巴基斯坦回国人员中发生多例恶性疟的调查

Investigation and Disposal for Imported Malignant Malaria Cases among Returned Personnels from Pakistan

〔目的〕控制输入性疟疾在国内进一步传播。〔方法〕对从巴基斯坦回国的劳务人员中发现的疟疾疑似病例进行流行病学调查和临床诊断,对密切接触者预防性服药,对环境进行灭蚊处理。〔结果〕4例恶性疟病人全部康复,未发生新病例和第2代患者。〔结论〕由于疟疾在湖南省已基本消灭,多年未发生,易造成误诊,流行病学调查应结合国际疫情,考虑媒传传染病。同时应加强劳务人员出国前国际疫情咨询和针对性的预防服药或接种疫苗。此事件还体现了突发公共卫生事件处置预案、建立突发公共卫生处置专家组的重要性。

Objective To prevent and control further spread of imported falciparum malaria. Method All suspected malaria cases were indentified.Clinical diagnosis and the epidemiology investigation was conducted accordingly.Meanwhile, preventative for the close contacts and necessary mosquito control was adopoted. Result There was no occurrence of new cases ,and no secondary generation infected cases. Conclusion The epidemiological survey should involves adequate information on current international epidemic situation and due considerations on diseases caused by insect vectors. In addition, before the export laborers going abroad ,enquiry international epidemic situation and pertinent preventative or vaccination have to be enhanced. Furthermore, this occurrence calls for laying out emergency planning and setting up panel of experts on public sanitary affairs.