2014年山东省疟疾疫情流行病学分析

目的 目的 分析2014年山东省疟疾疫情现状及流行特征， 为采取有针对性的防治策略和措施提供科学依据。方 方 法 法 在中国疾病预防控制系统传染病报告信息管理系统中， 收集2014年山东省疟疾疫情资料及疟疾病例个案调查资 料， 采用Excel 2007建立数据库， 对疟疾疫情流行病学特征及病例诊治情况进行统计分析。结果 结果 2014年山东省共报告 疟疾病例150例， 较2014年的131例上升14.50%。除1例为云南省输入外， 其他均为境外输入性病例， 感染来源地区主 要为非洲（142例， 占95.30%）。150例病例均为实验室确诊病例， 其中恶性疟121例 （80.67%）、 间日疟16例 （10.67%）、 卵 形疟9例 （6.00%）、 三日疟4例 （2.67%）。病例主要分布在泰安 （40例， 占26.67%）、 烟台 （17例， 占11.33%）、 威海 （13例， 占 8.67%）、 济宁 （11例， 占7.33%） 和菏泽 （11例， 占7.33%） 5市。结论 结论 山东省已连续3年无本地感染病例报告， 但境外输 入性病例报告数呈上升趋势， 且感染虫种呈多样性。境外输入性疟疾是当前该省疟疾防控工作的重点。

Epidemiological analysis of malaria prevalence in Shandong Province in 2014

Objective Objective To understand the malaria epidemic situation and characteristics in Shandong Province in 2014，so as to provide evidences for taking targeted strategies and measures for malaria elimination. Methods Methods The data of malaria epi? demic and malaria cases of Shandong Province in 2014 were collected from Information Management System for Infectious Dis? eases Report and Information Management System for Parasitic Diseases Control and Prevention. The epidemiological character? istics of malaria situation and the diagnosis and treatment of malaria cases were analyzed by Microsoft Excel 2007. Results Results A total of 150 malaria cases were reported in Shandong Province in 2014，which increased by 14.50% compared with that in 2013 （131 cases） . All the cases were imported from other countries except one imported from Yunnan Province in China，and most of the imported cases were from Africa（142 cases，95.30%） . All the cases were confirmed in Shandong Provincial Reference Labo? ratory and there were 121 cases（80.67%）infected with Plasmodium falciparum，16 cases（10.67%）infected with P. vivax，9 cases（6.00%）infected with P. ovale and 4 cases（2.67%）infected with P. malariae. The cases were mainly distributed in Tai’ an（40 cases，26.67%），Yantai（17 cases，11.33%），Weihai（13 cases，8.67%），Jining（11 cases，7.33%）and Heze（11 cases，7.33%）cities. Conclusions Conclusions There have been no local malaria cases reported in Shandong Province in the continuous 3 years. However，the reported number of imported malaria cases shows an increasing trend in the province in recent years，and the species of infected Plasmodium are diverse. Imported malaria from other countries is the key of malaria control in Shandong Province at present.