2013年南通市疟疾疫情流行病学分析

发布时间：2018-11-28 16:00

【摘要】：目的掌握南通市2013年疟疾疫情及流行特征,为制定和调整适合该市的消除疟疾策略和措施提供依据。方法对2013年全市网络报告疟疾疫情、个案调查表和疟疾专报系统流行病学调查资料进行统计分析。结果 2013年全市共报告疟疾48例,发病率为0.63/10万,均为国外输入性病例。市中心镜检站对血片进行复核,结果恶性疟45例,卵形疟2例,三日疟1例。病例主要分布在海安县和海门市,共40例,占全市病例的83.33%。所有病例均在3d内完成个案流行病学调查,发现48例病例均来自非洲,最多的来自安哥拉25例,其次赤道几内亚12例,南苏丹7例。对48例病例个案分析,初诊单位为县级医疗机构37例,乡镇卫生院5例,村卫生室3例,地市级医疗机构3例。确诊单位为县级医疗机构41例、市级医疗机构7例,乡镇卫生院和村卫生室均未能及时明确疟疾诊断。结论南通市已连续3年无本地感染疟疾病例报告,消除疟疾工作成效显著;但境外感染的输入疟疾病例日益增多,且感染虫种呈多样性。应提高基层乡村医务工作者疟防知识和业务技能,加强高危人群健康教育,巩固消除疟疾成果。
[Abstract]:Objective to understand the epidemic situation and epidemic characteristics of malaria in Nantong city in 2013, and to provide basis for formulating and adjusting malaria elimination strategies and measures suitable for Nantong city. Methods the epidemiological data of malaria epidemic situation, case questionnaire and malaria report system in 2013 were statistically analyzed. Results 48 cases of malaria were reported in the city in 2013, the incidence rate was 0.63 / 100 000, all of them were imported cases from abroad. The results showed that 45 cases of falciparum malaria, 2 cases of ovoid malaria and 1 case of 3-day malaria were examined by blood smears from the central examination station. The cases were mainly distributed in Haian County and Haimen City, accounting for 83.33% of the total cases. All the cases were investigated in 3 days. The results showed that 48 cases were from Africa, 25 cases from Angola, 12 cases from Equatorial Guinea and 7 cases from South Sudan. Among the 48 cases, 37 cases were first diagnosed in county level medical institutions, 5 cases in township hospitals, 3 cases in village clinics and 3 cases in prefectural and municipal medical institutions. There were 41 cases in county level medical institutions and 7 cases in municipal level medical institutions. The diagnosis of malaria in township and village health centers was not confirmed in time. Conclusion in Nantong City, there have been no reports of local malaria cases for 3 consecutive years, and the work of eliminating malaria has achieved remarkable results, but the number of imported malaria cases from abroad is increasing and the species of infected insects are diverse. It is necessary to improve the knowledge and technical skills of primary village medical workers on malaria control, strengthen health education for high risk groups, and consolidate the achievements of malaria elimination.
【作者单位】：江苏省南通市疾病预防控制中心;江苏省寄生虫病防治研究所;
【分类号】：R531.3

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