目的 分析涡阳县2005~2014年疟疾流行形势及趋势,为制定疟疾防治措施及消除疟疾提供科学依据。方法 收集涡阳县2005~2014年疟疾监测数据、疟疾病例调查等资料,对疟疾发病情况、感染来源及三间分布进行分析。结果 2005~2014年共报告疟疾病例21 462例,报告发病率从2005年的252.79/10万上升到2006年的568.21/10万,达到最高峰;随后逐年下降,2013年和2014年未报告本地感染疟疾病例。各年发病率呈现单峰分布,流行季节(5-10月)报告病例数占89.72%; 25个乡镇病例数居于前5位的是龙山、闸北、新兴、高炉和马店,报告病例数分别占全县总病例数的41.20％; 11～20岁年龄组占20.11％,农民和学生分别占67.37％和21.30％;2008年前后年龄分布差异有统计学意义(χ2=45.8716,P<0.0001)。结论 涡阳县疟疾发病水平已得到有效控制,2013年和2014无本地例报告,初步实现消除疟疾的目标。
Abstract
Objective To analyze the epidemic situation of malaria in Guo yang county from 2005 to 2014, and provide the evidence for drawing up the malaria control and elimination measures. Methods We collected epidemiological data of malaria cases in Guo yang county from 2005 to 2014. Then, the temporal, regional and population distribution of the malaria were analyzed. Results A total of 21 462 malaria cases were reported from 2005 to 2014, the proportion of cases during epidemic season was 89.72%; the incidence rate of malaria was an unimodal distribution, and the cases in epidemic season were higher than those of non epidemic season, which was statistically significant(P<0.0001). Morbidity increased from 2005 (252.79/105) to 2006 (568.21/105), then declined to 2013 (0) and 2014 (0). The first five main sources of case were Longshan, Zhabei, Xinxing, Gaolu and Madian townships, and the proportion were 10.86%, 9.46%, 8.56%, 7.08%, 5.23%, respectively. The sex ratio (male vs. female) was 1.33:1, and the patients aged from 11 to 20 was primary component (20.11%), and farmers and students accounted for 67.37% and 21.30%, respectively. Before and after 2008, the age distribution difference was statistically significant(χ2=45.8716, P<0.001). Conclusion The malaria epidemic situation has been effectively controlled in Guoyang county, and there was zero infection in 2013 and 2014. The goal of eliminating malaria was primarily realized.
关键词
疟疾 /
流行特点 /
发病趋势 /
消除疟疾 /
虫媒传染病
Key words
Malaria /
Epidemic situation /
Incidence trend /
Elimination /
Insect borne infectious disease
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 徐伟文. 疟疾流行态势及其防治[J]. 国外医学寄生虫病分册, 1999, 26(5): 200-203.
[2] 卫生部疾病预防控制局. 疟疾防治手册第3版[M]. 北京:人民卫生出社. 2007: 256.
[3] 谭冬梅, 麦霓薇, 胡淑芬, 等. 4项联合检测对骨髓增生异常综合征与巨幼细胞贫血鉴别诊断的临床意义[J]. 检验医学与临床, 2012, 9(9): 1042-1045.
[4] 焦玉萌, 方强, 谢曼, 等. 2006-2010年安徽省疟疾流行时空分布特征[J]. 蚌埠医学院学报, 2013, 38(7): 876-878.
[5] 李亚楠, 温亮, 李承毅, 等. 中国2006-2010年疟疾流行趋势分析[J]. 中国公共卫生,2013, 29(2): 263-265.
[6] 沈毓祖. 安徽省中华按蚊地区疟疾传播因素调查[J]. 中国病原生物学杂志, 2006, 1(4): 301-303.
[7] 张红卫, 苏云普, 许汴利. 河南省疟疾防治研究回顾[J]. 中国病原生物学杂志, 2006,1(1): 64-66.
[8] 余向华, 徐毅, 吴正可, 等. 蚊媒传染病气象因素分析[J]. 中国媒介生物学及控制杂志,2008, 19(1): 61-63.
[9] 王丽萍, 方立群, 许娴, 等. 安徽省2004-2006年疟疾环境影响因素研究[J]. 中华流行病学杂志, 2009, 30(1): 38-41.
[10] 王伟明, 周华云,曹俊,等.2005-2009年江苏省传疟媒介调查[J]. 中国血吸虫病防治杂志, 2011, 23(4): 453-456.
[11] 王敏, 汤林华,顾政诚,等.皖北中华按蚊传播疟疾密度阈值的研究[J]. 热带医学杂志, 2007, 7(6): 597-599.
[12] 刘永孝. 2003-2005年安徽省疟疾形势分析[J]. 中国病原学杂志, 2007, 2(6): 465-467.
[13] Liu YB, Hsiang MS, Zhou HY, et al. Malaria in overseas labourers returning to China:an analysis of imposed malaria in Jiangsu Province 2001-2011[J].Malaria J, 2014, 13: 29.
[14] Yin JH, Yang MN, Zhou SS, et al. Changing malaria transmission and Implications in China towards National Malaria Elimination Programme between 2010 and 2012[J]. PLOS ONE,2013, 8: e74228.
[15] 丰俊, 夏志贵. 2004-2013年中国疟疾发病情况及趋势分析[J]. 中国病原生物学杂志,2014, 9(5): 442-446.
[16] 夏志贵, 杨曼尼, 周水森. 2011年全国疟疾疫情分析[J]. 中国寄生虫学与寄生虫病杂志,2012, 30(6): 419-422.
[17] 曹俊, 周水森, 周华云, 等. 中国疟疾从控制走向消除阶段的目标策略和措施[J]. 中国血吸虫病防治杂志, 2013, 25(5): 439-443.
PDF(834 KB)
