云南省丽江市2012-2017年疟疾输入病例疫情分析
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摘要
目的对2012-2017年丽江市疟疾输入病例监测资料进行分析,为巩固消除成果,防止输入疟疾引起继发传播提供科学依据。方法收集2012-2017年疟疾"三热"病人血检及输入性疟疾病例资料,并对资料进行分析。结果2012-2017年开展病人血检完成35 930人,检出病例33例,检出率0.09%。共报告疟疾病例33例,均为输入性病例。间日疟30例(占90.91%),恶性疟2例(占6.06%),混合感染1例(占3.03%)。2例来源于境内(占6.06%),23例来源于缅甸(占69.70%),1例为柬埔寨(占3.03%),1例为老挝(占3.03%),1例为埃塞俄比亚(占3.03%),1例为尼日利亚(占3.03%),1例为印度尼西亚(占3.03%),1例为刚果共和国(占3.03%),1例为巴基斯坦(占3.03%),1例为乌干达(占3.03%)。单纯恶性疟2例来源于尼日利亚和乌干达,混合感染1例来源于印度尼西亚。结论丽江市通过省级消除疟疾考核评估,现处于巩固疟疾消除维持阶段,但受输入性疟疾的影响,潜在威胁依然存在。
Objective The monitoring data of imported malaria cases in Lijiang City from 2012 to 2017 were analyzed to provide scientific basis for consolidating elimination results and preventing secondary transmission caused by imported malaria.Methods Data on blood test and source of imported malaria cases in patients with malaria"three fevers"from 2012 to 2017 were collected and analyzed.Results From 2012 to 2017,35 930 patients completed blood tests and 33 cases were detected,with a detection rate of 0.09%.A total of 33 cases of malaria were reported,all of which were imported cases.There were 30 cases of vivax malaria(90.91%),2 cases of falciparum malaria(6.06%) and 1 case of mixed infection(3.03%).In 2 cases from domestic(6.06%),23 cases(69.70%) comes from Burma,1 case from Cambodia(3.03%),1 case fromLaos(3.03%),1 case from Ethiopia(3.03%),1 case from Nigeria(3.03%),1 case from Indonesia(3.03%),1 case from the republic of the Congo(3.03%),1 case from Pakistan(3.03%),1 case(3.03%) from Uganda.Two cases of pure falciparum malaria were from Nigeria and Uganda,and 1 case of mixed infection was from Indonesia.Conclusion After passing the provincial malaria elimination assessment,Lijiang is now in the stage of consolidating malaria elimination and maintenance,but the potential threat still exists due to the impact of imported malaria.
Objective The monitoring data of imported malaria cases in Lijiang City from 2012 to 2017 were analyzed to provide scientific basis for consolidating elimination results and preventing secondary transmission caused by imported malaria.Methods Data on blood test and source of imported malaria cases in patients with malaria"three fevers"from 2012 to 2017 were collected and analyzed.Results From 2012 to 2017,35 930 patients completed blood tests and 33 cases were detected,with a detection rate of 0.09%.A total of 33 cases of malaria were reported,all of which were imported cases.There were 30 cases of vivax malaria(90.91%),2 cases of falciparum malaria(6.06%) and 1 case of mixed infection(3.03%).In 2 cases from domestic(6.06%),23 cases(69.70%) comes from Burma,1 case from Cambodia(3.03%),1 case fromLaos(3.03%),1 case from Ethiopia(3.03%),1 case from Nigeria(3.03%),1 case from Indonesia(3.03%),1 case from the republic of the Congo(3.03%),1 case from Pakistan(3.03%),1 case(3.03%) from Uganda.Two cases of pure falciparum malaria were from Nigeria and Uganda,and 1 case of mixed infection was from Indonesia.Conclusion After passing the provincial malaria elimination assessment,Lijiang is now in the stage of consolidating malaria elimination and maintenance,but the potential threat still exists due to the impact of imported malaria.
引文
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[14]李玉民,李娟,刘永力,等.流动人口在疟疾传播中的作用[J].热带病与寄生虫病学,2004,2(1):45-47.
[15]陈丽,张学雁,和根顺,等.云南省维西县疟疾的控制和消除措施和效果分析[J].医药前沿,2017,10(28):1-4.
[2]王加志,马强,杨和仙,等.2017年保山市疟疾流行病学特征分析[J].中国寄生虫学与寄生虫病杂志,2018,36(5):536-538.
[3]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.
[4]卫生部疾病预防控制局.疟疾防治手册[M].3版.北京:人民卫生出版社,2007:33-46.
[5]曹俊,周水森,周华云,等.中国疟疾从控制走向消除-消除阶段的目标策略和措施[J].中国血吸虫病防治杂志,2013,25(5):439-443.
[6]卫生部.关于印发《中国消除疟疾行动计划(2010-2020)年》的通知[Z].2010-05-26.
[7]丰俊,张丽,张少森,等.全国2005-2015年疟疾疫情分析[J].中国热带医学,2017,17(4):325-335.
[8]李顺平,袁方曙.寄生虫病的社会经济学研究[J].中国寄生虫病防治杂志,1995,8(2):143-145.
[9]张进,陆宾,张正球.2000-2016年仪征市疟疾疫情分析[J].中国血吸虫病防治杂志,2017,29(6):749-751.
[10]张丽,丰俊,张少森,等.2015年全国疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2016,34(6):7-11.
[11]吴志茹,张苗,沈军,等.河北省输入性疟疾40例分析报告[J].河北省医科大学学报,2017,38(1):96-98.
[12]王伟明,范桂生,陈志扬.泉州市2010-2015年疟疾监测结果[J].海峡预防医学杂志,2017,23(6):39-40.
[13]赵小冬,韩笃菊,于秋燕,等.2012-2016年济南市疟疾监测结果流行病学分析[J].中国血吸虫病防治杂志,2018,30(1):62-64.
[14]李玉民,李娟,刘永力,等.流动人口在疟疾传播中的作用[J].热带病与寄生虫病学,2004,2(1):45-47.
[15]陈丽,张学雁,和根顺,等.云南省维西县疟疾的控制和消除措施和效果分析[J].医药前沿,2017,10(28):1-4.