Abstract: Objective Objective To grasp the malaria epidemic situation in Changzhou City from 2010 to 2014，so as to provide the ev? idence for formulating and adjusting malaria control strategies and measures. Methods Methods The epidemiological data of malaria cas? es in the special report system from 2010 to 2014 were collected，and the malaria epidemic situation and the diagnosis and treat? ment of malaria patients were analyzed. Results Results There were 132 malaria cases reported in Changzhou City from 2010 to 2014， with a decrease of 27.47% compared to 182 cases from 2005 to 2009. Among the 132 cases，2 cases were local infected cases and the remaining 130 cases were imported cases. Four cases were clinically diagnosed and 128 cases were laboratory con? firmed，with 97 cases of malignant malaria，14 cases of vivax malaria，13 cases of ovale malaria，and 4 cases of quartan malar? ia. The 132 cases were distributed in five districts：56 cases in Jintan City，51 cases in Liyang City，19 cases in Tianning Dis? trict，3 cases in Wujin District，and 3 cases in Xinbei District. The median duration between the onset and treatment of the dis? ease was 2 days，and the median duration between the diagnosis and treatment was 1 day. The diagnosing units were concentrat? ed on the county?level disease control agencies，and medical institutions at county and municipal levels，accounting for 92.42% （122/132） . From 2011 to 2014，there were no local malaria cases. Conclusions Conclusions From 2012 to 2014，there have been no local malaria cases in Changzhou City，and the goal of eliminating malaria has been achieved basically. However，there are still many imported malaria cases，and the infected species are diverse. Therefore，imported malaria is still the key of malaria prevention and control.

Key words: Malaria；Epidemic situation；Imported malaria overseas；Changzhou City

摘要： 目的 目的 掌握2010-2014年常州市疟疾疫情， 为制订和调整适合该市的疟疾消除策略和措施提供依据。方法 方法 收集2010-2014年常州市网络报告疟疾疫情和专报系统的流行病学调查资料， 对该5年的疟疾疫情及病例诊治情况进行 统计分析。结果 结果 2010-2014年常州市共报告疟疾病例132例， 较2005-2009年的182例下降了27.47%。132例疟疾病 例除2例为本地病例外， 其余130例均为境外输入性病例。132例疟疾病例中， 4例为临床诊断病例， 128例为实验室确诊 病例； 128例确诊病例中， 恶性疟97例、 间日疟14例、 卵形疟13例、 三日疟4例。132例疟疾病例分布于5个市 （区）， 其中 金坛市56例、 溧阳市51例、 天宁区19例、 武进区3例、 新北区3例； 从发病到就诊中位时间为2 d， 从就诊到确诊中位时间 为1 d， 92.42% （122/132） 的确诊单位为县级疾控机构、 县级医疗机构和市级医疗机构。2011-2014年常州市未发现本地 感染疟疾病例。结论 结论 2012-2014年常州市连续3年实现无本地感染疟疾病例， 初步实现消除疟疾目标， 但境外输入性 疟疾病例仍较多， 且感染虫种呈多样性。境外输入性疟疾仍是常州市疟疾防控工作的重点。

关键词: 疟疾； 疫情； 境外输入性病例； 常州市