云南省保山市隆阳区2010—2015年疟疾疫情分析

Analysis of malaria situation in Longyang District of Baoshan Prefecture, Yunnan, 2010-2015

目的调查分析保山市隆阳区疟疾患者特点,探索防治对策,完善疟疾防治措施。方法通过对保山市隆阳区疾控中心2010—2015年疟疾门诊就诊患者资料进行整理,用描述性流行病学从地区分布、时间分布、人群分布以及流动史等方面进行统计分析。结果 6年就诊患者640名,其中隆阳区居民560人,占87.50%,其他地区就诊患者80人,占12.50%;季节主要集中于6—9月份;男性516人,占80.62%;年龄主要集中于20~50岁之间;有流动史的就诊患者365人,占总就诊数的57.03%;共查出疟疾病人99人,其中18~50岁86人,占86.9%;输入性病例98人,占98.99%。结论隆阳区疟疾病例主要集中于6—9月份;发病以18~50岁的男性人群,特别是到过缅甸务工、探亲、经商的流动人员为主。提示隆阳区要加强上述流动人员的管理、监测和健康教育;加强基层医疗机构疟疾诊治能力建设,提高疟疾诊断和规范治疗能力;加强输入性疟疾管理,及时、规范地处理疫情,防止传播,以巩固消除疟疾成果。

Objective To investigation the malaria situation in Longyang District of Baoshan Prefecture from 2010 to 2015, so as to provide the evidence for improving malaria prevention and control interventions. Methods Through sorting the malaria case data in Longyang District CDC from 2010 to 2015, the malaria geographical distribution, time distribution, population distribution and migrant history were statistically analyzed by the descriptive epidemiological method. Results There were 640 malaria consulting outpatients in the six years, including 560 malaria consulting outpatients from Longyang Districts （87.5%）; there were 80 malaria consulting outpatients from other regions, accounting for 12.50%. The season distribution was mainly concentrated from June to September. There were 516 males, accounting for 80.62%. Most of the malaria consulting outpatients focused between 18 and 50 years old. There were 365 migrants, accounting for 57.03%, and 99 malaria outpatients were diagnosed, including 86 malaria outpatients whose age was from 18 to 50 years. There were 98 imported malaria cases （98.99%）. Conclusions In Longyang District, a seasonal distribution of malaria outpatients is focus from June to September. The male outpatients are more than the female outpatients. The age of the most outpatients is between 20 and 50 years. Most of these malaria outpatients are migrating population and they had been in Myanmar. So, we should strengthen the management, monitoring and health education in migrating population in Longyang District, and also strengthen the construction of basic medical institutions.