疟疾流行趋势分析及防控措施探讨

Analysis of the epidemic trend of malaria and probe the preventive measures

目的分析宜昌市近5年来疟疾的发病特点和流行特征，为巩固疟疾防治成果和制定防控措施提供科学依据。方法对2005--2009年全市所有疟疾病例流行病学调查资料进行分析。结果5年间全市疟疾发病率较低，呈波动性变化，以输入性病例为主；每年夏秋季节为发病高峰；病例以男性青壮年为主，男女性别比为7．17：1，67．35％的患者年龄为30～59岁；疟疾高流行地区返乡及援外务工回国人员是主要患病人群；主要为间日疟。结论宜昌市输入性疟疾形势严峻，在控制本地发病的同时，各级疾控中心与相关部门应加大宣传培训和疟疾防治工作力度，认真做好出国务工人员及流动人口管理和监测，降低疟疾继发性传播的风险。

Objective To analyze the incidence and epidemic characteristics of malaria cases in Yichang city, and to provide basis for malaria prevention and control. Methods All the epidermiological date of malaria cases from 2005-2009 were analyzed. Results In the past 5 years, the malaria incidences were relatively low, the morbidity c hanged in volatility, most cases were imported. Summer and autumn were peak season for the disease. The main cases returned from malaria endemic areas were the main disease population. Vivax malaria was as the major pest species. Conclusions The situation of imported malaria is grim in Yichang city. While in the control of local disease, the CDC and the relevant departments should increase awareness training and malaria control efforts, do a good job for overseas migrant workers and mobile population management and monitoring, reduce the risk of malaria secondary spread.