广西上林县2010—2019年输入性疟疾流行病学特征  

Epidemiological characteristics of imported malaria in Shanglin county of Guangxi,2010-2019

作　　者：覃剑 马安翔 陈建丰 梁洁鑫 林康明[2] QIN Jian;MA An-xiang;CHEN Jian-feng;LIANG Jie-xin;LIN Kang-ming(Shanglin County Center for Disease Control and Prevention,Shanglin,Guangxi 530500,China;Guangxi Zhuang Autinomous Region Center for Disease Control and Prevention,Nanning,Guangxi 530028,China)

机构地区：[1]上林县疾病预防控制中心,广西上林530500 [2]广西壮族自治区疾病预防控制中心,广西南宁530028

出　　处：《中国热带医学》2021年第1期15-18,共4页China Tropical Medicine

基　　金：国家传染病重大专项(No.2016ZX10004222)。

摘　　要：目的分析广西上林县2010—2019年输入性疟疾的流行病学特征,为制定防控策略提供依据。方法收集广西上林县2010—2019年输入性疟疾疫情数据,对疟疾病例个案流行病学调查资料进行描述性分析。结果2010—2019年上林县共报告疟疾病例2319例,均为境外输入性病例,2013年病例数最多,为1052例(占45.4%)。其中恶性疟1774例(占76.5%),间日疟112例(占4.8%),卵形疟372例(占16.0%),三日疟26例(占1.1%),混合感染35例(占1.5%);病例以青壮年为主,男性为2286例(占98.6%),男女比例为69∶1;病例以22~55岁年龄组最多,共2205例(占95.1%);职业以淘金为主,共2314例(占99.8%);病例全年均有报告,其中6月份病例最多,为608例(占26.2%),其次为7月份,为405例(占17.5%);病例分布于11个乡镇,其中明亮镇最多,为870例(占37.5%),其次为大丰镇544例(占23.5%),巷贤镇496例(占21.4%);感染来自非洲16个国家和东南亚3个国家,来自非洲感染共2293例(占98.9%),虫种以恶性疟为主,为1766例(占77.0%),其中加纳感染病例最多,为1761例(占76.8%);来自东南亚感染共26例(占1.1%),虫种以间日疟为主,为14例(占53.8%),其中印度尼西亚感染病例最多,为14例(占53.8%)。结论上林县境外输入性疟疾防控形势十分严峻,进一步加强出国务工人员的疟疾监测和管理是巩固消除疟疾成果的关键。Objective To analyze the imported malaria epidemic characteristics in Shanglin county,from 2010 to 2019,we provide reference basis for the formulation of prevention and control strategies.Methods The data of imported malaria were collected in Shanglin County,Guangxi,from 2010 to 2019,and descriptive analysis on the epidemical distribution of imported malaria case survey date,species,source of infection,three-dimensional distribution were conducted.Results A total of 2319 cases of malaria were reported in Shanglin County,Guangxi,from 2010 to 2019,all of which were imported from abroad,with the largest number of cases detected in 2013(1052 cases,45.4%).It included 1774 cases(76.5%)with falciparum malaria,112 cases(4.8%)with vivax malaria,372 cases(16.0%)with ovale malaria,26 cases(1.1%)with quartan malaria,and 35 cases(1.5%)with mixed infections.Most malaria cases were young men,and 2286 cases(98.6%)were male,the ratio of males to females was 69∶1;while 2205 cases(95.1%)were at ages of 20 to 55 years.Gold mining was the predominant occupation(2314 cases,99.8%),the malaria cases were reported in each month across the year,with the largest number of cases detected in June(608 cases,26.2%),followed by July(405 cases,17.5%);The cases were distributed in 11 towns,with the largest number of cases detected in Mingliang town(870 cases,37.5%),followed by Dafeng town(544 cases,23.5%),and Xiangxian town(496 cases,21.4%).The malaria cases were originated from 16 countries in Africa(2293 cases,98.9%),3 countries in Southeast Asia(26 cases,1.1%).The main species were falciparum malaria(1766 cases,77.0%)in Africa,and most malaria cases were from Ghana(1761 cases,76.8%);the main species were vivax malaria(14 cases,53.8%)in Southeast Asia,most malaria cases were from Indonesia(53.8%).Conclusions The situation of prevention and control of imported malaria abroad is very serious in Shanglin county,strengthening the surveillance and management of migrant labors is the key to consolidate the achievements of malaria elimination.

关 键 词：疟疾 恶性疟 间日疟 卵形疟 三日疟 输入性 

分 类 号：R531.3[医药卫生—内科学]