2004-2016年龙岩市疟疾流行病学监测结果分析

目的 分析2004-2016年龙岩市疟疾监测资料,为消除疟疾后防控略制定提供依据。方法 收集并分析2004-2016年疟疾病例、“三热”病人血检、媒介和人群知晓率调查资料。结果 2004-2016年报告疟疾病例40例,均为输入性病例,东南亚及非洲国家感染34例占85.00%(34/40),间日疟24例占60.00%(24/40),恶性疟6例占15.00%(6/40),间日疟恶性疟复合感染8例占20.00%(8/40),“三热病人”血检阳性者均为主动求诊疑似疟疾病例,中华按蚊种群构成1.52％,未发现嗜人按蚊和微小按蚊,人群防治知识知晓率为35.47%。结论 龙岩市2004年以来疟疾病例均为输入性,东南亚及非洲国家归国人员是病例侦查发现传染源主要对象,提高医疗机构“三热病人”血检效率及时发现治疗病例和加强大众人群的健康宣教,是巩固消除疟疾成果的关键。

Malaria epidemiological surveillance result in Longyan,2004-2016

Objective To analyze the data of malaria surveillance in Longyan city from 2004 to 2016 and to provide the basis for the prevention and control of malaria. Methods The data of malaria cases,blood tests of “three fever patients” and media and crowd awareness rate from 2004 to 2016 were collected and analyzed. Results 40 cases of malaria cases were reported from 2004 to 2016,and all were imported cases.There were 34 cases infected in Southeast Asia and African countries,which accounted for 85.00%(34/40).24 cases were vivax malaria which accounted for 60.00%(24/40).6 cases were falciparum malaria which accounted for 15.00%(6/40),while 8 cases were the merge of vivax malaria and falciparum malaria which accounted for 20.00%(8/40).The positive cases of blood tests in “three fever patients” were all suspected malaria cases who were actively treated.We found that the percentage of Anopheles sinensis was 1.52% in Anopheles population,and no Anopheles anthropophagus and Anopheles minimus were found.The percentage rate of crowd awareness of malaria′s prevention and treatment was 35.47%. Conclusion The malaria cases are imported cases in Longyan city since 2004.The returnees from southeast Asia and Africa are the main source of infection.The key to consolidating the eradication of malaria is improving the efficiency of “three fever patients” blood test in the medical institutions,discovering and treating cases timely and strengthening the health propaganda and education of the masses.