2005-2015年东海县输入性疟疾疫情分析

Analysis of epidemic situation of imported malaria in Donghai County from 2005 to 2015

目的：分析2005-2015年东海县输入性疟疾疫情及流行特征，掌握该县输入性疟疾发病特点及流行规律。方法收集2005-2015年该县输入性疟疾疫情相关资料，进行描述流行病学分析。结果2005-2015年东海县共报告输入性疟疾126例，其中恶性疟101例，占80.19%；卵形疟13例，占10.32%；间日疟7例，占5.56%；三日疟4例，占3.17%；混合感染1例，占0.79%。病例分布于14个乡（镇），主要集中在牛山、驼峰、石榴、黄川等4个乡（镇），共占病例总数的63.49%。全年均可发病，4月出现发病高峰，与病例归国时间有关。病例均为男性，年龄20～55岁，其中25～50岁占90.70%。结论近十年来东海县输入性疟疾疫情呈明显上升趋势，在防治上应以劳务输出、出国经商人员较多的牛山、驼峰、石榴、黄川等4个乡（镇）为重点，做好流动人口管理、疫点处置及蚊媒监测，并加大防治宣传力度。

Objective To understand the epidemic situation,epidemiological characteristics and clinical features of import？ed malaria in Donghai County,Lianyungang City from 2005 to 2015. Methods The epidemiological data of imported malaria in Donghai County from 2005 to 2015 were collected and analyzed by the descriptive epidemiological method. Results A total of 126 imported malaria cases were reported in Donghai County from 2005 to 2015,including 101 falciparum malaria cases （80.19%）,13 ovale malaria cases（10.32%）,7 vivax malaria cases（5.56%）,4 quartan malaria cases（3.17%）,and 1 case with mixed infection（0.79%）. These cases were distributed in 14 towns,and mainly in 4 towns namely Niushan,Tuofeng,Shil？iu,and Huangchuan,and the cases in the 4 towns accounted for 63.49% of the total cases. The cases occurred in the whole year,but the peak period of the disease was in April,which was related to the returned time of these patients from foreign coun？tries. All the patients were male and aged from 20 to 55 years,and those aged from 20 to 50 years accounted for 90.70%. Con？clusions The epidemic situation of imported malaria presents a rising trend in Donghai County in recent 10 years. To control imported malaria,the above？mentioned 4 towns with more migrant construction workers and businessmen should be treated as key areas. Meanwhile,the floating population management,disposal of the malaria epidemic spots,mosquito vector monitoring as well as health education should be strengthened.