中国寄生虫学与寄生虫病杂志

• 论著 •    下一篇

安徽省1999-2013年疟疾疫情特征分析

许娴,李卫东*,姜静静,张滔,王建军   

  1. 安徽省疾病预防控制中心,合肥 230601
  • 出版日期:2015-02-28 发布日期:2015-05-04

Analysis of Malaria Epidemic Characteristics in Anhui Province#br#  during 1999-2013

XU Xian,LI Wei-dong*,JIANG Jing-jing,ZHANG Tao,WANG Jian-jun   

  1. Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,China
  • Online:2015-02-28 Published:2015-05-04

摘要:

目的  分析安徽省1999-2013年疟疾疫情特征。  方法  回顾全省疟疾疫情和流行病学调查资料,通过Microsoft Office Excel 2007和MapInfo Professional 7.0软件分析和制图。  结果  1999-2013年,疫情经历了逐步上升转为快速下降的过程。1999-2006年为疫情上升期,年发病率从1.32/10万上升至57.16/10万;2007年为疫情转折期,年发病率为44.69/10万,2008-2013年为疫情下降期,年发病率从22.04/10万下降至0.32/10万。本地感染病例均为间日疟,病例数1999年为814例,2006年上升至34 982例,2007年起采取以传染源清除行动为主的综合性防治措施后,2013年又减至仅3例。病例集中于沿淮和淮河以北地区,上升期疫情由中部向北部推移,下降期北部疫情下降速度快于中部,夏秋季发病高峰明显。输入性病例2009年后逐年上升,从2009年的18例逐年增至2013年的191例。1999-2010年,所有病例均为恶性疟,2011年起,感染虫种呈多样化。病例在全省散发,但更集中在出国务工人员较多的县,无明显季节性发病高峰。  结论  安徽省本地感染疟疾疫情已得到有效控制,输入性疟疾疫情近年逐年上升。

关键词: 疟疾, 安徽省, 疫情特征

Abstract:

Objective  To analyze the characters of malaria epidemic situation in Anhui Province from 1999 to 2013.  Methods  The incidence and epidemiological data of malaria were retrospectively analyzed by Microsoft Office Excel 2007 and MapInfo Professional 7.0 software.  Results  The number of malaria cases changed significantly from 1999 to 2013. In the growing period(1999-2006), the annual malaria incidence increased from 1.32/100 000 to 57.16/100 000. The turning point was in 2007 with an annual incidence of 44.69/100 000. From 2008 to 2013 (the reducing period), the annual incidence declined from 22.04/100 000 to 0.32/100 000. All the indigenous cases were vivax malaria. The number of indigenous cases increased from 814 in 1999 to 34 982 in 2006, and then reduced to 3 in 2013, since 2007 the comprehensive measures with an emphasis on the clearance of malaria infection source were implemented. The cases were mainly distributed in the area along the Huaihe River and its north. The epidemic areas moved from the middle to the northern part of the province in the growing period. The incidence in the northern part was falling faster than the middle area in the reducing period. More cases occurred in summer and autumn. Since 2009 the number of imported cases increased from 18 in 2009 to 191 in 2013. During 1999-2010 all the imported cases were falciparum malaria. Since 2011 the Plasmodium parasites were more diverse. The imported cases mainly occurred in the counties with more exported laborers.  Conclusion  The epidemic of indigenous malaria has been effectively controlled in Anhui Province, while the imported cases have increased in recent years.

Key words: Malaria, Anhui Province, Epidemic characteristics