深圳市南山区2010—2017年疟疾病例流行特征分析
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摘要
目的了解南山区2010—2017年疟疾病例流行病学特点,为全区有针对性地开展疟疾防制工作提供科学依据。方法收集2010—2017年南山区疟疾监测及病例报告资料,对疟疾病例的三间分布、输入来源等情况进行流行病学分析。结果 2010—2017年,南山区共开展20 695次三热病例血检,共发现疟疾病例40例,均为境外输入性,输入地以非洲国家为主。病例以男性中青年为主;境外务工33例,占82.50%;虫种以恶性疟为主,26例,占65.00%;职业以民工和职员为主,共30例,占75.0%;发病季节无明显特征。2014—2017年的疟疾初诊正确率(92.00%)高于2010—2013年(46.67%)。间日疟、卵形疟和三日疟镜下形态相似,难以区分。结论南山区疟疾病例输入风险高,需加强境外务工人员健康教育,加强医务人员相关培训,开展多种方法联合诊断,及时发现病例,积极救治。
Objective To understand the epidemiological characteristics of malaria in Nanshan District of Shenzhen from 2010 to 2017, so as to provide the evidences for malaria controlling in the local area.Methods The data of malaria surveillance and cases in Nanshan District were collected, described and analyzed.Results From 2010 to 2017, a total of 20695 patients with fever enrolled in hospitals were examined for malaria in Nanshan District. The number of malaria cases found was 40, and all the cases were imported from abroad, which from Africa. The general infectious cases were young men. A total of 33 cases(82.50%) were overseas workers. Totally 26 cases(65.00%) were falciparum malaria. Thirty cases(75.00%)were migrant laborers and staff. The malaria cases did not show the seasonal characteristics. The correct rate of initial diagnosis of malaria from 2014 to 2017(92.00%) was higher than that from 2010 to 2013(46.67%). Plasmodium vivax, P. ovate and P.malariae were similar in shape and difficult to be distinguished.Conclusions The risk of imported malaria cases is highin Nanshan District. It is necessary to strengthen the health education for overseas workers, strengthen the relevant training for medical personnel, carry out various effective methods to diagnose and treat malaria cases in time.
Objective To understand the epidemiological characteristics of malaria in Nanshan District of Shenzhen from 2010 to 2017, so as to provide the evidences for malaria controlling in the local area.Methods The data of malaria surveillance and cases in Nanshan District were collected, described and analyzed.Results From 2010 to 2017, a total of 20695 patients with fever enrolled in hospitals were examined for malaria in Nanshan District. The number of malaria cases found was 40, and all the cases were imported from abroad, which from Africa. The general infectious cases were young men. A total of 33 cases(82.50%) were overseas workers. Totally 26 cases(65.00%) were falciparum malaria. Thirty cases(75.00%)were migrant laborers and staff. The malaria cases did not show the seasonal characteristics. The correct rate of initial diagnosis of malaria from 2014 to 2017(92.00%) was higher than that from 2010 to 2013(46.67%). Plasmodium vivax, P. ovate and P.malariae were similar in shape and difficult to be distinguished.Conclusions The risk of imported malaria cases is highin Nanshan District. It is necessary to strengthen the health education for overseas workers, strengthen the relevant training for medical personnel, carry out various effective methods to diagnose and treat malaria cases in time.
引文
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[11]周华云,王伟明,朱国鼎,等.2015年江苏省疟疾疫情流行病学分析[J].中国血吸虫病防治杂志,2017,29(4):441-444,481.
[12]夏志贵,徐俊芳,张少森,等.我国疟疾由控制走向消除的干预措施分析[J].中国血吸虫病防治杂志,2014,26(6):598-601.
[13]龚丽芬,王海,邝茹丹,等.1950-2015年源城区疟疾流行特征与防控效果[J].热带医学杂志,2017,17(12):1677-1679,1693.
[14]何国才.发热患者疟原虫临床检验研究[J].医药前沿,2018,8(13):11-12.
[2]章华米,张丛笑,金国农.西湖区疟疾流行特征分析[J].预防医学,2017,29(5):503-505.
[3]滕世助,杨洁,楼莲青,等.义乌市输入性疟疾流行病学特征分析[J].预防医学,2018,30(5):479-481.
[4]赵小冬,韩笃菊,于秋燕,等.2012-2016年济南市疟疾监测结果流行病学分析[J].中国血吸虫病防治杂志,2018,30(1):62-64.
[5]姚宜蓉,贝为全,熊昊,等.广西桂林市2008-2016年输入性疟疾流行病学分析[J].中国热带医学,2017,17(4):386-389.
[6]高世同,李晓恒,谢旭,等.深圳市输入性疟疾流行病学特征分析[J].国际医学寄生虫病杂志,2014,41(4):208-212.
[7]高世同,李晓恒,黄达娜,等.深圳市2012:2015年消除疟疾措施实施效果[J].中国热带医学,2017,17(1):76-78,82.
[8]黎湘娟,樊幼珍,方晋,等.2016年广西归国人员疟疾监测情况[J].口岸卫生控制,2017,22(2):45-47.
[9]莫周武,符策秦,陈浩南.海南省定安县疟疾防控措施与效果分析[J].中国热带医学,2017,17(1):83-86.
[10]王卫军,劳其平,傅朝阳,等.1952~2015年广西钦州市疟疾防治效果分析[J].热带病与寄生虫学.2017,15(1):36-40.
[11]周华云,王伟明,朱国鼎,等.2015年江苏省疟疾疫情流行病学分析[J].中国血吸虫病防治杂志,2017,29(4):441-444,481.
[12]夏志贵,徐俊芳,张少森,等.我国疟疾由控制走向消除的干预措施分析[J].中国血吸虫病防治杂志,2014,26(6):598-601.
[13]龚丽芬,王海,邝茹丹,等.1950-2015年源城区疟疾流行特征与防控效果[J].热带医学杂志,2017,17(12):1677-1679,1693.
[14]何国才.发热患者疟原虫临床检验研究[J].医药前沿,2018,8(13):11-12.