中国寄生虫学与寄生虫病杂志

• 震区防病 • 上一篇    下一篇

云南省沧源县地震灾后疟疾传播风险初步分析与评估

丰俊*,夏志贵,周水森,夏尚,王强,肖宁,周晓农   

  1. 中国疾病预防控制中心寄生虫病预防控制所,卫生部寄生虫病原与媒介生物学重点实验室,世界卫生组织疟疾、血吸虫病和丝虫病合作中心,国家级热带病国际联合研究中心,上海 200025
  • 出版日期:2015-08-30 发布日期:2015-09-10

Preliminary Evaluation of Potential Transmission Risk of Malaria after Earthquake in Cangyuan County, Yunnan Province

FENG Jun*, XIA Zhi-gui, ZHOU Shui-sen, WANG Qiang, XIAO Ning, ZHOU Xiao-nong   

  1. National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Key Laboratory of Parasite and Vector Biology, Ministry of Health;WHO Collaborating Center for Malaria, Schistosomiasis and Filariasis; National Center for International Research on Tropical Diseases, Shanghai 200025, China
  • Online:2015-08-30 Published:2015-09-10

摘要:

目的  评估云南省沧源县地震后疟疾传播风险和流行潜势。  方法  根据2005-2015年4月中国疾病预防控制中心传染病报告信息管理系统(网报系统)的疟疾疫情数据和各省疾病预防控制中心使用“疟疾防治工作调查表”上报的疟疾疫情数据(年报系统),采用描述流行病学方法对云南省沧源县近10年来疟疾疫情和震后流行因素进行分析。  结果  网报系统数据显示,2005-2015年4月云南省沧源县共报告疟疾病例799例,间日疟652例,恶性疟127例,未分型20例。其中,2006年报告病例数最多(326例),地震后班老乡报告1例本地恶性疟病例。疟疾病例主要分布在芒卡镇(320例,40.1%)、班老乡(191例,23.9%)、班洪乡(98例,12.3%)和勐懂镇(92例,11.5%)等4个乡(镇)。年报系统数据显示,沧源县2005-2015年4月共报告本地病例519例,占总病例的58.4%;输入性病例370例,占41.6%。除2006年本地病例报告所占比例低于15%,其余年份本地病例均高于65%以上。风险评估数据显示,沧源县西部乡镇疟疾传播风险指数较高,其中芒卡镇和勐角傣族彝族拉祜族乡的疟疾传播风险指数最高。  结论  云南省沧源县由于地震后自然、社会、生物等因素发生重大变化以及仍然存在传疟媒介,该地存在疟疾传播风险。

关键词: 疟疾, 传播风险, 评估, 沧源县, 地震

Abstract:

Objective  To evaluate the transmission risk and the prevalence potential of malaria in Cangyuan County after earthquake.  Methods  The malaria epidemiological data were collected through the web-based reporting system and the malaria statistics annual reporting system from 2005 to April 2015, and the epidemic factors of malaria after earthquake in the recent three years in Cangyuan County of Yunnan Province were analyzed.  Results  According to the web-based reporting system, 799 malaria cases were reported in Cangyuan County from 2005 to April 2015, of which 652 were vivax malaria, 127 falciparum malaria, and 20 unclassified. The highest number of cases occurred in 2006 (n=326), and one indigenous falciparum malaria case was reported after earchquake. In addition, the cases were mainly distributed in Mangka (n=320, 40.1%), Banlao (n=191, 23.9%), Banhong (n=98, 12.3%) and Mengdong (n=92, 11.5%). According to the annual reporting system, there were a total of 519 indigenous cases (58.4%) and 370 imported cases (41.6%) from 2005 to April 2015. The proportion of indigenous case was above 65% in each year except for 2006, when it was less than 15%. The risk indicator in western townships of Canyuan County was higher, especially in Mangka and Mengjiao.  Conclusions  There is a potential risk of malaria transmission in Cangyuan County of Yunnan province, due to the huge natural, social and biological alterations after earthquake and the yet presence of malaria transmission vehicle.

Key words: Malaria, Transmission risk, Evaluation, Cangyuan County, Earthquake