Total 40 681 malaria cases and 129 147 suspected cases with 52 deaths were reported by the case reporting system in 910 counties of 21 Provinces/Municipality/Autonomous Region(P/M/A) in 2003,and the annual incidence w...Total 40 681 malaria cases and 129 147 suspected cases with 52 deaths were reported by the case reporting system in 910 counties of 21 Provinces/Municipality/Autonomous Region(P/M/A) in 2003,and the annual incidence was 0.39/10 000,an increase of 15.3% than that of the last year,which is the third year that malaria incidence consecutively increased since 2001.Based on a baseline survey in the project funded by the Global Fund to Fight AIDS,Tuberculosis and Malaria(GFATM),the estimated number of malaria cases was about 740 000 in 2003,18 times more than reported. Among the 910 counties with reported malaria cases,29 counties with an incidence more than 10/10 000 distributed in Yunnan(17 counties),Hainan(9),Anhui(1),Hubei(1) and Henan(1).There were 69 counties in which the malaria incidence was between 1/10 000 and 10/10 000. The number of Plasmodium falciparum malaria cases was 4 727,accounting for 11.6% of the total cases,of which 13.1%(621) were imported cases reported in 107 counties/cities of 16 P/M/A.Indigenous falciparum malaria was found in 78 counties/cities of Yunnan and Hainan Provinces,of which 64 counties/cities were in Yunnan,increased by 22,14 counties/cities were in Hainan,decreased by 2 compared to that of 2002. Yunnan and Hainan are still the relatively high transmission areas.Yunnan has ranked No.1 in the country in terms of the number of cases while Hainan ranked No.1 by malaria incidence in recent years.21 788 malaria cases were reported from the two provinces in 2003,accounting for 53.6% of the total reported cases in the country.There were 15 431 cases with 43 deaths reported from Yunnan,the incidence was 4.24/10 000,with an increase of 26.3% than that in the last year.Among the reported cases,3 529 were falciparum malaria,increased by 22.9% in comparison to 2002.The number of reported cases in Hainan was 6 357,with an incidence of 7.94/10 000,19.6% increase than the last year. In central China,the re,emergence of malaria was considerable in provinces along the Huai River,especially in Anhui Province.It should be stressed that the proportion of malaria cases was increasing in Anopheles sinensis transmitted areas where malaria was almost under control in the 1990s.The number of malaria cases in Anhui has been the second largest in the country since 2001.8 025 malaria cases and 18 533 suspected cases were reported from Anhui in 2003,accounting for 19.7% of the total cases in the country,with an incidence of 1.53/10 000 increased by 59.4% than that in 2002.Hubei Province reported 5 334 malaria cases with an incidence of 1.2/10 000,increased by 33.3%.The number of reported cases in Henan and Jiangsu Provinces was 2 448 and 638 and the incidence decreased by 24.1% and 12.7% respectively.Focal outbreaks occurred in 222 villages of 9 counties in Anhui,Hubei and Jiangsu,where Anopheles sinensis is the principal transmission vector.Malaria cases reported from the above 4 provinces accounted for over 40% of the national figure. Cases reported from other P/M/A in the South and East China occupied about 6% of the total with certain degree of decrease,several hundreds from each of Guizhou,Guangxi,Sichuan,Guangdong,Fujian,Chongqing,Zhejiang,Shanghai and Hunan,more than 50% of which were imported cases.Less than 100 cases were reported from each of Shandong,Jiangxi,Liaoning,Shaanxi,Shanxi and Gansu Provinces in 2003. In summary,malaria is still an important problem of public health in China,especially in the southern and central parts where the incidence has been increasing since 2001.Yunnan and Hainan still faced critical situation of malaria endemics with a spread of Plasmodium falciparum,especially in the 25 border counties in Yunnan.In the central part of the country including Anhui,Hubei,Henan and Jiangsu,where Anopheles sinensis was the principal vector,the malaria prevalence was highly unstable with frequent focal outbreaks in areas along the Huai River,which revealed new challenges to the malaria control program in China.Meanwhile,opportunities also exist with the support of the GFATM and the government,the latter paid much closer attention recently to issues in relation to public health.展开更多
In 2004, {38 972} malaria cases and {106 704} suspected cases with 31 deaths were reported by the annual case reporting system in {1 005} counties of 23 Provinces/Municipality/Autonomous Region (P/M/A) and the annual ...In 2004, {38 972} malaria cases and {106 704} suspected cases with 31 deaths were reported by the annual case reporting system in {1 005} counties of 23 Provinces/Municipality/Autonomous Region (P/M/A) and the annual incidence was 0^38/{10 000}, a decrease of 4^2% than that of the last year, which is the year that the disease was slightly rolled back after consecutively increased since 2001. As an important development of the case reporting system,the internet reporting system started in 2004,majority of the malaria cases ({38 254}) were reported through internet from {1 074} counties of all the 30 P/M/A except Qinghai Province. ;Among the {1 005} counties with reported malaria cases, 32 counties were with an incidence of more than 10/{10 000} distributing in Yunnan (19 counties), Hainan (10) and Anhui (3). There were 61 counties in which the malaria incidence was between 1/{10 000} and 10/{10 000}.The number of Plasmodium falciparum malaria cases was 4 891, accounting for 12^6% of the total cases, of which 35^0% (1 714) were imported cases reported in 174 counties/cities of 18 P/M/A. Indigenous falciparum malaria was found in 45 counties/cities of Yunnan and Hainan Provinces, of which 29 counties/cities were in Yunnan, decreased by 35, 16 were in Hainan, increased by 2 compared to that of 2003.;Yunnan and Hainan Provinces are still the relatively high transmission areas. Yunnan has ranked No^1 in the country in terms of the number of cases while Hainan ranked No^1 by malaria incidence in recent years. {22 247} malaria cases were reported from the two provinces in 2004, accounting for 57^1% of the total reported cases in the country. There were {12 865} cases with 25 deaths reported from Yunnan, and the incidence was 3^09/{10 000}, a decrease of 16^6% than that in the last year. Among the reported cases, {3 251} were falciparum malaria, decreased by 7^9% in comparison to 2003. The number of reported cases in Hainan was 9 832, with an incidence of 11^64/{10 000}, 46^6% increase than the last year.;In central China, the re-emergence of malaria was considerable in provinces along the Huai River, especially in Anhui Province. The case number in Anhui has been the second or third largest in the country since 2001. {8 909} malaria cases and {14 542} suspected cases were reported from the Province in 2004, accounting for 22^9% of the total cases in the country, with an incidence of 1^38/{10 000} increased by 9^8% than that in 2003. Hubei reported {2 714} malaria cases with an incidence of 0^47/{10 000}, decreased by 60^8%. The number of reported cases in Henan was 2 211, decreased by 43^1%. 676 cases were reported from Jiangsu, almost the same as that in 2003. Focal outbreaks occurred in 109 villages of 13 counties in Anhui, Hubei and Jiangsu, where Anopheles sinensis is the principal transmission vector. Malaria cases reported from the above 4 provinces accounted for 37^2% of the national figure. ;Cases reported from Guizhou, Sichuan, Guangxi, Guangdong, Zhejiang, Shanghai and Hunan in southeast China occupied about 5% of the total cases, over 50% of which were imported cases. Less than 100 cases were reported from each of Fujian, Chongqing, Shandong, Jiangxi, Liaoning, Shaanxi, Shanxi, Gansu, Xinjiang and Heilongjiang Provinces in the year. ;In summary, although malaria cases slightly decreased after several years’ consecutive increase, malaria is still an important problem of public health in China, especially in the southern and central parts. Yunnan and Hainan still face a critical situation of malaria endemics with the spread of P.falciparum, especially in the 25 border counties in Yunnan. In central parts of the country, especially in Anhui, malaria prevalence was highly unstable with frequent focal outbreaks in areas along the Huai River, which reveals new challenges to the national malaria control program.展开更多
Totally,42 319 malaria cases and 57 787 suspected cases with 48 deaths were reported by the Annual Case Repor-ting System in 1186 counties of 21 Provinces/Municipality/Autonomous Region(P/M/A) in 2005,and the annual i...Totally,42 319 malaria cases and 57 787 suspected cases with 48 deaths were reported by the Annual Case Repor-ting System in 1186 counties of 21 Provinces/Municipality/Autonomous Region(P/M/A) in 2005,and the annual incidence was 0.59/10 000,an increase of 55.3% than that of the last year.Through the Case Reporting Information System,an internet reporting process started in 2004,40 371 malaria cases were reported from 1 075 counties of 31 P/M/A.The number of malaria cases and the rank of P/M/A were basically in concordance by the two systems.Among the 1186 counties with reported malaria cases,27 counties had an incidence of more than 10/10 000 distributed in Yunnan(15 counties),Hainan(7 counties) and Anhui(5 counties).There were 80 counties in which the malaria incidence was between 1/10 000 and 10/10 000.The number of Plasmodium falciparum malaria cases was 4 146,accounting for 9.8% of the total cases,of which 63.5%(2 632) were imported cases in 178 counties/cities of 18 P/M/A.Indigenous falciparum malaria was found in 47 counties/cities of Yunnan and Hainan Provinces,of which 31 counties/cities were in Yunnan,increased by 29,16 counties/cities were in Hainan,same with that of 2004.Yunnan and Hainan Provinces are still relatively high transmission areas.Yunnan ranked No.2 in the country in terms of the number of cases while Hainan ranked No.1 by malaria incidence in 2005.19 588 malaria cases were reported from the two provinces in 2005,accounting for 46.3% of the total reported cases in the country.There were 15 072 cases with 38 deaths reported from Yunnan,the incidence was 4.95/10 000,an increase of 60.2% than that in the last year.Among the reported cases,3 497 were falciparum malaria with 69.0% imported from the bordering nations.The number of reported cases in Hainan was 4 516,with an incidence of 5.46/10 000,53.1% decrease than the last year.In central China,the resurgence of malaria was considerable in provinces along the Huai River,especially in Anhui Province.The number of malaria cases in Anhui came to the highest in the country in 2005,with 15 681 malaria cases and 7 662 suspected cases reported,accounting for 37.5% of the total cases in the country,and an incidence of 2.45/10 000,increased by 77.5% than that in 2004.The number of reported cases in Henan Province was 2 349,increased by 55.2% in incidence.Hubei Province reported 1 564 malaria cases with an incidence of 0.27/10 000,decreased by 42.6%.651 cases were reported from Jiangsu Province,almost the same as that in 2004.Focal outbreaks occurred in 277 villages of 20 counties in Anhui,Hubei and Jiangsu,where Anopheles sinensis is the principal transmission vector.Malaria cases reported from the above 4 provinces accounted for 47.8% of the national figure,increased approximately by 10% than the last year.Cases reported from P/M/A in the South and East China occupied about 4.9% of the total,similar to that in 2004.Several hundreds were reported from each of Guizhou,Sichuan,Guangxi,Guangdong,Zhejiang,Shanghai and Hunan.Less than 100 cases were reported from each of Fujian,Chongqing,Shandong,Shanghai,Jiangxi,Liaoning,Shaanxi,Shanxi and Gansu Provinces in 2005.High attention should be paid to Guizhou and Tibet.Focal outbreaks occurred in Guizhou for consecutive 4 years,and malaria cases in 2005 double increased than the last year.77.8% of the reported cases were indigenous patients,which implied that local transmission resulting from imported malaria cases has become a major problem in Guizhou.93 malaria cases were reported from Linzhi District of the Tibetan Autonomous Region in 2005,76 cases more than that in 2004.In summary,malaria is still an important problem of public health in China,especially in the southern and central parts.Yunnan and Hainan still faced a severe situation of malaria endemics with the spread of Plasmodium falciparum,especially imported malaria in the 25 border counties in Yunnan.In the central part of the country,especially Anhui Province,the malaria prevalence was highly unstable with frequent focal outbreaks in areas along the Huai River,which revealed new challenges to the malaria control program in China.In addition,more attention needs to be paid to the malaria control in Guizhou and Tibet.展开更多
文摘Total 40 681 malaria cases and 129 147 suspected cases with 52 deaths were reported by the case reporting system in 910 counties of 21 Provinces/Municipality/Autonomous Region(P/M/A) in 2003,and the annual incidence was 0.39/10 000,an increase of 15.3% than that of the last year,which is the third year that malaria incidence consecutively increased since 2001.Based on a baseline survey in the project funded by the Global Fund to Fight AIDS,Tuberculosis and Malaria(GFATM),the estimated number of malaria cases was about 740 000 in 2003,18 times more than reported. Among the 910 counties with reported malaria cases,29 counties with an incidence more than 10/10 000 distributed in Yunnan(17 counties),Hainan(9),Anhui(1),Hubei(1) and Henan(1).There were 69 counties in which the malaria incidence was between 1/10 000 and 10/10 000. The number of Plasmodium falciparum malaria cases was 4 727,accounting for 11.6% of the total cases,of which 13.1%(621) were imported cases reported in 107 counties/cities of 16 P/M/A.Indigenous falciparum malaria was found in 78 counties/cities of Yunnan and Hainan Provinces,of which 64 counties/cities were in Yunnan,increased by 22,14 counties/cities were in Hainan,decreased by 2 compared to that of 2002. Yunnan and Hainan are still the relatively high transmission areas.Yunnan has ranked No.1 in the country in terms of the number of cases while Hainan ranked No.1 by malaria incidence in recent years.21 788 malaria cases were reported from the two provinces in 2003,accounting for 53.6% of the total reported cases in the country.There were 15 431 cases with 43 deaths reported from Yunnan,the incidence was 4.24/10 000,with an increase of 26.3% than that in the last year.Among the reported cases,3 529 were falciparum malaria,increased by 22.9% in comparison to 2002.The number of reported cases in Hainan was 6 357,with an incidence of 7.94/10 000,19.6% increase than the last year. In central China,the re,emergence of malaria was considerable in provinces along the Huai River,especially in Anhui Province.It should be stressed that the proportion of malaria cases was increasing in Anopheles sinensis transmitted areas where malaria was almost under control in the 1990s.The number of malaria cases in Anhui has been the second largest in the country since 2001.8 025 malaria cases and 18 533 suspected cases were reported from Anhui in 2003,accounting for 19.7% of the total cases in the country,with an incidence of 1.53/10 000 increased by 59.4% than that in 2002.Hubei Province reported 5 334 malaria cases with an incidence of 1.2/10 000,increased by 33.3%.The number of reported cases in Henan and Jiangsu Provinces was 2 448 and 638 and the incidence decreased by 24.1% and 12.7% respectively.Focal outbreaks occurred in 222 villages of 9 counties in Anhui,Hubei and Jiangsu,where Anopheles sinensis is the principal transmission vector.Malaria cases reported from the above 4 provinces accounted for over 40% of the national figure. Cases reported from other P/M/A in the South and East China occupied about 6% of the total with certain degree of decrease,several hundreds from each of Guizhou,Guangxi,Sichuan,Guangdong,Fujian,Chongqing,Zhejiang,Shanghai and Hunan,more than 50% of which were imported cases.Less than 100 cases were reported from each of Shandong,Jiangxi,Liaoning,Shaanxi,Shanxi and Gansu Provinces in 2003. In summary,malaria is still an important problem of public health in China,especially in the southern and central parts where the incidence has been increasing since 2001.Yunnan and Hainan still faced critical situation of malaria endemics with a spread of Plasmodium falciparum,especially in the 25 border counties in Yunnan.In the central part of the country including Anhui,Hubei,Henan and Jiangsu,where Anopheles sinensis was the principal vector,the malaria prevalence was highly unstable with frequent focal outbreaks in areas along the Huai River,which revealed new challenges to the malaria control program in China.Meanwhile,opportunities also exist with the support of the GFATM and the government,the latter paid much closer attention recently to issues in relation to public health.
文摘In 2004, {38 972} malaria cases and {106 704} suspected cases with 31 deaths were reported by the annual case reporting system in {1 005} counties of 23 Provinces/Municipality/Autonomous Region (P/M/A) and the annual incidence was 0^38/{10 000}, a decrease of 4^2% than that of the last year, which is the year that the disease was slightly rolled back after consecutively increased since 2001. As an important development of the case reporting system,the internet reporting system started in 2004,majority of the malaria cases ({38 254}) were reported through internet from {1 074} counties of all the 30 P/M/A except Qinghai Province. ;Among the {1 005} counties with reported malaria cases, 32 counties were with an incidence of more than 10/{10 000} distributing in Yunnan (19 counties), Hainan (10) and Anhui (3). There were 61 counties in which the malaria incidence was between 1/{10 000} and 10/{10 000}.The number of Plasmodium falciparum malaria cases was 4 891, accounting for 12^6% of the total cases, of which 35^0% (1 714) were imported cases reported in 174 counties/cities of 18 P/M/A. Indigenous falciparum malaria was found in 45 counties/cities of Yunnan and Hainan Provinces, of which 29 counties/cities were in Yunnan, decreased by 35, 16 were in Hainan, increased by 2 compared to that of 2003.;Yunnan and Hainan Provinces are still the relatively high transmission areas. Yunnan has ranked No^1 in the country in terms of the number of cases while Hainan ranked No^1 by malaria incidence in recent years. {22 247} malaria cases were reported from the two provinces in 2004, accounting for 57^1% of the total reported cases in the country. There were {12 865} cases with 25 deaths reported from Yunnan, and the incidence was 3^09/{10 000}, a decrease of 16^6% than that in the last year. Among the reported cases, {3 251} were falciparum malaria, decreased by 7^9% in comparison to 2003. The number of reported cases in Hainan was 9 832, with an incidence of 11^64/{10 000}, 46^6% increase than the last year.;In central China, the re-emergence of malaria was considerable in provinces along the Huai River, especially in Anhui Province. The case number in Anhui has been the second or third largest in the country since 2001. {8 909} malaria cases and {14 542} suspected cases were reported from the Province in 2004, accounting for 22^9% of the total cases in the country, with an incidence of 1^38/{10 000} increased by 9^8% than that in 2003. Hubei reported {2 714} malaria cases with an incidence of 0^47/{10 000}, decreased by 60^8%. The number of reported cases in Henan was 2 211, decreased by 43^1%. 676 cases were reported from Jiangsu, almost the same as that in 2003. Focal outbreaks occurred in 109 villages of 13 counties in Anhui, Hubei and Jiangsu, where Anopheles sinensis is the principal transmission vector. Malaria cases reported from the above 4 provinces accounted for 37^2% of the national figure. ;Cases reported from Guizhou, Sichuan, Guangxi, Guangdong, Zhejiang, Shanghai and Hunan in southeast China occupied about 5% of the total cases, over 50% of which were imported cases. Less than 100 cases were reported from each of Fujian, Chongqing, Shandong, Jiangxi, Liaoning, Shaanxi, Shanxi, Gansu, Xinjiang and Heilongjiang Provinces in the year. ;In summary, although malaria cases slightly decreased after several years’ consecutive increase, malaria is still an important problem of public health in China, especially in the southern and central parts. Yunnan and Hainan still face a critical situation of malaria endemics with the spread of P.falciparum, especially in the 25 border counties in Yunnan. In central parts of the country, especially in Anhui, malaria prevalence was highly unstable with frequent focal outbreaks in areas along the Huai River, which reveals new challenges to the national malaria control program.
文摘Totally,42 319 malaria cases and 57 787 suspected cases with 48 deaths were reported by the Annual Case Repor-ting System in 1186 counties of 21 Provinces/Municipality/Autonomous Region(P/M/A) in 2005,and the annual incidence was 0.59/10 000,an increase of 55.3% than that of the last year.Through the Case Reporting Information System,an internet reporting process started in 2004,40 371 malaria cases were reported from 1 075 counties of 31 P/M/A.The number of malaria cases and the rank of P/M/A were basically in concordance by the two systems.Among the 1186 counties with reported malaria cases,27 counties had an incidence of more than 10/10 000 distributed in Yunnan(15 counties),Hainan(7 counties) and Anhui(5 counties).There were 80 counties in which the malaria incidence was between 1/10 000 and 10/10 000.The number of Plasmodium falciparum malaria cases was 4 146,accounting for 9.8% of the total cases,of which 63.5%(2 632) were imported cases in 178 counties/cities of 18 P/M/A.Indigenous falciparum malaria was found in 47 counties/cities of Yunnan and Hainan Provinces,of which 31 counties/cities were in Yunnan,increased by 29,16 counties/cities were in Hainan,same with that of 2004.Yunnan and Hainan Provinces are still relatively high transmission areas.Yunnan ranked No.2 in the country in terms of the number of cases while Hainan ranked No.1 by malaria incidence in 2005.19 588 malaria cases were reported from the two provinces in 2005,accounting for 46.3% of the total reported cases in the country.There were 15 072 cases with 38 deaths reported from Yunnan,the incidence was 4.95/10 000,an increase of 60.2% than that in the last year.Among the reported cases,3 497 were falciparum malaria with 69.0% imported from the bordering nations.The number of reported cases in Hainan was 4 516,with an incidence of 5.46/10 000,53.1% decrease than the last year.In central China,the resurgence of malaria was considerable in provinces along the Huai River,especially in Anhui Province.The number of malaria cases in Anhui came to the highest in the country in 2005,with 15 681 malaria cases and 7 662 suspected cases reported,accounting for 37.5% of the total cases in the country,and an incidence of 2.45/10 000,increased by 77.5% than that in 2004.The number of reported cases in Henan Province was 2 349,increased by 55.2% in incidence.Hubei Province reported 1 564 malaria cases with an incidence of 0.27/10 000,decreased by 42.6%.651 cases were reported from Jiangsu Province,almost the same as that in 2004.Focal outbreaks occurred in 277 villages of 20 counties in Anhui,Hubei and Jiangsu,where Anopheles sinensis is the principal transmission vector.Malaria cases reported from the above 4 provinces accounted for 47.8% of the national figure,increased approximately by 10% than the last year.Cases reported from P/M/A in the South and East China occupied about 4.9% of the total,similar to that in 2004.Several hundreds were reported from each of Guizhou,Sichuan,Guangxi,Guangdong,Zhejiang,Shanghai and Hunan.Less than 100 cases were reported from each of Fujian,Chongqing,Shandong,Shanghai,Jiangxi,Liaoning,Shaanxi,Shanxi and Gansu Provinces in 2005.High attention should be paid to Guizhou and Tibet.Focal outbreaks occurred in Guizhou for consecutive 4 years,and malaria cases in 2005 double increased than the last year.77.8% of the reported cases were indigenous patients,which implied that local transmission resulting from imported malaria cases has become a major problem in Guizhou.93 malaria cases were reported from Linzhi District of the Tibetan Autonomous Region in 2005,76 cases more than that in 2004.In summary,malaria is still an important problem of public health in China,especially in the southern and central parts.Yunnan and Hainan still faced a severe situation of malaria endemics with the spread of Plasmodium falciparum,especially imported malaria in the 25 border counties in Yunnan.In the central part of the country,especially Anhui Province,the malaria prevalence was highly unstable with frequent focal outbreaks in areas along the Huai River,which revealed new challenges to the malaria control program in China.In addition,more attention needs to be paid to the malaria control in Guizhou and Tibet.