江苏省境外输入性疟疾患者出国途径分析

目的 了解江苏省输入性疟疾病例的出国途径，为输入性疟疾防控和高危人群的健康干预提供科学依据。 方法 收集2015年江苏省境外输入性疟疾病例的出国途径及相关信息并分析，采用Quantum GIS 1.7.4软件作图。 结果 2015年江苏省报告输入性疟疾病例405例，较2014年上升14.1%，且全部为出国务工人员。出国途径分析显示，由建筑公司派赴国外的最多，占43.21%（175/405）。病例较多的派出公司主要集中在泰州、连云港、镇江和扬州，分别占6.17%（25/405）、3.21%（13/405）、2.72%（11/405）和2.22%（9/405）。43.46%（176/405）的患者回国时有同行归国人员，其中9名同行人员随后出现疟疾症状，占1.21%（9/745）。 结论 江苏省出境务工人员的疟疾监测工作难度较大；出国务工途径多样化、复杂化，是输入性疟疾防控面临的主要困难和挑战。

Analysis of channels of going abroad of imported malaria patients in Jiangsu Province,China

Objective To analyze the channels of going abroad of imported malaria patients in Jiangsu Province， so as to provide the evidence for the control of imported malaria and health intervention for high?risk population. Methods The data of imported malaria cases in Jiangsu Province in 2015 were collected and the channels of going abroad were analyzed. The Quantum GIS 1.7.4 software was applied to map. Results Totally 405 imported cases were reported in Jiangsu Province in 2015， and the cases increased by 14.1% compared with those in 2014. All the patients were migrant workers. The migrant workers were mostly sent abroad by construction companies ［43.21% （175/405）］. The dispatching companies were mainly concentrated in Taizhou， Lianyungang， Zhenjiang and Yangzhou cities， accounting for 6.17% （25/405）， 3.21% （13/405）， 2.72% （11/405） and 2.22% （9/405）， respectively. Totally 176 （43.46%） patients returned to China having accompanied workers， and 1.21% （9/745） of accompanied workers were found having symptoms of malaria later. Conclusions It is difficult to monitor malaria in overseas migrant works in Jiangsu Province. The channels of going abroad of migrant workers are various and complicated， formulating the main difficulty and challenge of imported malaria control.