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目的分析大连市疟疾疫情情况,为大连市疟疾防治工作提供科学依据。方法以2010-2012年度大连市疾病预防控制中心疟疾疫情报告资料为基础,描述和分析大连市疟疾疫情概况。结果 2010-2012年大连市疟疾疫情共报告35例疟疾病例,其中33例为实验室诊断病例,2例为临床诊断病例。病例中男女比例为34︰1,平均年龄为38岁。全部疟疾病例均为输入性病例,其中非洲输入性病例为34例,占全部病例的94.44%(34/35);大部分疟疾病例居住在瓦房店、普兰店、庄河市、长海县等农村地区,占全部病例的65.71%(23/35);患者自发病到确诊时间中位数为5 d,发病24 h内确诊的有5例,占14.29%。本市市级医疗单位报告30例,占85.71%,县级医疗单位报告2例,占5.71%。结论加强疟疾培训,提高县级医疗机构疟疾诊断能力,加强境外疟疾流行区回国人员的疟疾监测和健康教育,避免发生死亡病例和本地扩散风险。
Objective To analyze the epidemic situation of malaria in Dalian and provide a scientific basis for malaria control in Dalian. Methods Based on the malaria epidemic situation report of Dalian Center for Disease Control and Prevention from 2010 to 2012, the general situation of malaria in Dalian was described and analyzed. Results A total of 35 malaria cases were reported in Dalian from 2010 to 2012, of which 33 cases were laboratory diagnosed and 2 cases were clinically diagnosed. The ratio of males to females in the cases was 34: 1 with an average age of 38 years. All cases of malaria were imported cases, of which 34 were imported in Africa, accounting for 94.44% (34/35) of all cases; most of the malaria cases resided in Wafangdian, Pulandian, Zhuanghe and Changhai counties In rural areas, accounting for 65.71% (23/35) of all the cases. The median time from onset of disease to diagnosis was 5 days, and 5 cases were confirmed within 24 hours of onset, accounting for 14.29%. The city-level medical units report 30 cases, accounting for 85.71%, 2 county-level medical units report, accounting for 5.71%. Conclusion Strengthening malaria training, improving malaria diagnosis ability of county-level medical institutions, strengthening malaria monitoring and health education of returnees in malaria-endemic areas outside the country, and avoiding the death cases and the risks of local spread.