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目的分析2005-2014年无锡市疟疾流行情况,为寻求适合本地的疟疾防控措施提供科学依据。方法收集并分析2005-2014年网络报告的无锡市疟疾疫情数据,建立数据库,并进行统计分析。结果 10年来共报告疟疾病例201例,其中本地病例52例,输入性病例149例。2005-2009年报告病例156例,恶性疟6例;2010-2014年报告病例45例,恶性疟23例;2005-2009年男女性别比2.39:1,民工、农民、工人构成比分别为41.03%、17.95%、9.62%;2010-2014年男女性别比10.25:1,工人、农民、民工构成比分别为37.78%、11.11%、6.67%;每年5-10月为发病高峰;2005-2009年以疾控中心报病为主,2010-2014年以综合性医疗机构报病为主,且恶性疟占所有报告病例的比例有所上升。结论有效控制输入性疟疾病例是无锡市今后疟疾防治工作的重点;基层医疗机构工作人员疟疾诊治能力有待提高。
Objective To analyze the prevalence of malaria in Wuxi from 2005 to 2014 and provide a scientific basis for seeking malaria prevention and control measures suitable for the local area. Methods Collect and analyze the data of malaria epidemic in Wuxi City from 2005 to 2014, establish the database and carry out statistical analysis. Results A total of 201 malaria cases were reported over the past 10 years, including 52 local cases and 149 imported cases. 156 cases were reported in 2005-2009, 6 cases were falciparum malaria, 45 cases were reported in 2010-2014, 23 cases were falciparum malaria. The male-female ratio was 2.39: 1 in 2005-2009, and the proportions of migrant workers, peasants and workers were 41.03% , 17.95% and 9.22% respectively. The ratio of male to female was 10.25: 1 in 2010-2014, and the proportions of workers, peasants and migrant workers were 37.78%, 11.11% and 6.67% respectively. The peak incidence was from May to October each year. From 2005 to 2009, The Centers for Disease Control and Prevention (CDC) reported the disease mainly in 2010-2014, and the proportion of all reported cases of falciparum malaria increased. Conclusion Effective control of imported cases of malaria is the focus of future malaria prevention and control work in Wuxi City. The malaria diagnosis and treatment ability of staff in grass-roots medical institutions needs to be improved.