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目的分析2010-2013年洛阳市境外输入性疟疾流行特征,为该市疟疾防控提供依据。方法收集2010-2013年洛阳市网络报告的疟疾疫情资料、输入性疟疾病例个案调查及流行病学调查报告资料,并进行统计分析。结果2010-2013年洛阳市报告输入性疟疾病例98例,其中恶性疟57例,间日疟35例,卵型疟4例,三日疟2例,均为实验室确诊病例。98例输入性病例中,71例来自非洲国家(72.44%),27例来自东南亚国家(27.55%)。发病人群主要为青壮年男性,发病时间无明显季节性;从发病到就诊时间间隔中位数为6 d;确诊单位主要为各级疾病预防控制机构(78.57%)。结论洛阳市境外输入性疟疾疫情严峻,需进一步强化医疗机构业务培训和多部门合作,采取有效措施以降低其危害。
Objective To analyze the epidemiological characteristics of malaria imported from outside of Luoyang City from 2010 to 2013 and provide the basis for the prevention and control of malaria in this city. Methods The malaria epidemic data collected from the network of Luoyang City in 2010-2013 were collected, and the cases of epidemic malaria cases and epidemiological survey data were input and analyzed statistically. Results A total of 98 cases of imported malaria were reported in Luoyang City from 2010 to 2013, including 57 cases of Plasmodium falciparum, 35 cases of Plasmodium vivax, 4 cases of Egg malaria and 2 cases of Plasmodium malaria. All of them were laboratory confirmed cases. Of the 98 imported cases, 71 were from African countries (72.44%) and 27 from Southeast Asian countries (27.55%). The onset of the disease was mainly young and middle-aged males. The onset time was not significantly seasonal. The median interval from onset to treatment was 6 days. The confirmed units were mainly disease prevention and control institutions (78.57%) at all levels. Conclusion The incidence of malaria outside imported malaria in Luoyang City is very serious. It is necessary to further strengthen the training of medical institutions and multisectoral cooperation and take effective measures to reduce their harm.