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目的了解河南省输入性疟疾的流行现状和特征,为进一步加强输入性疟疾防治工作提供科学依据。方法对河南省近年疟疾年报表、网络直报数据及个案调查表进行统计和描述性分析。结果河南省近年输入性疟疾比率上升,2009~2013年输入性疟疾病例数分别为45、106、146、156和197例,占年发病总数的比例分别为2.78%、11.83%、46.50%、100%和100%;输入性疟疾全年均可发病,没有季节性限制;输入性疟疾患者主要为青壮年男性,男女性别比为45.43:1,平均年龄为37.27岁,主要集中在20~50岁;职业以农民、工人和民工为主;输入性疟疾发病较高的市主要为郑州、洛阳、濮阳等;病例感染地主要为非洲和东南亚等地。2013年对197例输入性疟疾确诊时间的中位数为4d,24h内确诊17例(8.63%),省级医疗机构确诊61例,县级疾控中心确诊60例,经药物治疗后193例痊愈,4例死亡。结论河南省输入疟疾形势严峻,各级疾控中心及相关部门应加大宣传力度,强化技术培训和疟疾防治工作力度,认真做好流动人口管理,做好疟疾防控工作。
Objective To understand the prevalence and characteristics of imported malaria in Henan Province and to provide a scientific basis for further strengthening the prevention and control of imported malaria. Methods Statistical and descriptive analysis were made on the malaria annual reports, online direct reporting data and case studies in Henan Province in recent years. Results The incidence of imported malaria in Henan Province increased in recent years. The number of imported malaria cases in 2009-2013 were 45,106,146,156 and 197, respectively, accounting for 2.78%, 11.83% and 46.50% of the total annual incidence respectively % And 100% respectively. The imported malaria can be infected throughout the year with no seasonal limitation. The main males with imported malaria are males and females, with a male-to-female ratio of 45.43: 1 and an average age of 37.27 years, mainly ranging from 20 to 50 years ; Occupations were dominated by peasants, laborers and migrant workers; the cities with the highest incidence of imported malaria were Zhengzhou, Luoyang and Puyang; the main cases of infection were in Africa and Southeast Asia. In 2013, the median diagnosis time of 197 cases of imported malaria was 4 days, 17 cases (8.63%) were confirmed within 24 hours, 61 cases were diagnosed by provincial medical institutions, 60 cases were diagnosed by CDC at county level, 193 cases by drug treatment Healed, 4 died. Conclusion The situation of malaria input in Henan Province is grim. CDC and relevant departments at all levels should step up publicity efforts, strengthen technical training and prevention and treatment of malaria, conscientiously do the management of floating population and do a good job in malaria prevention and control.