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目的分析萧山区消除疟疾行动启动前后5年疟疾流行特征,评价消除疟疾行动效果。方法利用“中国疾病预防控制中心疾病监测信息报告管理系统”以及2005—2014年疟疾疫情调查资料,用Excel 2003进行统计分析。结果 2005—2014年萧山区共监测报告疟疾65例,年报告发病率在0.09/10万~0.59/10万之间。其中2005—2009年间日疟占85.00%,恶性疟占10.00%;2010—2014年间日疟占48.00%,恶性疟占52.00%。患者以青壮年为主,外来民工仍是萧山区疟疾疫情的重点人群。这10年中,感染来源已从外省感染为主转为境外感染为主。结论萧山区疟疾疫情继续保持在较低发病率水平,建议加强出入境人员的监测和宣传教育,以及对输入性疫情的管理。
Objective To analyze the malaria epidemic characteristics of Xiaoshan District malaria elimination five years before and after the start of malaria elimination and evaluate the effectiveness of malaria elimination. Methods The data of “Disease Surveillance Information Reporting Management System of China Center for Disease Control and Prevention” and the survey data of malaria epidemics from 2005 to 2014 were used for statistical analysis with Excel 2003. Results A total of 65 cases of malaria were monitored in Xiaoshan District during 2005-2014. The annual incidence of malaria was between 0.09 / 100,000 and 0.59 / 100,000. Among them, 85.00% of Plasmodium falciparum from 2005 to 2009, 10.00% of Plasmodium falciparum, and 48.00% of Plasmodium falciparum from 2010 to 2014 and 52.00% of Plasmodium falciparum. Patients are mainly young and middle aged, and migrant workers are still the key population of malaria in Xiaoshan district. In these 10 years, the source of infection has shifted from being a province-based infection to being mainly outside the country. Conclusion The epidemic situation of malaria in Xiaoshan District continues to be kept at a relatively low incidence level. It is suggested to strengthen the monitoring and publicity and education of entry-exit personnel and the management of imported epidemic situation.