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目的分析徐州市境外输入性恶性疟疫情,提出现阶段可行的预防和控制措施。方法对徐州市网络直报的恶性疟疫情和流行病学资料进行分析。结果徐州市2010—2012年发生输入性恶性疟共40例,分别为12、11、17例。病例均为男性,全年均有发病,发病分布在出国务工人员较多的县区,病例主要是出国劳务人员。40例恶性疟均为境外感染,临床表现为高热,发热时间不规则,部分患者有胃肠道症状;37例患者血片镜检疟原虫阳性。结论徐州市输入性恶性疟有增多趋势,应加强重点地区劳务输出归国人员的疟疾防治管理工作。
Objective To analyze the outbreak of falciparum malaria imported from outside Xuzhou City and put forward the feasible prevention and control measures at this stage. Methods The data of falciparum malaria epidemic and epidemiology in Xuzhou City were analyzed. Results There were 40 imported cases of falciparum malaria in Xuzhou from 2010 to 2012, with 12,11,17 cases respectively. All cases were male, with incidence all year round. The incidence was distributed in the counties with more migrant workers abroad. The cases were mainly labor service workers going abroad. 40 cases of falciparum malaria were all extranodal infections, clinical manifestations of fever, irregular fever, gastrointestinal symptoms in some patients; 37 cases of blood mirror microscopy positive. Conclusion The imported falciparum malaria in Xuzhou City has an increasing trend, and malaria prevention and control work should be strengthened in those returnees in key areas.