鲁南五市疟疾联防区2003～2007年疟疾疫情分析

目的分析鲁南五市疟疾联防区疟疾发病特点及流行规律，为疟防后期监测及制定防治对策提供依据。方法对鲁南五市疾病预防控制中心上报的当地感染、输入性疟疾或疑似病例进行登记和确诊，并逐一进行流行病学调查和资料的整理、统计与分析。结果鲁南五市2005～2007年疟疾病例呈明显上升趋势，发病例数比2004年分别上升293％、586％和686％，以枣庄、济宁和菏泽增多最明显。疟疾病例以间日疟和新发病例为主，既高度分散又相对集中，且当地感染病例明显增加。男性高于女性，以农民和民工发病最多。结论鲁南五卞联防区的疟疾疫情呈上升趋势，尤其靠近江苏、安徽和河南的市县为今后疟疾防治工作的重点地区。加强联防和流动人口管理，提高各级疟防人员的专业水平是今后工作的主要任务。

Analysis of endemic situation of malaria in the joint malaria prevention areas of southern Shandong Province.2003-2007.

Objective To analysis the current epidemiological status and transmission trend of malaria in Rizhao, Linyi, Zaozhuang, Jining and Heze, where malaria was the joint epidemic prevented in the south of Shandong province, so as to provide evidence for malaria surveillanee and control after its basical dimination. Methods Based on the information of malaria from CDCs （Center for Diseases Control and Prevention） in these five cities from 2003 to ：2007, we registrated and confirmed the local infection, the importation or suspected malaria eases, to carry out epidemiological investigations one by one, collation of data and statistically analysis. Results Malaria is in noticeable upward trend in the south of Shandong Province , including the five cities, where malaria was joint prevented. The infection rate in 2005 - 2007 increased by 293% ,586% and 686% respectively, as compared with that of 2004. The reported malaria eases both distributed concentrated and relatively dispersal. Most eases were infected with vivax malaria and the number of indigenous eases were increased.. There were more male cases than that of females. The farmers and peasant workers were the main population suffered from the disease. Conclusion Malaria infection in this region shows an increasing trend and the cities （ counties ） neibouring the provinces of Jian- gsu, Anhui and Henan to be the target area for malaria control. From now on the work of joint management of mobile population be strngthened and progessional techniques malaria control workers be enhanced.