Chin J Schisto Control ›› 2014, Vol. 26 ›› Issue (4): 387-.

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Analysis of malaria situation and discussion of control strategy in Shandong Province Province, 2013

KONG Xiang-li|ZHAO Chang-lei| BU Xiu-qin|XU Yan| ZHANG Ben-guang|CHEN Xi-xin| LIU Xin| WANG Yong-bin *   

  1. Shandong Academy of Medical Science| Shandong Institute of Parasitic Diseases|Jining 272033| China
  • Online:2014-08-15 Published:2014-08-12
  • Contact: WANG Yong?bin

2013年山东省疟疾疫情分析及防控策略探讨

孔祥礼|赵长磊|卜秀芹|许艳|张本光|陈锡欣|刘新|王用斌*   

  1. 山东省医学科学院| 山东省寄生虫病防治研究所 (济 宁 272033)
  • 通讯作者: 王用斌
  • 作者简介:孔祥礼| 男| 研究生| 助理研究员。研究方向: 疟疾流行病学
  • 基金资助:
    山东省医学科学院基金 (2011?16); 山东省自然科学基 金 (2011HL061)

Abstract: Objective Objective To understand the malaria situation of Shandong Province in 2013,so as to provide the evidence for formulating targeted prevention and control strategy and measures. Methods Methods The data of malaria cases of Shandong Province in 2013 were collected from the Information Management System for Infectious Diseases Report and Information Management Sys? tem for Parasitic Diseases Control and Prevention. The data of epidemiological characteristics of malaria situation and the diagno? sis and treatment of malaria cases were analyzed by Microsoft Excel 2007. Results Results There were 131 malaria cases reported in 2013,all of them were imported cases,and 127 cases(96.95%)were imported from African countries. A total of 116 cases (88.55%)were falciparum malaria cases. Totally 97.71% of the cases were male and the average age of malaria cases was 39 years. A total of 61.83% of the cases were peasants and 65.65% of the cases only received junior high school education. The dis? tribution of malaria cases was concentrated in Tai’ an City(32 cases),Yantai City(19 cases)and Weihai City(17 cases), total? ly acounting for 53.13%. There was no significant seasonal variation in the reporting time of the cases. The median time from on? set to seeing doctor was four days and the median time from seeing doctor to being diagnosed was one day. Totally 35.88% of the cases were misdiagnosed when the first visit to a doctor. All of the cases were laboratory confirmed and 100% of them received the standard treatment after diagnosis. Conclusions Conclusions All of the malaria cases were imported cases in Shandong Province in 2013. To control the imported malaria in Shandong Province,it is necessary to further strengthen the multi?sectoral cooperation, health education,malaria screening and professional training.

Key words: Malaria; Endemic situation;Imported malaria; Epidemiological characteristics;Shandong Province

摘要: 目的 目的 了解2013年山东省疟疾疫情现状, 为进一步制定有针对性的防治策略和措施提供科学依据。方法 方法 收 集2013年山东省疟疾疫情资料及病例个案调查资料, 对2013年疟疾疫情流行病学特征及病例诊治情况进行统计分析。 结果 结果 2013年山东省共报告疟疾病例131例, 均为境外输入性病例; 其中恶性疟116例, 占88.55%; 由非洲输入的病例 127例, 占96.95%。131例病例中男性128例, 占97.71%; 平均年龄为39岁; 职业以农民为主, 占61.83% (81例); 文化程度 以初中为主, 占65.65% (86例)。按地区分布统计, 病例数居前三位的地级市依次为泰安市32例、 烟台市19例、 威海市17 例, 3个市占山东籍病例数的53.13%。2013年全年均有病例报告, 无明显季节特征。从发病到就诊时间中位数为4 d; 从 就诊到确诊时间中位数为1 d; 35.88% (47例) 的病例初次就诊时被诊断为其他疾病。所有病例均为实验室确诊病例, 均 得到规范的抗疟治疗。结论 结论 2013年山东省的疟疾病例均为境外输入病例。需通过多部门合作、 加强出境人员健康教 育、 入境人员疟疾筛查及疟疾诊治技能培训等措施以控制输入性疟疾疫情。

关键词: 疟疾; 疫情; 境外输入性疟疾; 流行病学特征; 山东省

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