2009-2023年山东省肥城市输入性疟疾流行特征分析  

Analysis of the epidemiological characteristics of imported malaria in Feicheng city,Shandong Province from 2009 to 2023

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作  者:席然然 翟贞坤 李军 刘笑东 XI Ranran;ZHAI Zhenkun;LI Jun;LIU Xiaodong(Feicheng City Center for Disease Control and Prevention,Feicheng,Shandong 271600,China;Department of Preventive Health Care,Anjiazhuang Town Health Center,Feicheng City,Feicheng,Shandong 271600,China)

机构地区:[1]肥城市疾病预防控制中心慢性病防制与健康教育促进科,山东肥城271600 [2]肥城市疾病预防控制中心病媒生物防制与地方病防制科,山东肥城271600 [3]肥城市安驾庄镇卫生院预防保健科,山东肥城271600

出  处:《社区医学杂志》2025年第1期22-26,共5页Journal Of Community Medicine

摘  要:目的分析2009-2023年山东省肥城市输入性疟疾流行病学特征,持续巩固消除疟疾的成果,为制定防治政策提供依据。方法收集2009-01-01-2023-12-31山东省肥城市疟疾病例个案流行病学调查表,采用描述流行病学方法对疟疾病例流行病学特征进行分析。定性资料采用构成比进行描述,非正态的定量资料采用M(P25,P75)进行描述。结果2009-2023年山东省肥城市共报告输入性疟疾病例106例,其中恶性疟76例(71.70%),间日疟17例(16.04%),卵形疟8例(7.55%),三日疟3例(2.83%),间日疟和恶性疟混合感染2例(1.89%),死亡病例1例(2015年);输入疟疾病例来源主要为非洲95例(89.62%)、亚洲8例(7.55%)和大洋洲1例(0.94%);每个月份均有报告病例,以4、6、9和10月病例较多,11和12月病例较少。病例均为成年男性,年龄以31~50岁为主,共84例(79.25%)。职业以农民为主,共81例(76.42%);发病-诊断时间间隔为4.54(2.63,7.34)d,最短的为0 d,最长的为126 d。结论肥城市疟疾本土病例消除后,输入性疟疾每年都有发生,应继续加强监测,防止输入性病例引起再传播。Objective To analyze the epidemiological characteristics of imported malaria in Feicheng City,Shandong Province from 2009 to 2023,continuously consolidate the achievements of malaria elimination,and provide evidence for the formulation of prevention and control policies.Methods The epidemiological investigation forms of malaria cases in Feicheng city,Shandong Province from January 1,2009 to December 31,2023 were collected.The epidemiological characteristics of malaria cases were analyzed by descriptive epidemiological methods.Qualitative data were described by constituent ratios,and non-normally distributed quantitative data were described by M(P_(25),P_(75)).Results A total of 106 imported malaria cases were reported in Feicheng city,Shandong Province from 2009 to 2023,including 76 cases of Plasmodium falciparum malaria(71.70%),17 cases of Plasmodium vivax malaria(16.04%),8 cases of Plasmodium ovale malaria(7.55%),3 cases of Plasmodium malariae malaria(2.83%),and 2 cases of mixed infection of Plasmodium vivax and Plasmodium falciparum(1.89%).There was 1 death case(in 2015).The main sources of imported malaria cases were Africa(95 cases,89.62%),Asia(8 cases,7.55%)and Oceania(1 case,0.94%).Cases were reported in every month,with more cases in April,June,September and October,and fewer cases in November and December.All cases were adult males,and the age group of 31-50 years accounted for the majority,with a total of 84 cases(79.25%).The main occupation of the cases was farmers,with a total of 81 cases(76.42%).The interval between onset and diagnosis was 4.54(2.63,7.34)days,with the shortest being 0 day and the longest being 126 days.Conclusions After the elimination of indigenous malaria cases in Feicheng City,imported malaria occurs every year.Monitoring should be continued to prevent the re-transmission caused by imported cases.

关 键 词:肥城市 输入性病例 疟疾 消除 流行病学特征 

分 类 号:R531.3[医药卫生—内科学]

 

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