余姚市2005-2017年疟疾流行病学特征分析
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摘要
目的了解浙江省余姚市2005-2017年疟疾流行病学特征,为消灭疟疾疫情提供科学依据。方法采用描述性流行病学方法,对来自中国传染病报告信息管理系统的2005-2017年余姚市疟疾病例资料进行分析。结果 2005-2017年余姚市共报告疟疾病例178例,包括本地病例13例,国内其他地区输入性病例153例,境外输入12例,无死亡病例,年均发病率为1.40/10万,发病整体呈逐年下降趋势(χ~2=165.159,P<0.001);间日疟168例、恶性疟9例、三日疟1例;发病以10～39岁人群为主,占70.22%;男性发病率(1.75/10万)高于女性(1.06/10万),差异有统计学意义(χ~2=10.771,P<0.01);境外输入性病例来源地为非洲和东南亚,分别占境外输入病例的83.33%、16.67%。讨论余姚市输入性疟疾来源由国内高疟区转变为非洲及东南亚,输入性疟疾为目前防控工作重点,需采取有效控制措施消除疟疾。
Objective To understand the epidemiologic characteristics of malaria in Yuyao of Zhejiang from 2005 to 2017,provide scientific evidence for the eliminate of malaria.Methods Descriptive epidemiological analysis was used to analyze the malaria cases reported from National Notifiable Disease Surveillance System in Yuyao from 2005 to 2017.Results A total of 178 malaria cases were reported in Yuyao including 13 local cases,153 domestic imported cases and 12 overseas imported cases without death during this period,the average incidence was 1.40/100 000,the reported incidence of malaria decreased year by year(χ~2=165.159,P<0.001);there were 168 cases of vivax malaria,9 cases of falciparum malaria,1 cases of quartan ague;most cases occurred in persons aged from 10 to 39 years old,accounting for 70.22%.The incidence in males(1.75/100 000) was higher than that of females(1.06/100 000),the difference had significance(χ~2=10.771,P<0.01);the cases were mainly imported from Africa and Southeast Asia,which proportion of imported cases were 83.33% and 16.67%.Conclusion The main source of imported areas have changed from domestic areas to Africa and Southeast Asia.Effective prevention and control measures should be taken to reduce the incidence of imported malaria.
Objective To understand the epidemiologic characteristics of malaria in Yuyao of Zhejiang from 2005 to 2017,provide scientific evidence for the eliminate of malaria.Methods Descriptive epidemiological analysis was used to analyze the malaria cases reported from National Notifiable Disease Surveillance System in Yuyao from 2005 to 2017.Results A total of 178 malaria cases were reported in Yuyao including 13 local cases,153 domestic imported cases and 12 overseas imported cases without death during this period,the average incidence was 1.40/100 000,the reported incidence of malaria decreased year by year(χ~2=165.159,P<0.001);there were 168 cases of vivax malaria,9 cases of falciparum malaria,1 cases of quartan ague;most cases occurred in persons aged from 10 to 39 years old,accounting for 70.22%.The incidence in males(1.75/100 000) was higher than that of females(1.06/100 000),the difference had significance(χ~2=10.771,P<0.01);the cases were mainly imported from Africa and Southeast Asia,which proportion of imported cases were 83.33% and 16.67%.Conclusion The main source of imported areas have changed from domestic areas to Africa and Southeast Asia.Effective prevention and control measures should be taken to reduce the incidence of imported malaria.
引文
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[8] 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.
[9] 梁桂华,宋传清,王兰珍.2005-2015年河南省濮阳市输入性疟疾病例国内外流行特征分析[J].疾病监测,2016,31(9):730-733.
[10] 殷兰芬,邱文毅,郭峰琦,等.江苏省输入性疟疾流行趋势及防控现状[J].口岸卫生控制,2011,17(2):35-38.
[11] 潘波,林锦炎,林荣幸,等.广东省2004-2013年疟疾流行病学特征分析[J].中国公共卫生,2015,31(6):845-847.
[2] 杨献青,方利洪,王卫强,等.建德市疟疾流行病学特征分析[J].预防医学,2018,30(5):482-484,489.
[3] 咸越,刘春燕,贺知菲,等.中国2009-2014年疟疾疫情流行特征分析[J].中国公共卫生,2017,33(4):517-519.
[4] 章华米,张丛笑,金国农.西湖区疟疾流行特征分析[J].预防医学,2017,29(5):503-505.
[5] 龚艳凤,雷蕾,金锦扬,等.2010-2014年江西省疟疾流行病学特征分析[J].中华地方病学杂志,2016,35(9):659-663.
[6] 阮卫,潘金仁,张轩,等.浙江省消除疟疾行动中期评估报告[J].中国热带医学,2016,16(4):354-358.
[7] 陈秀兰,张年坤,赵兰梅,等.2005-2015年泰兴市疟疾疫情流行病学分析[J].中国血吸虫病防治杂志,2016,28(6):702-704.
[8] 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.
[9] 梁桂华,宋传清,王兰珍.2005-2015年河南省濮阳市输入性疟疾病例国内外流行特征分析[J].疾病监测,2016,31(9):730-733.
[10] 殷兰芬,邱文毅,郭峰琦,等.江苏省输入性疟疾流行趋势及防控现状[J].口岸卫生控制,2011,17(2):35-38.
[11] 潘波,林锦炎,林荣幸,等.广东省2004-2013年疟疾流行病学特征分析[J].中国公共卫生,2015,31(6):845-847.