摘要
目的分析保山市2007-2017年疟疾疫情及流行特征,为保山市疟疾防治工作提供参考。方法通过中国疾病预防控制信息系统,以及相关报表,收集保山市2007-2017年疟疾疫情数据,建立数据库进行统计分析。结果 2007-2017年,按照现住址浏览,保山市共报告疟疾病例6 469例,年平均发病率2.32/万。其中2007-2009年发病4 220例,占总发病数的65.23%,2010-2017年发病2 249例,占34.77%。病例分型以间日疟为主4 820例,占病例总数74.51%,恶性疟1 165例,占18.01%,三日疟4例,占0.06%。本地感染病例127例,占病例总数的1.96%,输入性病例6 342例,占98.04%,自2013年之后,无本地感染病例报告。发病最高腾冲市,4 392例,占全市病例总数的67.89%,昌宁县最低71例,占1.10%。发病高峰4-7月,发病数合计3 828例,占总病例数59.17%,男性发病为主5 875例,占发病总数的90.82%,农民为高风险人群,发病6 166例,占总病例数的95.32%,20~44岁组青壮年发病为主,4 879例,占75.42%。2007-2017年,全市医疗机构诊断报告疟疾病例6 167例,其中实验室确诊病例5 545例,占89.91%。其中,综合医院报告1 198例,占19.43%,疾控中心报告2 727例,占44.22%,卫生院报告2 190例,占35.51%,民营医院及其他报告52例,占0.84%。病例诊断后24 h内报告6 096例,报告及时率98.85%。结论保山市疟疾防治成效明显,尤其是实施消除疟疾行动计划之后,疟疾发病大幅度下降,实现了连续4年无本地感染病例目标,但保山市与疟疾高发区缅甸毗邻,边境线长,输入性疟疾防控形势依然严峻,要进一步落实消除疟疾各项措施,加强监测和管理,落实1-3-7综合防治措施,巩固消除疟疾成果。
Objective To understand the status and epidemiological features of malaria,and provide references for the prevention and control of malaria. Methods The data of malaria was collected from the China Disease Prevention and Control Information System and related reports in 2007-2017,and then a database for statistical analysis was established.Results In 2007-2017,according to the current address,Baoshan city reported a total of 6 469 cases of malaria,with an average annual incidence of 2.32 per thousand. Among them,4 220 cases occurred in 2007-2009,accounting for 65.23%of the total number of cases,and 2 249 cases occurred in 2010-2017,accounting for 34.77%. The case classification was4 820 cases of P. vivax,accounting for 74.51% of the total cases,1 165 cases of falciparum malaria,accounting for18.01%,and 4 cases of P. malariae,accounting for 0.06%. 127 cases of local infections,accounting for 1.96% of the total number of cases. There were 6 342 imported cases,accounting for 98.04%. Since 2013,there have been no reports of local infections. The incidence was the highest in Tengchong city,4 392 cases,accounting for 67.89% of the total number of cases in the city,and the lowest in Changning County 71 cases,accounting for 1.10%.The peak incidence ranged from April to July,with a total of 3 828 cases,accounting for 59.17% of the total cases. There were 5 875 male cases,accounting for 90.82% of the total number of cases,and farmers were high-risk groups with 6 166 cases,accounting for 95.32% of the total cases. The incidence of young adults in the 20~44 age group was 4 879 cases,accounting for 75.42%. In 2007-2017,there were 6 167 cases of malaria cases diagnosed by medical institutions in the city,of which 5 545 were laboratory confirmed cases,accounting for 89.91%. Among them,1 198 cases were reported by general hospitals,accounting for 19.43%,2 727 cases were reported by CDC,accounting for 44.22%,2 190 cases were reported by health centers,accounting for 35.51%,and 52 cases were private hospitals and other reports,acc
作者
杨和仙
李加全
王玉淼
YANG He-xian;LI Jia-quan;WANG Yu-miao(Baoshan Center for Disease Control and Prevention,Baoshan,Yunnan 678000,China)
出处
《热带医学杂志》
CAS
2018年第11期1514-1518,共5页
Journal of Tropical Medicine
关键词
疟疾
流行特征
保山
Malaria
Epidemic characteristics
Baoshan
