areas and population, endemic sources, diagnosis and treatment. Results  A total of 475 imported malaria cases were reported in Anhui from 2013 through 2015. Twenty-five were serious disease and 3 were dead out of the 475 cases. The fetal death rate was 0.63%. 462(97.26%) cases were imported from African countries, and the remaining 13(2.74%) from Southeast Asia and South Asia. The disease primarily affected young and adult men working in overseas countries and population aged (40.27±8.80) years. The most frequently reported cases were in spring festival holidays and between May and July. Although the cases were reported in areas across Anhui, yet were mainly distributed in Hefei areas due to relatively larger number of migrant workers. The median time from onset to visiting doctors was one day(0, 3), and the median time from onset to confirmed diagnosis was one day(0, 3). Conclusion  Severe case accounts for a higher percentage in the imported malaria cases in Anhui province (5.26%), and death occasionally occurs, for which early diagnosis and treatment of this disease is important. In addition, tertian malaria infection should be timely managed in order to prevent it from secondary prevalence in our province.

Key words: Malaria, Imported disease, Epidemic situation, Control strategy, Anhui Province