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目的分析2000-2015年湖南湘西自治州疟疾发病与监测情况,为消除疟疾提供依据。方法收集疟疾疫情网络信息报表,发热病人血检年报、疟疾病例个案调查记录卡及相关人口资料进行统计和描述分析。结果 2000-2015年湘西自治州共报告疟疾83例,分布在8个县市34个乡镇50个行政村,其中间日疟80例,恶性疟3例;实验室诊断74例,临床诊断9例;男性67例,女性16例;年龄20~55岁占86.75%;均为农民;1-12月均有病例,5-10月病例占49.40%;本地感染病例1例,输入性病例82例。血检发热病人68 624人,检出疟原虫阳性74例,阳性率为0.11%。结论湘西自治州2000年以来主要为输入性疟疾病例,已连续13年无本地感染病例。
Objective To analyze the incidence and surveillance of malaria in Hunan Xiangxi Autonomous Prefecture from 2000 to 2015 and provide a basis for the elimination of malaria. Methods To collect statistics of network information of malaria epidemic, annual blood test of febrile patients, record cards of malaria cases and relevant demographic data for statistical and descriptive analysis. Results A total of 83 cases of malaria were reported in Xiangxi Autonomous Prefecture from 2000 to 2015. They were distributed in 50 administrative villages in 34 towns and villages in 8 counties and cities. Among them, 80 were Plasmodium falciparum and 3 were Plasmodium falciparum; 74 were laboratory diagnosed and 9 were diagnosed clinically; There were 67 males and 16 females, and 86.75% were aged from 20 to 55 years old. All of them were farmers. The cases were from January to December and 49.40% from May to October respectively. There were 1 cases of local infection and 82 cases of imported cases. There were 68 624 blood tests and 74 positive cases of Plasmodium, the positive rate was 0.11%. Conclusions The cases of imported malaria in western Hunan Autonomous Region have been mainly imported since 2000 and there have been no cases of local infection for 13 consecutive years.