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2013年南通市疟疾疫情流行病学分析
引用本文:曹彩群1,王伟明2. 2013年南通市疟疾疫情流行病学分析[J]. 现代预防医学, 2015, 0(14): 2514-2516
作者姓名:曹彩群1  王伟明2
作者单位:1.江苏省南通市疾病预防控制中心,江苏 南通 226007;2.江苏省寄生虫病防治研究所,江西 无锡 214000
摘    要: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3 d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。

关 键 词:关键词:疟疾  疫情  输入性病例  南通市

Epidemiological analysis of malaria prevalence in Nantong city in 2013
CAO Cai-qun,WANG Wei-ming. Epidemiological analysis of malaria prevalence in Nantong city in 2013[J]. Modern Preventive Medicine, 2015, 0(14): 2514-2516
Authors:CAO Cai-qun  WANG Wei-ming
Affiliation:Nantong Center for Disease Control and Prevention, Nantong, Jiangsu 226007, China
Abstract:Abstract: Objective This study was to understand the malaria epidemic situation and characteristics in Nantong city in 2012, so as to provide the evidence for formulating and adjusting malaria elimination strategies and measures. Methods The reported malaria cases from the Internet Reporting System and the epidemiological data of malaria in Jiangsu Province were collected and analyzed. Results A total of 48 malaria cases were reported in Nantong city in 2013 with a incidence of 0.063 /10 000. Blood microscopic examination by the central station showed that there were 45 cases of Plasmodium falciparum, 2 cases of P. malaria and 1 case of P. ovale. 40 cases out of the total (83.33%) distributed in Haian county and Haimen county. Epidemiological investigation of all cases were completed within 3 days. All 48 cases were imported from Africa, with the most from Angola (25 cases), followed by 12 cases from equatorial Guinea and 7 cases from South Sudan. Among the 48 cases, 37 cases took the initial visit at a county-level medical institutions, 5 cases at town clinics, 3 at village clinics, and 3 at prefecture-level medical institutions. 41 cases were finally diagnosed as malaria by county-level medical institutions and 7 cases by municipal medical institutions. Township hospitals and village clinics failed in the timely diagnosis of malaria. Conclusion No local malaria cases were reported from Nantong city in the last three years, which reflected the effective elimination of malaria. However, imported malaria infection cases were increasing, with diverse species. Medical workers working at countryside should improve their malaria prevention knowledge and skills. Meanwhile, health education should be strengthened to the high risk population to eliminate malaria.
Keywords:Keywords: Malaria  Epidemiology  Imported case  Nantong city
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