2017年山东省疟疾疫情分析  

Epidemiological analysis of malaria in Shandong Province in 2017

作　　者：孔祥礼[1] 许艳[1] 程鹏[1] 王用斌[1] 卜秀芹[1] 王龙江 赵长磊[1] 闫歌[1] KONG Xiang-li;XU Yan;CHENG Peng;WANG Yong-bin;BU Xiu-qin;WANG Long-jiang;ZHAO Chang-lei;YAN Ge(Shandong Academy of Medical Science,Shandong Institute of Parasitic Diseases,Jining 272033,China)

机构地区：[1]山东省医学科学院山东省寄生虫病防治研究所

出　　处：《中国血吸虫病防治杂志》2018年第5期527-531,共5页Chinese Journal of Schistosomiasis Control

基　　金：山东省医药卫生科技发展计划项目(2016WS0391、2015WS0265);山东省医学科学院基金(2015-56);山东省医学科学院医药卫生科技创新工程

摘　　要：目的了解2017年山东省疟疾疫情特征,为进一步制定有针对性的防治策略和措施提供科学依据。方法收集2017年山东省疟疾疫情资料及疟疾病例个案调查资料,对2017年疟疾疫情流行病学特征及疟疾病例诊治情况进行统计分析。结果2017年山东省共报告疟疾病例209例,均为境外输入性病例;其中恶性疟155例,占74.16%;由非洲输入205例,占98.09%。全省16个地级市有疟疾病例报告,其中烟台、济宁、威海、德州、青岛、泰安6市共报告154例,占全省疟疾病例总数的73.68%。全省17个地级市均有病例分布,其中烟台、泰安、威海、青岛4市共有疟疾病例110例,占全省病例总数的56.41%。病例从发病到就诊中位时间为1d,7d以上就诊者27例(12.92%);从就诊到确诊中位时间为1d,7d以上确诊者22例(10.53%)。结论防控境外输入性疟疾仍是当前山东省疟疾防控工作的重点,针对疟疾疫情呈现的集中趋势应加强重点输入地区医务人员的疟疾诊治培训和高危人群健康宣教,防范既往疟疾流行区再次出现本地病例的风险,确保山东省如期实现消除疟疾目标。Objective To understand the malaria epidemiological characteristics of Shandong Province in 2017,so as to provide the evidences for formulating targeted prevention and control strategy and measures.Methods The data of malaria cases of Shandong Province in 2017 were collected from the Information Management System for Infectious Diseases Report and Information Management System for Parasitic Diseases Control and Prevention.The epidemiological characteristics of malaria situation and the diagnosis and treatment of malaria eases were analyzed.Results There were 209 malaria cases reported in 2017,all of them were imported cases,and 205 cases (98.09%)were imported from African countries.Among them,155cases (74.16%) were falciparum malaria cases.Totally 16 cities had eases reported in 2017,and 154 cases (73.68%)were reported in 6 cities (Yantai,Jining,Weihai,Dezhou,Qingdao,and Tai'an).The malaria cases distributed in 17 cities,and there were 110 cases distributed in 4 cities,namely Yantai,Tai'an,Weihai,and Qingdao,which accounted for 56.41% of the total cases in Shandong Province.Both the median time from onset to seeing a doctor and the median time from seeing a doctor to being diagnosed were one day.Totally 12.92% of the eases went to visit a doctor 7 days later after they had symptoms and 10.53% of the cases were diagnosed 7 days later after the first visit to a doctor.Conclusions At present,the prevention and control of the imported malaria is the focus of malaria control in Shandong Province.According to the central tendency of the malaria situation,the health education and propaganda among the high risk groups and the training on the diagnosis and treatment among medical workers should be strengthened,so as to prevent the risk of reappearance of local cases in the past malaria endemic,regions,and to ensure the goal of malaria elimination been achieved on schedule.

关 键 词：疟疾 流行病学特征 山东省 

分 类 号：R531.3[医药卫生—内科学]