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目的分析2013年广州市越秀区输入性疟疾疫情,为进一步加强输入性疟疾防治工作提供科学依据。对2013年广州市越秀区输入性疟疾疫情报告数据进行描述性分析。结果 2013年广州市越秀区输入性疟疾64例,其中恶性疟55例(85.94%),间日疟7例(10.94%),首次发现卵形疟2例(3.12%);病例中男女比例为5.4:1,患者平均年龄为(36.06±8.65)岁,病例主要来源:非洲外籍来华经商25例(39.06%),病例外出主要为境外劳务输出25例(39.06%);全年均有病例报告,按照主要输入源地区非洲旱季(10~次年3月)30例,雨季(4~9月)34例,季节性分布不明显。患者发病24 h内确诊的仅12例,占18.75%,经药物治疗后治愈63例,死亡1例。结论应加强境外疟疾流行区回国人员的筛查和健康教育,提高基层单位诊治能力,避免死亡病例发生和继发性传播风险。
Objective To analyze the epidemic situation of imported malaria in Yuexiu District of Guangzhou City in 2013 and provide a scientific basis for further strengthening the prevention and control of imported malaria. The descriptive analysis of imported malaria epidemic reporting data in Yuexiu District of Guangzhou City in 2013 was conducted. Results In 2013, 64 cases of imported malaria were found in Yuexiu District of Guangzhou City, including 55 cases of falciparum malaria (85.94%), 7 cases of vivax malaria (10.94%) and 2 cases (3.12%) of oval-shaped malaria cases for the first time. 5.4: 1, the average age of patients was (36.06 ± 8.65) years old. The main sources of the cases were: 25 cases (39.06%) of foreigners coming to China for doing business in China; 25 cases (39.06% According to the report, there are 30 cases of dry season in Africa (March to March) and 34 cases of rainy season (April to September) in the main input regions. The seasonal distribution is not obvious. Only 12 cases were diagnosed within 24 hours after onset of the disease, accounting for 18.75%. 63 cases were cured after drug treatment and 1 case died. Conclusions Screening and health education should be strengthened for returnees in malaria-endemic areas outside the country, and the diagnosis and treatment of grass-roots units should be enhanced to avoid the risk of death and secondary transmission.