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目的分析南通市疟疾流行现状,为制定疟防措施提供科学依据。方法对南通市2003～2007年疟疾年报表、疫情报告、个案调查表、“三热”病人及流动人口血检资料进行统计分析。结果南通市2003～2007年共发生184例疟疾病例,年发病率为0.323/10万。间日疟164例,恶性疟20例。外来流动人口疟疾发病数分别为5、4、10、13、27例,呈逐年上升趋势。实验室共血检发热病人88 285人,阳性68例;其中本地人口血检发热病人82 240人,阳性27例,外来流动人口血检发热病人6 045人,阳性41例,两者差异有统计学意义(P<0.01)。结论对流动人口采取切实有效的疟防措施是当前南通市疟疾防治工作重点。加强流动人口疟疾疫情管理和开展“三热”病人血检为主的监测工作是控制疟疾传播与流行的主要措施。
Objective To analyze the prevalence of malaria in Nantong City and provide a scientific basis for formulating malaria prevention measures. Methods A statistical analysis was made on the malaria annual reports, epidemic reports, case investigation tables, blood test data of the three hot patients and floating population from 2003 to 2007 in Nantong City. Results A total of 184 malaria cases occurred in Nantong from 2003 to 2007, with an annual incidence of 0.323 / 100 000. 164 cases of vivax malaria and 20 cases of falciparum malaria. The incidence of malaria in floating population was 5, 4, 10, 13 and 27 respectively, showing an upward trend year by year. In the laboratory, 88,825 were positive for blood tests and 68 were positive. Among them, 82,240 were positive for blood test in the local population, 27 were positive for blood test, and 6 045 were positive for blood test in the floating population. There were 41 positive cases Significance (P <0.01). Conclusion It is the current work of malaria control in Nantong City to take effective and effective malaria prevention measures for floating population. Strengthening the management of the epidemic of malaria among floating population and carrying out the monitoring work of the blood test of the “three hots” patients are the main measures to control the spread and prevalence of malaria.