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目的 掌握盐城地区2011-2015年间输入性疟疾流行趋势及监测防治效果,为调整防治对策提供依据。方法 收集2011-2015年盐城市、区、县疾病预防控制中心疟疾疫情监测、流行及防治资料并整理分析。结果 2011-2015年全市累计报告输入性疟疾病例104例,以建湖县报告病例最多,达52例(50.0%)。病例以男性为主(女性仅2例),平均年龄为38.8岁,职业以出国劳务工人为主(共94例,占91.7%),病例感染主要来自非洲。5年间累计对151 980例发热病例开展疟疾血检,检出阳性104例,阳性率为0.07%。虫种分型以恶性疟最多,达90例(86.5%)。5年来,疟疾24 h内确诊率逐年提高,累计开展疟疾病例规范化治疗104例,规范化治疗率达100%。结论 盐城地区无本地感染疟疾病例,下一阶段应重点加强输入性疟疾的监测及防治,进一步缩短确诊时间,提高诊断效率。
Objective To understand the prevalence of imported malaria in Yancheng during 2011-2015 and to monitor the effect of prevention and treatment so as to provide basis for the adjustment of control strategies. Methods The surveillance, epidemic, prevention and treatment of malaria in Yancheng City, District and County Centers for Disease Control and Prevention from 2011 to 2015 were collected and analyzed. Results From 2011 to 2015, a total of 104 imported malaria cases were reported in the city, with the highest reported cases in Jianhu County, reaching 52 (50.0%). The majority of cases were males (only 2 females), with an average age of 38.8 years. Occupational workers were mainly employed abroad (94 cases, 91.7%). Cases were mainly from Africa. During the past five years, a total of 151,980 cases of fever were tested for malaria in 104 980 cases, with a positive rate of 0.07%. Pest species to the largest number of falciparum malaria, up to 90 cases (86.5%). In the past five years, the diagnosis rate of malaria increased year by year within a 24-hour period. A total of 104 cases of standardized malaria cases were treated, and the standardized treatment rate reached 100%. Conclusion There are no local cases of malaria infection in Yancheng area. The next phase should focus on monitoring and prevention of imported malaria, further shorten the time of diagnosis and improve the diagnostic efficiency.