2014年淮安市疟疾疫情分析及防控策略探讨

发布时间：2018-04-14 19:01

本文选题：疟疾 + 疫情　；参考：《中国血吸虫病防治杂志》2015年05期

【摘要】：目的掌握2014年淮安市疟疾疫情现状,为制订和调整适合该市的消除疟疾策略和措施提供依据。方法收集2014年全市网络报告疟疾疫情和专报系统的流行病学调查资料,对2014年疟疾疫情及病例诊治情况进行统计分析。结果 2014年淮安市共报告疟疾56例,较2013年上升了43.59%,发病率为0.12/万;所有病例均为非洲输入性病例,其中恶性疟50例、卵形疟4例、三日疟1例、混合感染1例。56例病例均为男性;年龄为24~59岁;职业以农民工为主,占96.43%(54例);文化程度以初中为主,占69.64%(39例)。按地区分布统计,病例数居前三位的县(区)依次为淮安区(32例)、盱眙县(8例)和淮阴区(6例),3个县(区)占淮安籍病例数的82.14%。2014年全年均有病例报告,无明显季节特征。从发病到就诊时间中位数为2 d;从就诊到确诊时间中位数为1 d;16.67%(8例)的病例初次就诊时被诊断为其他疾病。所有病例均经淮安市疟疾参比实验室确诊,均得到规范的抗疟治疗。结论淮安市境外感染的输入性疟疾病例日益增多,且感染虫种呈多样性。因此仍需加强出入境人员健康教育及疟疾诊治技能培训等措施以控制输入性疟疾疫情。
[Abstract]:Objective to understand the current situation of malaria epidemic in Huaian City in 2014 and to provide the basis for formulating and adjusting the anti-malaria strategies and measures suitable for the city.Methods Epidemiological investigation data of malaria epidemic situation and special reporting system in 2014 were collected, and the data of malaria epidemic situation and diagnosis and treatment in 2014 were analyzed statistically.Results A total of 56 cases of malaria were reported in Huaian City in 2014, an increase of 43.59 over 2013, with an incidence of 0.12 per thousand. All the cases were imported from Africa, including 50 cases of falciparum malaria, 4 cases of ovoid malaria and 1 case of 3-day malaria.One case, 56 cases of mixed infection were all male, the age was 24 ~ 59 years old, the occupation was mainly peasant workers, accounting for 96.4343 cases, and the education level was mainly in junior middle school, accounting for 69. 64% of 39 cases.According to the regional distribution statistics, the top three counties (regions) were 32 cases in Huai'an district, 8 cases in Xuyi county) and 6 cases in Huayin district. All the 3 counties (districts) accounted for 82.14% of the total number of Huaian cases in the whole year, and there were no obvious seasonal characteristics.The median time from onset to visit was 2 days, and the median from 1 day to diagnosis was 1 d 16.67 and 8 cases were diagnosed as other diseases at the first visit.All cases were confirmed by reference laboratory of malaria in Huai'an city and were treated with standard antimalarial therapy.Conclusion there are more and more imported malaria cases in Huaian city, and the species of infected insects are diverse.Therefore, it is necessary to strengthen health education and training of malaria diagnosis and treatment skills to control the imported malaria epidemic.
【作者单位】：江苏省淮安市疾病预防控制中心寄生虫病防治科;
【分类号】：R531.3

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