山东省济宁市任城区2005—2017年报告疟疾病例分析
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摘要
目的了解2005—2017年济宁市任城区报告疟疾病例情况及流行特征,为制定有效的防治策略和措施提供科学依据。方法收集2005—2017年济宁市任城区报告的疟疾疫情数据资料,对病例的感染来源、病例的时间、地区和人群分布及病例的诊断报告情况进行统计分析。结果 2005—2017年济宁市任城区共报告疟疾329例,其中本地感染病例23例,国内输入病例5例,境外输入病例301例,主要感染来源为赤道几内亚(65例)和安哥拉(61例);实验室确诊病例312例,其中恶性疟占75.96%,间日疟占15.71%。321例本省病例分布在全省13个地市,主要为济宁(147例)、泰安(100例)和菏泽(30例),占全部病例的84.19%。12个月份均有病例报告,境外输入病例未呈现明显的季节分布特征。病例以青壮年男性为主,其中男性占96.05%;平均年龄为38岁,30～49岁年龄组占68.69%;职业以农民为主,占89.67%。从发病到确诊时间平均为5 d,其中40.43%的病例发病到确诊时间超过7 d。结论 2005—2017年济宁市任城区疟疾疫情发生了很大变化,根据济宁市任城区疟疾疫情变化趋势和流行特征,今后应重点加强能力建设、宣传教育和地区间的合作。
Objective To understand the epidemic situation and prevalent characteristics of malaria cases reported in Rencheng District, Jining City, Shandong Province from 2005 to 2017, so as to provide scientific evidence for formulating effective strategies and measures of malaria control. Methods The reported epidemic situation data of Rencheng District,Jining City from 2005 to 2017 were collected and the infection sources, the temporal, regional and population distributions and the diagnosis and reporting situation were analyzed. Results A total of 329 malaria cases were reported from 2005 to 2017, of which 23 were local cases, 5 were domestic cases and 301 were overseas imported cases, and the mainly infection sources were Equatorial Guinea(65 cases) and Angola(61 cases). There were 312 laboratory-confirmed cases, and of which 75.96% were falciparum malaria and 15.71% were vivax malaria. There were 321 cases distributed in 13 cities in Shandong Province, the mainly cities were Jining(147 cases), Tai′an(100 cases) and Heze(30 cases), which accounted for 84.19% of the total cases.The 12 months all had reported cases, and the overseas imported cases had no significant seasonal distribution. The cases were mainly male adults, and the male cases accounted for 96.05%. The average age was 38 years and the age group of 30-49 years accounted for 68.69%. The mainly occupation was peasant, accounting for 89.67%. The time form attack to diagnosis was 5 days and 40.43% cases with the time over 7 days. Conclusions Great changes had taken place in malaria epidemic situation in Rencheng District, Jining City from 2005 to 2017. According to the change trend and the epidemiological characteristics, the capacity building, health education and regional cooperation should be further strengthened in the future.
Objective To understand the epidemic situation and prevalent characteristics of malaria cases reported in Rencheng District, Jining City, Shandong Province from 2005 to 2017, so as to provide scientific evidence for formulating effective strategies and measures of malaria control. Methods The reported epidemic situation data of Rencheng District,Jining City from 2005 to 2017 were collected and the infection sources, the temporal, regional and population distributions and the diagnosis and reporting situation were analyzed. Results A total of 329 malaria cases were reported from 2005 to 2017, of which 23 were local cases, 5 were domestic cases and 301 were overseas imported cases, and the mainly infection sources were Equatorial Guinea(65 cases) and Angola(61 cases). There were 312 laboratory-confirmed cases, and of which 75.96% were falciparum malaria and 15.71% were vivax malaria. There were 321 cases distributed in 13 cities in Shandong Province, the mainly cities were Jining(147 cases), Tai′an(100 cases) and Heze(30 cases), which accounted for 84.19% of the total cases.The 12 months all had reported cases, and the overseas imported cases had no significant seasonal distribution. The cases were mainly male adults, and the male cases accounted for 96.05%. The average age was 38 years and the age group of 30-49 years accounted for 68.69%. The mainly occupation was peasant, accounting for 89.67%. The time form attack to diagnosis was 5 days and 40.43% cases with the time over 7 days. Conclusions Great changes had taken place in malaria epidemic situation in Rencheng District, Jining City from 2005 to 2017. According to the change trend and the epidemiological characteristics, the capacity building, health education and regional cooperation should be further strengthened in the future.
引文
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[11]姚宜蓉,贝为全,熊昊,等.广西桂林市2008-2016年输入性疟疾流行病学分析[J].中国热带医学,2017,17(4):386-389.
[12]LIU Y B,HSIANG M S,ZHOU H Y,et al.Malaria in overseas labourers returning to China:an analysis of imported malaria in Jiangsu Province,2001-2011[J].Malar Journal,2014,13:29.
[13]胡道军,黄艳.2004-2013年江苏省沭阳县疟疾疫情流行病学分析[J].中国血吸虫病防治杂志,2015,27(4):419-421.
[14]JUN FENG,HUIHUI XIAO,LI ZHANG,et al.The Plasmodium vivax in China:decreased in local cases but increased imported cases from Southeast Asia and Africa[J].Scientific Reports,2015,5:8847.
[2]孔祥礼,赵长磊,卜秀芹,等.2013年山东省疟疾疫情分析及防控策略探讨[J].中国血吸虫病防治杂志,2014,26(4):387-390,398.
[3]许艳,孔祥礼,赵长磊,等.2014年山东省疟疾疫情流行病学分析[J].中国血吸虫病防治杂志,2016,28(1):30-33.
[4]KONG X L,LIU X,TU H,et al.Malaria control and prevention towards elimination:data from an eleven-year surveillance in Shandong Province,China[J].Malaria Journal,2017,16:55.
[5]罗恩培,王伟明,刘耀宝,等.2005-2014年江苏省疟疾疫情分析[J].中国血吸虫病防治杂志,2015,27(3):251-254.
[6]刘颖,周瑞敏,钱丹,等.河南省2005-2013年疟疾流行特征分析[J].中国寄生虫学与寄生虫病杂志,2014,32(6):419-422.
[7]曹俊,刘耀宝,曹园园,等.中国消除疟疾的持续挑战:输入性疟疾[J].中国寄生虫学与寄生虫病杂志,2018,36(2):93-96.
[8]LU G Y,LIU Y B,WANG J S,et al.Malaria training for community health workers in the setting of elimination:a qualitative study from China[J].Malaria Journal,2018,17:95.[LinkOut]
[9]孔祥礼,赵长磊,王用斌,等.山东省消除疟疾行动计划中期评估报告[J].中国热带医学,2016,16(4):311-316.
[10]杨成运,鲁德领,周瑞敏,等.河南省输入性疟疾现状与流行特征[J].中国热带医学,2014,14(5):565-567.
[11]姚宜蓉,贝为全,熊昊,等.广西桂林市2008-2016年输入性疟疾流行病学分析[J].中国热带医学,2017,17(4):386-389.
[12]LIU Y B,HSIANG M S,ZHOU H Y,et al.Malaria in overseas labourers returning to China:an analysis of imported malaria in Jiangsu Province,2001-2011[J].Malar Journal,2014,13:29.
[13]胡道军,黄艳.2004-2013年江苏省沭阳县疟疾疫情流行病学分析[J].中国血吸虫病防治杂志,2015,27(4):419-421.
[14]JUN FENG,HUIHUI XIAO,LI ZHANG,et al.The Plasmodium vivax in China:decreased in local cases but increased imported cases from Southeast Asia and Africa[J].Scientific Reports,2015,5:8847.