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目的分析2006—2016年保山市隆阳区疟疾疫情及流行特征,为制定和调整消除疟疾策略提供依据。方法通过收集2006—2016年保山市网络直报疟疾疫情数据,对疟疾发病情况、病例时间、地区、人群等分布特征进行分析。结果 2006—2016年隆阳区共发病1 135例,年平均发病率1.17/万,输入性病例1 118例,本地感染病例17例;其中间日疟836例(73.66%),恶性疟278例(24.49%),未分型21例(1.85%);发病高峰4—7月,共603例(53.13%);男性1 025例(90.31%),女性110例(9.69%);年龄分布以20~50岁组为主,发病916例(80.70%);农民为主要风险人群共发病1 064例(93.74%);各乡镇发病前三位分别是板桥镇、辛街乡、西邑乡,分别发病238例(20.97%)、135例(11.89%)、90例(7.93%)。结论隆阳区2006—2016年疟疾发病整体呈下降趋势,自2011年均为输入性病例。流动人员的管理,疟疾防治知识培训及健康教育,发热患者血检是疟疾防控的重点。
Objective To analyze the epidemic and epidemic characteristics of malaria in Longyang District of Baoshan City from 2006 to 2016 and provide the basis for formulating and adjusting malaria elimination strategies. Methods By collecting data of direct malaria epidemic in Baoshan City from 2006 to 2016, the distribution characteristics of malaria, the time of the case, the region and the population were analyzed. Results A total of 1 135 cases were found in Longyang district from 2006 to 2016, with an annual average incidence of 1.17 / 10000. Among them, 1 118 were imported and 17 were locally infected. Among them, 836 (73.66%) were Plasmodium falciparum, 278 (24.49%), 21 cases (1.85%) were un-typed, 603 cases (53.13%) were peaked from April to July. There were 1 025 males (90.31%) and 110 females (9.69% The incidence of the disease was 916 cases (80.70%) in the age group of 20 ~ 50 years; 1 064 cases (93.74%) were common risk of the peasants in the main risk groups; the top three in the incidence of each township were Banqiao Town, Xinjie Town, Xiyi Town, There were 238 cases (20.97%), 135 cases (11.89%) and 90 cases (7.93%) respectively. Conclusion The overall incidence of malaria in Longyang District decreased from 2006 to 2016, and all cases were imported since 2011. The management of mobile workers, malaria prevention and treatment knowledge training and health education, blood tests in febrile patients is the focus of prevention and control of malaria.