2013年广西输入性疟疾疫情特征分析  

Characteristics of imported malaria epidemic in Guangxi, 2013

作　　者：林康明[1] 黎军[1] 杨益超[1] 韦树娇[1] 黄亚铭[1] 李锦辉[1] 郭传坤[1] 韦海艳[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530028

出　　处：《现代预防医学》2015年第13期2439-2442,共4页Modern Preventive Medicine

摘　　要：目的 分析2013年广西输入性疟疾疫情特征,探讨针对性防控策略。方法 收集2013年广西流动人口疟疾监测数据,对输入性疟疾病例个案流行病学调查资料、虫种、感染来源、病例三间分布等信息进行描述性分析。结果2013年广西共报告疟疾病例1 251例,年发病率为2.37/10万,均为国外输入性病例;虫种以恶性疟为主,占病例总数的88.33%,间日疟次之,占病例总数的8.55%,三日疟、卵形疟均有发现;病例分布于区内13个地市45个县市（区）,其中上林县病例数占病例总数的83.53%;病例以男性为主,占病例总数的98.88%,发病人群中20~49岁青壮年占病例总数的90.97%;病例感染地来自非洲的16个国家和东南亚的4个国家,在非洲感染病例占病例总数的96.88%,在东南亚感染病例占病例总数的3.12%;病例在国外所从事职业主要为淘金,占病例总数的93.37%;病例发病时间主要集中于6、7月份,占病例总数的68.90%。2013年广西无疟疾死亡病例及输入性继发病例发生。结论 广西境外输入性疟疾疫情严峻,加强多部门合作、多途径摸排流动人口相关信息,加强业务培训、加大对出国返乡人员疟疾监测力度,同时加强外出务工人群疟防治知识健康宣教是有效控制输入性疟疾疫情的重要措施。Objective To analyze the imported malaria epidemic characteristics in Guangxi in 2013, and explore targeted prevention and control strategy. Methods Malaria monitoring data of floating population were collected in Guangxi in 2013, and descriptive analysis on the epidemical distribution of imported malaria case survey date, species, source of infection were conducted. Results A total of 1251 malaria patients was found, and the annual incidence rate of 2.37/100 000 in Guangxi in 2013. Cases are imported from abroad. The main species of Plasmodium is falciparum malaria（88.33%）, and vivax malaria is second（8.55%）. Quartan malaria and ovale malaria were both founded. All the cases were distributed in 45 counties in 13 cities（districts）, 83.53% of total cases in Shanglin County. The male dominated（98.88%）, and 20-49 year-old young adults accounted for 90.97%. Cases of infection were from 16 countries of Africa and 4 countries of Southeast, and infection cases from Africa accounted for 96.88%, while from Southeast Asia accounted for 3.12%. Gold mining work is the main occupation（93.37%）. 6-7month is the main case onset time（68.90%）.Guangxi was without the occurrence of malaria deaths and input of secondary case in 2013. Conclusion Imported malaria epidemic in Guangxi is grim. We need strengthen cooperation of different departments to understand the flow of population related information, and strengthen business training to increase the malaria monitoring of abroad returning crowd; At the same time,strengthening the knowledge of malaria prevention and control education is important measures to effectively control of imported malaria.

关 键 词：输入性疟疾 疫情 特征 分析 广西 

分 类 号：R184[医药卫生—流行病学]