2015年江苏省疟疾疫情流行病学分析

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目的掌握江苏省2015年疟疾疫情及流行特征,为如期实现本省的消除疟疾目标提供依据。方法对2015年全省网络报告疟疾疫情和专报系统的流行病学调查资料进行统计分析。结果 2015年江苏省共报告疟疾405例,较2014年(355例)上升14.08%。均为境外输入病例,5例(1.23%)来自东南亚,400例(98.77%)来自25个非洲国家或地区。全省13个市均有输入性疟疾病例报告,其中泰州市、连云港、南通市、淮安市和扬州市报告病例数占全省总数的68.64%(278/405)。省疟疾诊断参比实验室对405份样本进行复核,发现恶性疟299例、间日疟13例、三日疟18例、卵形疟71例、混合感染4例。结论江苏省已连续4年无本地感染疟疾病例,但境外输入性疟疾病例仍呈上升趋势,且输入性间日疟病例较2014年明显增加。加强境外输入性疟疾监测,提高各级医疗机构相关人员对疟疾的诊断和治疗能力、提升疾控机构专业人员病原复核、疫点调查和处置能力是本省疟疾防控工作的重点。 Objective To grasp the epidemic and epidemic characteristics of malaria in Jiangsu Province in 2015, and provide the basis for achieving the goal of eliminating malaria in this province on schedule. Methods Statistical analysis was conducted on the epidemiological survey data of the malaria epidemic and special reporting system reported by the entire province in 2015. Results A total of 405 malaria cases were reported in Jiangsu Province in 2015, an increase of 14.08% over 2014 (355 cases). All of the cases were imported overseas. Five cases (1.23%) were from Southeast Asia and 400 cases (98.77%) were from 25 African countries. Input malaria cases have been reported in 13 cities across the province. Among them, Taizhou City, Lianyungang City, Nantong City, Huaian City and Yangzhou City reported 68.64% (278/405) of the total number of cases reported. Provincial reference laboratory for the diagnosis of malaria 405 samples were reviewed and found 299 cases of falciparum malaria, vivax malaria in 13 cases, malaria in 18 cases, 71 cases of oval malaria, mixed infection in 4 cases. CONCLUSIONS: There are no cases of local malaria infection in Jiangsu Province for 4 consecutive years. However, the number of imported malaria cases is on the rise, and the imported cases of malaria were significantly increased compared with 2014. Strengthening malaria surveillance abroad, improving the ability of malaria diagnosis and treatment by related personnel at all levels of medical institutions, and enhancing pathogen review, epidemic investigation and disposal capacity of professionals in CDC institutions are the focuses of malaria prevention and control in this province.
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