摘要
目的分析保山市“十三五”期间疟疾疫情及防治工作开展情况,为保山市消除疟疾后防止输入再传播提供参考。方法通过中国疾病预防控制信息系统,以及相关报表,收集保山市2016-2020年疟疾疫情数据及防治资料,建立数据库进行统计分析。结果2016-2020年,按照现住址浏览,保山市共报告疟疾病例250例,年平均发病率0.19/万,较“十二五”期间下降80.78%。病例分型以间日疟为主占94.80%(237/250),恶性疟占4.80%(12/250),三日疟占0.40%(1/250)。均为输入性病例,以缅甸输入为主,占90.80%(227/250)。发病数以腾冲市最高占66.00%(165/250),昌宁县最少占1.20%(3/250)。2016年发病最多占43.20%(108/250),2020年最少占10.40%(26/250)。发病高峰在4-7月,发病数137例(54.80%)。以男性发病为主,占84.00%(210/250)。农民为高风险人群,发病230例(92.00%)。以20~54岁青壮年发病为主,占89.60%(224/250)。结论保山市疟疾防治成效明显,实现了连续7年无本地感染病例目标,但保山市与疟疾高发区缅甸毗邻,边境线长,加之特殊的地理环境因素,疟疾防控形势依然严峻,要进一步加强监测和管理,落实“1-3-7”综合防治措施,巩固消除疟疾成果。
Objective To analyze the malaria epidemic situation and prevention and control work in Baoshan city during the13th Five-Year Plan period,and provide reference for the prevention of malaria importation and re-transmission in Baoshan city.Methods The malaria epidemic data and prevention data in Baoshan city from 2016 to 2020 were collected through The China Disease Control and Prevention Information System and related reports,and a database was established for statistical analysis.Results From 2016 to 2020,a total of 250 malaria cases were reported in Baoshan city according to the current address,with an average annual incidence of 0.19/10000;down 80.78%when compared with the 12th FiveYear Plan period.Plasmodium vivax malaria accounted for 94.80%(237/250)of the total cases.Falciparum malaria accounted for 4.80%(12/250)and Malariae malaria 0.40%(1/250).All cases were imported,mostly from Myanmar,accounting for 90.80%(227/250)of the total cases;Tengchong city accounted for 66.00%(165/250)of the total cases;Changning county was the least,accounting for 1.20%(3/250).The most cases occurred in 2016,accounting for 43.20%(108/250)of the total cases.In 2020,it was the least,accounting for 10.40%(26/250).The peak period was from April to July,with 137 cases,accounting for 54.80%of the total cases.Most of the cases were male,accounting for 84.00%(210/250).Farmers were at high risk,with 230 cases,accounting for 92.00%of the total cases.The incidence rate was 89.60%(224/250)among young adults aged 20-54.Conclusions Malaria prevention and control in Baoshan city has achieved remarkable results,achieving the goal of no local infection cases for 7 consecutive years.However,Baoshan city is adjacent to Myanmar,a high-risk area of malaria,with a long border,and special geographical environment factors.The situation of malaria prevention and control is still severe,and further monitoring should be strengthened,and the 1-3-7 comprehensive prevention and control measures should be implemented to consolidate the results of malaria elimination.
作者
杨和仙
聂凡刚
杨明强
李加全
YANG He-xian;NIE Fan-gang;YANG Ming-qiang;LI Jia-quan(Baoshan Center for Disease Control and Prevention,Baoshan,Yunnan 678000,China)
出处
《热带医学杂志》
CAS
2022年第10期1441-1443,1449,共4页
Journal of Tropical Medicine
关键词
疟疾
流行特征
保山市
Malaria
Epidemic characteristics
Baoshan city
作者简介
Corresponding author:杨和仙(1978-),女,本科,副主任医师,主要从事寄生虫病预防控制工作,E-mail:570738501@qq.com
