Chin J Schisto Control ›› 2013, Vol. 25 ›› Issue (3): 259-.

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Epidemic situation and control strategy of imported malaria in Hubei Province from 2006 to 2011

LI Kai-jie| HUANG Guang-quan|ZHANG Hua-xun|LIN Wen|DONG Xiao-rong|PI Qi| PEI Su-jian| HU Le-qun*   

  1. Hubei Provincial Center for Disease Control and Prevention| Wuhan 430079|China
  • Online:2013-06-24 Published:2013-06-24
  • Contact: HU Le?qun

2006-2011年湖北省输入性疟疾疫情分析及防控策略

李凯杰|黄光全|张华勋|林文|董小蓉|皮琦|裴速建|胡乐群*   

  1. 湖北省疾病预防控制中心(武汉 430079)
  • 通讯作者: 胡乐群
  • 作者简介:李凯杰| 硕士研究生。研究方向: 疟疾防治

Abstract:

Objective To understand the characteristics of imported malaria in Hubei Province so as to provide the evidence for formulating the prevention and control strategy. Methods The data of all imported malaria cases from 2006?01 to 2011?07 were retrospectively analyzed,and at the same time,the imported malaria cases since 2010 were interviewed through telephone and the cases since 2011?05 were interviewed face to face. All data were analyzed with EpiInfo. Results There were 195 imported malaria cases from 2006?01?01 to 2011?07?07,and there was a rising trend but there was no obvious difference among seasons. The interval between the disease onset and diagnosis was shorter in high educated people than low educated people(χ2 =10.93, P < 0.01)and in the severe cases than the slight cases(χ2 =4.58,P < 0.05) . The severe rates of malaria cases were 70.4% and 82.9% in the low educated group and the high educated group,respectively(χ2 = 7.02,P < 0.01) . Non?condition regression analysis showed that there were three influence factors which affected severe malaria,including whether or not self?treatment in? stead of seeing doctor when being fever;whether or not having health education before going abroad;whether or not considering malaria of the initial diagnosis doctor. Conclusion It is very important to strengthen the personnel abroad malaria health educa? tion,the malaria blood smear microscopic inspection in medical institutions,and the initial diagnosis doctor’ s awareness on malar? ia.

Key words: Imported malaria; Epidemic situation;Control strategy;Hubei Province

摘要:

目的 分析2006-2011年湖北省输入性疟疾病例特点, 为制定输入性疟疾防控策略提供参考依据。方法 回顾性分析2006?01-2011?07湖北省所有输入性疟疾病例的个案调查表, 同时电话采访2010年以来发现的输入性疟疾病例, 并对2011?05后发现的输入性疟疾病例进行访谈。采用EpiInfo软件进行数据分析。结果 2006?01?01-2011?07?07本省共发现输入性疟疾病例195例, 2006-2011年输入性疟疾病例数呈逐年上升趋势, 但发病无明显季节性。文化程度较高者和文化程度较低者从发病到诊断时间间隔差异有统计学意义 (χ2 = 10.93, P < 0.01); 非重症与重症疟疾病例从发病到诊断时间间隔差异有统计学意义 (χ2 = 4.58, P < 0.05); 文化程度较低者重症疟疾发病率为70.4%, 文化程度较高者重症疟疾发病率为82.9.%, 两者差异有统计学意义 (χ2 = 7.02, P < 0.01)。非条件logistic回归分析显示, 回国发热后是否自己买药吃而不就医、 出国前是否接受过疟疾防治知识培训、 综合医院首诊考虑是否包含疟疾这3个因素对是否产生重症输入性疟疾有影响。结论 加强外出务工人员的疟疾防治知识健康教育、 加大医疗机构疟原虫血检工作、 提高首诊医生对从非洲或东南亚回国人员的疟疾诊断意识是确保输入性疟疾早期发现、 早期救治及消除疟疾的重要措施。

关键词: 输入性疟疾; 疫情; 防控策略; 湖北省

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