长沙市2012-2017年输入性疟疾疫情分析
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摘要
目的分析长沙市2012-2017年输入性疟疾疫情,为制定输入性疟疾防控措施提供参考。方法回顾性分析2012-2017年长沙市输入性疟疾疫情及流行病学调查资料。结果 2012-2017年长沙市共报告疟疾确诊病例378例,其中境外输入376例、境内(云南)输入2例,境外输入地以非洲为主(321例),其次是东南亚国家(47例)。报告病例分型以恶性疟(272例)和间日疟(78例)为主,占病例总数的82. 59%。病例以男性为主,占98. 15%(371/378),职业主要为农民、工人及民工。全年各月均有发病,无明显季节性。初诊未诊断为疟疾者72例,初诊误诊率为19. 05%。结论要着重提高疟疾诊治及疫情处置能力,加强高危人群健康教育宣传。
Objective To analyze the imported malaria epidemic situation in Changsha from 2012 to 2017,and provide? basis for formulating prevention and control measures. Methods The reported cases and epidemiological data of malaria in Changsha from 2012 to 2017 were analyzed retrospectively. Results From 2012 to 2017,a total of 378 confirmed malaria cases were reported in Changsha,including 376 cases of foreign imports and 2 cases from Yunnan Province,mainly from Africa countries or regions( 321 cases),followed by Southeast Asia( 47 cases). The cases reported are mainly Plasmodium falciparum( 272 cases)and Plasmodium vivax( 78 cases),accounting for 82. 59% of all cases. The majority of cases were male,accounting for 98. 15%( 371/378),mainly for farmers,workers and migrant workers. There was no obvious seasonal change in the cases' distribution. A total of 72 patients were not diagnosed as malaria in the initial diagnosis,and the misdiagnosis rate was 19. 05%. Conclusion We should focus on improving the competence of diagnosis and treatment and dealing with malaria epidemic situation,and to strengthen health education for the high-risk groups.
Objective To analyze the imported malaria epidemic situation in Changsha from 2012 to 2017,and provide? basis for formulating prevention and control measures. Methods The reported cases and epidemiological data of malaria in Changsha from 2012 to 2017 were analyzed retrospectively. Results From 2012 to 2017,a total of 378 confirmed malaria cases were reported in Changsha,including 376 cases of foreign imports and 2 cases from Yunnan Province,mainly from Africa countries or regions( 321 cases),followed by Southeast Asia( 47 cases). The cases reported are mainly Plasmodium falciparum( 272 cases)and Plasmodium vivax( 78 cases),accounting for 82. 59% of all cases. The majority of cases were male,accounting for 98. 15%( 371/378),mainly for farmers,workers and migrant workers. There was no obvious seasonal change in the cases' distribution. A total of 72 patients were not diagnosed as malaria in the initial diagnosis,and the misdiagnosis rate was 19. 05%. Conclusion We should focus on improving the competence of diagnosis and treatment and dealing with malaria epidemic situation,and to strengthen health education for the high-risk groups.
引文
[1] WHO. The WHO Global Malaria Programme. World malaria report 2017[M]. Switzerland:WHO,2017.
[2]张丽,丰俊,张少森,等. 2016年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):515-519.
[3]中华人民共和国国家卫生和计划生育委员会. WS 259-2015疟疾的诊断[S].北京:中国标准出版社,2015.
[4]李勃,王福建,麻祝安. 2007年湖南口岸从回国劳务人员中连续发现恶性疟疾病例[J].口岸卫生控制,2008,13(2):38-40.
[5]周维,刘建国,周蓉.对23名归国劳务人员疟疾感染情况的筛查及思考[J].口岸卫生控制,2013,18(2):46-47.
[6]周华云,王伟明,朱国鼎,等. 2015年江苏省疟疾疫请流行病学分析[J].中国血吸虫病防治杂志,2017,29(4):441-444.
[7]彭中,谭开科,汪乐媛,等. 2012-2016年成都市输入性疟疾疫情分析[J].中国血吸虫病防治杂志,2017,29(4):502-504.
[8]李凯杰,黄光全,张华勋,等. 2006-2011年湖北省输入性疟疾疫情分析及防控策略[J].中国血吸虫病防治杂志,2013,25(3):259-262.
[9]毛艳敏,周晓梅,王金玲.连云港市2009-2013年疟疾流行特征分析[J].现代预防医学,2014,41(18):3293-3294.
[10]朱鑫,张芸芸,杨治国,等. 2012-2016年洛阳市输入性疟疾病例早期发现的影响因素分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):603-606.
[11]段绩辉,王郭清,张湘君,等.发病不稳定地区疟疾误诊原因分析[J].中国热带医学,2007,7(7):1111-1112.
[12]李青蓬. 2010-2016年南阳市宛城区输入性疟疾疫情分析[J].河南预防医学杂志,2017,28(9):693-694.
[13]张万标,梁健,许承宝,等.北海市消灭疟疾后14年监测结果分析[J].现代预防医学,2013,40(4):773-775.
[14]刘伟,胡婷,徐铁龙.出国劳务人员疟疾感染情况与行为干预关系的分析[J].口岸卫生控制,2014,19(2):28-30.
[15]龚震宇,龚训良. 2015年全球疟疾防控概况[J].疾病监测,2016,31(2):174-176.
[16]李君萍,刘红丽,王红,等.山西口岸两例输入性疟疾的流行病学调查及处置[J].口岸卫生控制,2017,22(5):47-48.
[17]吴志茹,张苗,沈军,等.河北省输入性疟疾40例分析报告[J].河北医科大学学报,2017,38(1):96-98.
[18]李丽,侯瑞生,张勤,等.非洲疟疾对中国的流行病学影响评估[J].口岸卫生控制,2017,22(2):30-33.
[19]周吉坤.到疟疾流行区的综合防护措施[J].医学动物防制,2015,31(10):1096-1098.
[2]张丽,丰俊,张少森,等. 2016年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):515-519.
[3]中华人民共和国国家卫生和计划生育委员会. WS 259-2015疟疾的诊断[S].北京:中国标准出版社,2015.
[4]李勃,王福建,麻祝安. 2007年湖南口岸从回国劳务人员中连续发现恶性疟疾病例[J].口岸卫生控制,2008,13(2):38-40.
[5]周维,刘建国,周蓉.对23名归国劳务人员疟疾感染情况的筛查及思考[J].口岸卫生控制,2013,18(2):46-47.
[6]周华云,王伟明,朱国鼎,等. 2015年江苏省疟疾疫请流行病学分析[J].中国血吸虫病防治杂志,2017,29(4):441-444.
[7]彭中,谭开科,汪乐媛,等. 2012-2016年成都市输入性疟疾疫情分析[J].中国血吸虫病防治杂志,2017,29(4):502-504.
[8]李凯杰,黄光全,张华勋,等. 2006-2011年湖北省输入性疟疾疫情分析及防控策略[J].中国血吸虫病防治杂志,2013,25(3):259-262.
[9]毛艳敏,周晓梅,王金玲.连云港市2009-2013年疟疾流行特征分析[J].现代预防医学,2014,41(18):3293-3294.
[10]朱鑫,张芸芸,杨治国,等. 2012-2016年洛阳市输入性疟疾病例早期发现的影响因素分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):603-606.
[11]段绩辉,王郭清,张湘君,等.发病不稳定地区疟疾误诊原因分析[J].中国热带医学,2007,7(7):1111-1112.
[12]李青蓬. 2010-2016年南阳市宛城区输入性疟疾疫情分析[J].河南预防医学杂志,2017,28(9):693-694.
[13]张万标,梁健,许承宝,等.北海市消灭疟疾后14年监测结果分析[J].现代预防医学,2013,40(4):773-775.
[14]刘伟,胡婷,徐铁龙.出国劳务人员疟疾感染情况与行为干预关系的分析[J].口岸卫生控制,2014,19(2):28-30.
[15]龚震宇,龚训良. 2015年全球疟疾防控概况[J].疾病监测,2016,31(2):174-176.
[16]李君萍,刘红丽,王红,等.山西口岸两例输入性疟疾的流行病学调查及处置[J].口岸卫生控制,2017,22(5):47-48.
[17]吴志茹,张苗,沈军,等.河北省输入性疟疾40例分析报告[J].河北医科大学学报,2017,38(1):96-98.
[18]李丽,侯瑞生,张勤,等.非洲疟疾对中国的流行病学影响评估[J].口岸卫生控制,2017,22(2):30-33.
[19]周吉坤.到疟疾流行区的综合防护措施[J].医学动物防制,2015,31(10):1096-1098.
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