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目的了解江西省2005-2012年疟疾发病及流行特点,为消除疟疾工作提供参考和建议。方法收集江西省2005-2012年疟疾疫情数据,利用Excel软件、SPSS软件和Map Info软件进行描述性流行病学分析。结果 2005-2012年江西省共报告病例269例。其中,间日疟106例(39.41%),恶性疟67例(24.91%),三日疟2例(0.74%),混合感染4例(1.48%),未分型90例(33.46%);本地感染病例79例(29.37%),输入病例190例(70.63%);临床诊断病例90例(33.46%),实验室诊断173例(64.31%),疑似病例6例(2.23%)。5-10月份累计发病163例,占60.59%;20~49岁人群发病共计195例,占72.49%;农民、民工、工人发病共计161例,占59.85%;南昌市累计发病85例,占31.60%,上饶市次之,累计发病45例,占16.73%。结论全省疟疾诊断水平较之往年有提高,输入性病例逐年增多,恶性疟逐渐成为危害人民健康的主要疟疾病种。加大疟疾健康教育宣传,加强各级医疗机构临床医生和镜检人员的培训工作,加强流动人口的疟疾监测成为今后我省疟疾防治工作的重点。
Objective To understand the incidence and epidemic characteristics of malaria in Jiangxi Province from 2005 to 2012 and provide reference and suggestions for the elimination of malaria. Methods The epidemic data of malaria from 2005 to 2012 in Jiangxi Province were collected and the descriptive epidemiological analysis was conducted by Excel software, SPSS software and Map Info software. Results A total of 269 cases were reported in Jiangxi Province from 2005 to 2012. There were 106 cases (39.41%) of Plasmodium vivax, 67 cases (24.91%) of Plasmodium falciparum, 2 cases (3.74%) of Plasmodium malaria, 4 cases (1.48%) of mixed infection and 90 cases (33.46% There were 79 locally infected cases (29.37%) and 190 cases (70.63%) of imported cases. There were 90 cases (33.46%) clinically diagnosed, 173 cases (64.31%) were laboratory diagnoses and 6 cases (2.23%) suspected cases. From May to October, a total of 163 cases were found, accounting for 60.59%. A total of 195 cases accounted for 72.49% of the total population aged from 20 to 49 years old. Peasants, migrant workers and workers accounted for 59.85% of total cases, while 85 cases accounted for 31.60 %, Followed by Shangrao City, the cumulative incidence of 45 cases, accounting for 16.73%. Conclusion The diagnosis level of malaria in the whole province is higher than that in previous years, the number of imported cases is increasing year by year, and falciparum malaria gradually becomes the main malaria disease which endangers people’s health. To intensify the publicity and promotion of malaria health education, to strengthen the training of clinicians and medical examiners of medical institutions at all levels, and to strengthen the monitoring of malaria in floating population have become the focus of malaria prevention and control work in our province in the future.