2017-2021年福建省输入性疟疾疫情分析  

Analysis of the imported malaria epidemic in Fujian Province from 2017 to 2021,China

作　　者：肖丽贞 欧阳榕[1] 陈朱云[1] 林耀莹[1] 谢汉国[1] XIAO Li-zhen;OUYANG Rong;CHEN Zhu-yun;LIN Yao-ying;XIE Han-guo(Fujian Provincial Center for Disease Control and Prevention,Fujian Provincial Key Laboratory of Zoonosis Research,Fuzhou 350012,China)

机构地区：[1]福建省疾病预防控制中心,福建省人兽共患病研究重点实验室,福州350012

出　　处：《中国人兽共患病学报》2022年第10期910-915,共6页Chinese Journal of Zoonoses

基　　金：国家寄生虫资源库(No.2019-194-30);福建省科技创新平台建设项目(No.2019Y2001)联合资助。

摘　　要：目的分析2017—2021年福建省输入性疟疾的疫情特征,为消除疟疾后的防控工作提供科学参考。方法收集2017—2021年福建省输入性疟疾的疫情资料,运用Microsoft Excel 2010软件对病例的感染分型、感染来源、三间分布、就诊和诊断情况等进行描述性分析。结果2017—2021年福建省共报告境外输入性疟疾病例407例,均为实验室确诊病例,其中恶性疟307例(75.43%)、间日疟46例(11.30%)、卵形疟34例(8.36%)、三日疟16例(3.93%)、混合感染4例(0.98%)。感染来源为非洲30个国家(376例,92.38%)、亚洲5个国家(18例,4.42%)、大洋洲1个国家(12例,2.95%)和南美洲1个国家(1例,0.25%);主要由福州市(314例,77.15%)报告。人群分布以男性为主(363例,89.19%),年龄主要集中在30~50岁(256例,62.90%)。病例主要在医疗机构初诊(389例,95.58%)、确诊(377例,92.63%)和报告(393例,96.56%),初诊正确率为71.25%(290/407)。发病-初诊、初诊-确诊、发病-确诊的时间间隔中位数分别为2 d、0 d和3 d。结论福建省仍面临严峻的境外输入性疟疾的持续性挑战,需继续加强对输入性疫情的监测,巩固疟疾消除成果。This study analyzed the malaria epidemiological characteristics in Fujian Province from 2017 to 2021 to provide a scientific basis for interventions targeting malaria elimination.Data on malaria were collected in Fujian Province from 2017 to 2021,and descriptive analysis was performed on the epidemic distribution of imported malaria cases,species,sources of infection,three-dimensional distribution,malaria diagnosis and treatment.A total of 407 cases of malaria were reported in Fujian Province from 2017 to 2021,all of which were laboratory confirmed cases.These included 307 cases(75.43%)with falciparum malaria,46 cases(11.30%)with vivax malaria,34 cases(8.36%)with ovale malaria,16 cases(3.93%)with quartan malaria and 4 cases(0.98%)with mixed malaria.The malaria cases originated from 30 countries in Africa(376,92.38%),5 countries in Asia(18,4.42%),1 country in Oceania(12,2.95%)and 1 country in South America(1,0.25%).Most cases(363,89.19%)were in males,and 256 cases(62.90%)were in people 30-50 years of age.The imported cases were mainly first visits(389,95.58%),diagnosed(377,92.63%)and reported(393,96.56%)at medical institutions;290(71.25%)cases were diagnosed with malaria at the initial doctor’s visit.Prevention of malaria imported from abroad is urgently needed in Fujian Province.Strengthening the surveillance of migrant laborers is key to malaria elimination.

关 键 词：福建省 疟疾 消除 输入性 

分 类 号：R382.3[医药卫生—医学寄生虫学]