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目的掌握徐州市疟疾发病情况和趋势,为制定疟疾防治措施提供科学依据。方法收集2010-2013年徐州市网络报告疟疾病例信息和流行病学调查资料进行统计分析。结果 2010-2013年徐州市共报告疟疾109例,其中间日疟44例,占40.37%;恶性疟62例,占56.88%;三日疟2例,占1.83%;卵形疟1例,占0.92%;恶性疟、三日疟、卵形疟均为境外输入。93例为实验室确诊病例,占85.32%,16例为临床诊断病例,占14.68%。全年均有发病,无明显季节性。流动人口血检阳性率为0.276%,明显高于本地人口的0.005%(χ2=868.23,P<0.01)。结论徐州市疟疾疫情处于稳定下降期,本地感染病例明显下降,境外输入性恶性疟病例逐年上升,须加强流动人口和发热病人管理。
Objective To grasp the incidence and trend of malaria in Xuzhou and provide a scientific basis for malaria prevention and control measures. Methods The data of malaria cases and epidemiological survey from 2010 to 2013 in Xuzhou City were collected for statistical analysis. Results A total of 109 cases of malaria were reported in Xuzhou from 2010 to 2013, including 44 cases of Plasmodium falciparum (40.37%), 62 cases of falciparum malaria (56.88%), 2 cases of malaria (1.83%), 1 case of oval malaria 0.92%; falciparum malaria, malaria day, oval malaria are imported. 93 cases were laboratory confirmed cases, accounting for 85.32%, 16 cases were clinically diagnosed cases, accounting for 14.68%. The incidence of all year round, no significant seasonal. The positive rate of blood tests in floating population was 0.276%, significantly higher than 0.005% of the local population (χ2 = 868.23, P <0.01). Conclusion The epidemic situation of malaria in Xuzhou City is in a period of steady decline. The number of local cases of infectious malaria dropped significantly. The number of imported cases of falciparum malaria increased year by year. It is necessary to strengthen the management of floating population and febrile patients.