湖北省输入性恶性疟发病态势分析

目的 掌握输入性恶性疟发病态势和处置现状,探索防控对策.方法 收集2010年湖北省输人性恶性疟疫情、个案调查及疫点处置资料,对病例性别、年龄及职业分布,发病初诊及确诊时间进行计数统计与分析.结果 2010年全省报告输入性恶性疟28例,比2009年上升64.71％,死亡1例,发病高峰在7月.患者均为男性,年龄在21～54岁,农民工占46.43％、工人占25.0％、工程技术人员占14.29％.输入初发11例,占39.29％,复发16例,占57.14％,健康带虫1例,占3.57％.患者发病至就诊时间平均为3.22 d,至确诊时间平均为5.96 d.感染地为缅甸、印尼、马里等11个国家.结论 输入恶性疟呈逐年上升态势,患者多为出国务工人员,以农民工为主,患病后就医不及时,存在继发病例潜在威胁.应加强务工人员防疟知识宣传,提高医疗机构诊治能力,加强疫点控制.

Morbidity situation of imported falciparum malaria in Hubei

Objective To understand the situation and disposal of imported falciparum malaria,and explore countermeasures for prevention and control.Method The data of imported falciparum malaria of Hubei province in 2010 was analyzed for the epidemic-stricken places and disposal of material,for cases gender,age,and vocational distribution,both the onset and diagnose time.Results There was 28 cases of inported falciparum malaria and death 1 cases in 2010,with an increase of 64.71% when compared with 2009,showing a peak in July.The Patients were men and at the age of 21 ～ 54 years old,in which the migrant workers accounted for 46.43%,workers accounted for 25.0%,engineering and technical personnel account for 14.29%.There were 11 new cases(39.29%),16 cases of recurrent(57.14%),and 1 healthy carrier(3.57%).The time for patients showing clinical symptoms to visit clinics was 3.22 days in average,to confirm diagnose was 5.96 days in average.Patients were infected in 11 countries such as Burma,Indonesia and Mali.Conclusions Imported falciparum malaria cases were increased year by year,the patients were workers had been abroad and mainly migrant workers in rural area.The patients were not promptly consulted doctors and there were threats of secondary cases.Propaganda of the malaria knowledge,improvement of the diagnosis and treatment,and the improvement of surveillance of the disease should be strengthened.