宜昌市2005-2012年输入性恶性疟疾病例特征分析

Case Analysis of Imported Falciparum Malaria from 2005 to 2012 in Yichang City

目的了解宜昌市输入性恶性疟疾流行动态，提出防制对策，为进一步加强输入性恶性疟疾防控工作提供依据。方法收集2005--2012年宜昌市疟疾个案调查表进行统计分析。结果8年间共报告输入性恶性疟疾19例，全年均有发病。患者均为男性，78．95％的患者集中在30—50岁年龄段。病例主要分布在西陵区、当阳市和夷陵区。是否预防性服药和及时就诊对病程及预后均有统计学意义（x2=3．997，P〈0．05；X2=9．337，P〈0．01）。结论宜昌市输入性恶性疟疾发病率呈上升趋势，要加大对出境人员的宣传培训力度，提高其防病意识，准确诊断、规范治疗，做好输入性恶性疟疾的防控与管理。

OBJECTIVE Understanding the incidence and epidemic characteristics of imported faleiparum malaria in Yichang City, and provide scientific basis for control and prevention of imported falciparum malaria. METHODS Collect the questionnaire of imported falciparum malaria case from 2005 to 2012, then statistic and analysis. RESULTS There are 19 cases imported falciparum malaria in 8 years.All cases are male, the age of 78.95% cases is 30~50.High incidence area are Xiling District, Dangyang City and Yiling District. Whether prophylactic medication and timely treatment on the course of disease and prognosis were statistically significant（x2=3.997, P〈 0.05; x2=9.337, P〈0.01 ）. CONCLUSION The incidence trends of imported falciparum malaria in Yichang City is increase,do a good job of overseas migrant workers and mobile population management and monitoring, reduce the risk of secondary spread of malaria.