Abstract: Objective To analyze the overseas imported malaria situation of Shijiazhuang City from 2012 to 2015， so as to provide the evidence for exploring the prevention and control strategy. Methods The data of overseas imported malaria were collected and analyzed with the descriptive method including Plasmodium species， population characteristics， epidemic focus distribution， onset time， diagnosis and treatment in Shijiazhuang City from 2012 to 2015， and the time from the onset to first medical visit， time from first medical visit to being diagnosed， and time from onset to being diagnosed of different Plasmodium species were analyzed respectively with the statistical analysis method. Results A total of 92 overseas imported malaria cases were reported in Shijiazhuang City from 2012 to 2015， including 88 cases from African countries （falciparum malaria taking 53.41%）， and 4 cases from Southeast Asian and other countries （vivax malaria taking 50%）. Eighty?nine cases were distributed in 28 counties（districts）of 6 cities in Hebei Province， except 2 persons with foreign nationalities and 1 with Anhui Province census register. The male and young adults were dominant. The median time from the onset to seeing a doctor was one day and the median time from seeing a doctor to being diagnosed was five days. Most cases were reported by the Fifth Hospital of Shijiazhuang which was the sentinel hospital. Totally 42.39% 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 The overseas imported malaria cases are increasing rapidly with years and the malignant malaria cases were more than other malaria cases in Shijiazhuang City. It is necessary to further strengthen the long?term cooperation mechanism between the medical institutions and the entry?exit inspection and quarantine department. The technician training should be strengthened to avoid the severe cases and death cases.

Key words: Imported malaria； Epidemic situation； Recurrence； Prevention and control strategy； Shijiazhuang City

摘要：

目的 分析2012-2015年石家庄市境外输入性疟疾流行情况，为制定有针对性的疟疾防控对策提供科学依据。方法 收集2012-2015年石家庄市境外输入性疟疾疫情资料，对感染疟原虫虫种、人群特征、感染来源、发病及诊治情况等进行描述性分析，对感染不同种类疟原虫病例的发病?初诊、初诊?确诊、发病?确诊时间分别进行统计分析。结果 2012-2015年石家庄市共报告境外输入性疟疾病例92例，其中来自非洲国家88例（恶性疟占53.41%），来自东南亚及其他地区4例（间日疟占50%）。从病例的分布地区看，除外籍2例、安徽籍1例外，其余89例病例分布于河北省6个地市的28个县（市）区。病例的职业以出境务工的青壮年农民工为主，占90.22%。从发病到就诊时间中位数为1 d，从就诊到确诊时间中位数为5 d。病例报告单位以消除疟疾国家级哨点医院石家庄市第五医院为主，占72.83%。42.39%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 石家庄市境外输入性疟疾病例逐年增多，且以恶性疟为主，建议进一步建立本地医疗卫生机构与出入境检验检疫部门的长效合作机制，及时、有效地处置输入性疟疾病例，避免重症病例或死亡病例的发生。

关键词: 输入性疟疾；疫情；复发；防控对策；石家庄市