2012年大连市输人性疟疾疫情监测结果分析

Imported malaria epidemic situation monitoring results analysis of Dalian city in 2012

目的了解大连市输人性疟疾流行情况,为疟疾防治工作提供科学依据。方法收集大连市2012年输入性疟疾病例资料,采用描述流行病学的方法分析其特点。结果 2012年共检出疟疾病例16例,均为输人性病例,检出率为0.239/10万,其中14例患者有疟疾史。拒疾发病无明显的季节性,以恶性疟为主。患者全部为男性,多数为海上捕捞工和建筑工,以非洲输人病例为主。临床表现以高热和寒战为主要症状,热型以持续发热为主。16例病例中,回国到发病时间最长13 d、最短0d、平均6d;发病时间到初诊时间最长10 d、最短0d、平均3d。结论大连市疟疾病例均为输入性病例,应加强疟疾知识宣传和技术培训,强化医务人员及时发现和有效处理疟疾的技能。同时,建立流动人口的有效监管机制尤为重要。

Objective To understand the epidemiological characteristics of irrq3orted malaria in Dalian, and provide scien- tific basis for malaria prevention and treatment. Methods Imported malaria cases iu 2012 in Dalian informatiou collectiou, description epidemiological methods to analyze its characteristics. Results 16 cases were detected in 2012 cases, all are imported cases, detection rate of 0. 239/10, 14 patients with a history of malaria. No obvious seasonal malaria, give priori- ty to with plasmodium falcipamm. Patients are all men, mostly offshore fishing workers and construction workers, mainly African input cases. Clinical expression is main symptom with high fever and chills, hot type is given priority to with per- sistent fever. 16 cases, to return to the longest 13 d, the shortest 0 d, an average of 6 d; Period to both the longest, shor- test 0 d, l0 d average 3 d. Conclusions 1）alian malaria cases were irr^rted eases, should strengthen the propaganda of nmlaria knowledge and technical training, strengthen medical personnel timely detection and effective treatment for n＇mlari- a. At the same time, the establishment of effective supervision mechanism of floating population is important.