桐乡市灭疟后期110例输入性疟疾病例分析

Elimination of malaria:an analysis of 110 imported cases

目的:了解灭疟后期疟疾发病情况,为如期达到我国消除疟疾的目标提供理论依据。方法:对桐乡市疾病预防控制中心1990-2010年疟疾监测资料采用描述性流行病学方法进行分析。结果:21年来检出输入性疟疾110例,输入病例中以外来人口输入为主,计103例,占输入病例总数的93.64%,本地人口国外感染本地发病7例,占输入病例总数的6.36%。其中外藉人口国外感染本地发病2例,占输入病例总数的1.82%。外省人口外地感染本地发病101例,占输入病例总数的91.82%,在1990年代以四川最多,占58.06%(36/62)。2000年后以安徽最多,占35.42%(17/48)。结论:在灭疟后期的病例侦查中,应对外来流动人口的发热病人高度关注。切实加强流动人口的管理和监测,及时规范地处置疫点和有效治疗疟疾现症病人,是杜绝病人死亡和消除疟疾的关键措施。

Objective To understand the incidence of malaria in the later period of malaria elimination to provide a theoretical basis for the goal of eliminating malaria on schedule.Methods The malaria monitoring data of Tongxiang Center for Disease Control and Prevention from 1990 to 2010 were analyzed with the method of descriptive epidemiology.Results 110 imported cases were detected,the majority of which was migrant-imported,103 cases,accounting for 93.64% of the total.The number of native people infected overseas was 7,being 6.36% of the total.The number of foreigners infected overseas and being ill in Tongxiang was 2,being 1.82% of the total.The number of people from other provinces infected in Tongxiang was 110,the majority of whom mainly came from Sichuan province in 1990s accounting for 58.06%（36/62）and from Anhui province after the year of 2000 with 35.42%（17/48）of the total.Conclusion In the later period of eliminating malaria,fever in migrant people should be highly concerned.Administration and survey in migrant people,treating epidemic spot and malaria patients effectively and in time are the key points to prevent patients from death and for elimination of malaria.