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目的通过对福建省南平市2005—2014年疟疾疫情监测分析,研究其流行特征,为消除疟疾后监测工作提供依据。方法对2005—2014年南平市输入性疟疾病例按年份、季节、地区、职业、感染来源、病例类型、诊治情况等进行分析。结果 2005—2014年南平市共报告疟疾病例71例,均为输入性病例,其中非洲占63.38%,东南亚占25.35%,国内其他地区占11.26%;前6年输入性疟疾疫情稳定,每年3~5例;后4年输入性疟疾疫情明显上升,每年9~17例,差异显著;由非洲输入的疟疾后4年(39例)与前6年(6例)比病例数呈明显上升,而由国内其他地区输入的后4年(1例)比前6年(7例)则明显下降;输入性疟疾疫情上升主要是由于前往非洲的出国务工人员大量回国引起,病例主要集中在出国务工人员较多的延平区(28例,占39.43%)的炉下镇(8例)、黄墩社区(5例)、四鹤社区(4例)和建瓯市(23例,占32.39%)的瓯宁街道(10例)、建安街道(4例)。结论南平市近几年输人性疟疾疫情明显上升,主要是由于前往非洲的出国务工人员大量回国引起,今后应加强对劳务输出归国人员的疟疾防治管理工作。
Objective To monitor the epidemic situation of malaria in Nanping City, Fujian Province from 2005 to 2014 and study the epidemiological characteristics of malaria in order to provide basis for the post-malaria monitoring. Methods The malaria cases of imported malaria in Nanping City during 2005-2014 were analyzed by year, season, region, occupation, source of infection, case type, diagnosis and treatment. Results A total of 71 malaria cases were reported in Nanping from 2005 to 2014, of which 63.38% were imported, accounting for 25.35% in Southeast Asia and 11.26% in other parts of the country. The epidemic of imported malaria in the first 6 years was stable at 3 ~ The incidence of imported malaria increased significantly from 9 to 17 cases in the last 4 years, with a significant difference. The incidence of malaria in Africa increased significantly from 4 years (39 cases) to 6 years (6 cases) The incidence of imported malaria increased significantly in the first 4 years (1 case) compared with the previous 6 years (7 cases) after entering the rest of the country due to a large number of migrant workers returning to Africa who returned home. The cases mainly concentrated in the migrant workers going abroad (8 cases), Huangdun community (5 cases), Sihe community (4 cases) and Jian’ou City (23 cases, accounting for 32.39%) were more in Yanping District (28 cases, accounting for 39.43% Ou Ning Street (10 cases), Jian Street (4 cases). Conclusion The epidemic of imported malaria in Nanping City has risen markedly in recent years mainly due to the massive return of migrant workers to Africa. In the future, malaria control over the return of labor service workers should be strengthened.