中国寄生虫学与寄生虫病杂志 ›› 2010, Vol. 28 ›› Issue (6): 18-476-477.

• 研究简报 • 上一篇    下一篇

2005-2009年河南省输入性恶性疟疫情分析

张红卫*,苏云普,赵旭东,颜秋叶,刘颖,陈建设   

  1. 河南省疾病预防控制中心,郑州 450016
  • 出版日期:2010-12-31 发布日期:2011-03-07

Imported Falciparum Malaria Situation in Henan Province During 2005-2009

ZHANG Hong-wei*,SU Yun-pu,ZHAO Xu-dong,YAN Qiu-ye,LIU Ying,CHEN Jian-she   

  1. Henan Centre for Disease Control and Prevention,Zhengzhou 450016,China
  • Online:2010-12-31 Published:2011-03-07

摘要:   【提要】  收集2005-2009年河南省输入性恶性疟疫情报告资料进行分析。2005-2009年共报告输入性恶性疟84例,男女比例为20 ∶ 1,患者平均年龄为(34±11)岁,其中非洲回国人员75例(占89.3%)。2008年(24例)和2009年(32例)的病例数高于2005-2007年(9~10例)。发病风险居前3位的为农民(34例)、工人(17例)和干部(13例),三者占全部病例的76.2%。全年均有病例报告,其中流行季节的6、7月发病较高(37例, 占44.0%)。患者均有恶性疟疫区居留史,以发热为首发症状。从发病到确诊的平均天数为(5.9±8.6) d,仅21.4%(18/84)的患者24 h内确诊。实验室确诊病例72例(占85.7%)。县级医疗单位报告17例(占22.1%)。经复方青蒿素类药物治疗后83例痊愈,1例死于重症脑型疟。提示相关单位需采取有效措施控制上升的输入性恶性疟疫情。

关键词: 输入性恶性疟, 疫情, 河南

Abstract: 【Abstract】  Imported falciparum malaria data of Henan Province in 2005-2009 were collected and statistically analyzed by using Microsoft Office Excel 2003. A total of 84 imported falciparum malaria cases with one death were reported during 2005-2009. The ratio of males to females was 20 ∶ 1(80/4). The average age was (34±11) years old. Seventy-five patients returned from Africa, occupying 89.3%. The number of annual cases reported in 2008 (24 cases) and 2009 (32 cases) was higher than that in 2005-2007(9-10 cases). The top three high-risk populations were farmers (34 cases), workers (17 cases) and the cadre (13 cases), accounted for 76.2% of all cases. The cases were reported every month, of which 37 cases(44.0%) were reported in June and July. All cases had a history of prior residence in falciparum malaria endemic area, and the initial symptom was fever. The average interval from symptom appearing to diagnosis was (5.9 ± 8.6) d, only 21.4% (18/84) of the patients was diagnosed within 24 h. There were 72 laboratory-confirmed cases(85.7%). Seventeen cases (22.1%) were reported by county level medical treatment units. A total of 83 cases recovered with the treatment of artemisinin-based combination drugs. One case died with serious cerebral malaria. Effective measures should be carried to control the increasing trend of imported falciparum malaria.

Key words:  , Imported falciparum malaria;Epidemic situation;Henan