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目的了解2013-2015年内江市输入性疟疾疫情情况,为进一步加强输入型疟疾防控提供科学依据。方法从中国疾病预防疾控中心疾病监测信息报告管理系统(网络直报系统)收集疟疾疫情报告数据进行描述性流行病学分析。结果 2013-2015年内江市共报告输入性疟疾病例31例,均为实验室确诊病例,其中恶性疟18例(58.06%),间日疟9例(29.03%),卵形疟2例(6.45%),混合感染2例(6.45%);来自非洲的24例,来自东南亚的7例;全年均有病例报告,分布在各个县(区),无明显季节分布;报告病例均为男性,平均年龄40岁,以境外务工及农民为主;规范化治疗31例,治愈30例,治愈率为96.77%;发病至诊断时间间隔0~102天,其中0~2天确诊14例(45.16%),3~5天确诊8例(25.81%),6~10天确诊2例(6.45%),11-30天确诊5例(16.13%),超过30天确诊2例(6.45%);初次就诊于医疗机构20例,疾控机构7例,村卫生室4例;初次诊断为疾病9例(29.03%),其中医疗机构4例,疾控机构1例,村卫生室4例。结论内江市面临着输入性疟疾防控的巨大挑战。为有效控制输入性疟疾疫情传播,需进一步加强医务人员的技术培训、出入境人员的健康教育和疟疾防控日常监测。
Objective To understand the epidemic situation of imported malaria in Neijiang City from 2013 to 2015 and provide a scientific basis for further strengthening the prevention and control of imported malaria. Methods The epidemiological data of malaria were collected from the Disease Surveillance Information Reporting Management System (Network Direct Reporting System) of China CDC for descriptive epidemiological analysis. Results A total of 31 cases of imported malaria cases were reported in Neijiang City from 2013 to 2015, all of which were laboratory confirmed cases, of which 18 (58.06%) were Plasmodium falciparum, 9 (29.03%) were Plasmodium vivax, 2 2 cases (6.45%) were mixed infection; 24 cases were from Africa and 7 cases were from Southeast Asia; all cases were reported in all counties (districts) with no obvious seasonal distribution; the reported cases were all male, The average age was 40 years old, mainly from overseas workers and peasants. 31 cases were standardized and cured, the cure rate was 96.77%. The diagnosis ranged from 0 to 102 days, of which 14 cases (45.16%) were diagnosed from 0 to 2 days. 8 cases (25.81%) were diagnosed in 3-5 days, 2 cases (6.45%) were diagnosed in 6-10 days, 5 cases (16.13%) were diagnosed in 11-30 days and 2 cases (6.45%) were diagnosed in more than 30 days. There were 20 cases in medical institutions, 7 cases in CDC and 4 cases in village clinics. Nine cases were diagnosed as primary diseases (29.03%), including 4 cases of medical institutions, 1 case of CDC and 4 cases of village clinics. Conclusion Neijiang City is facing great challenges in the prevention and control of imported malaria. In order to effectively control the spread of imported malaria epidemics, it is necessary to further strengthen the technical training of medical personnel, the health education of entry-exit personnel and the routine monitoring of malaria control.