研究简报

2013—2022年辽宁省沈阳市输入性疟疾流行特征分析

  • 张昭玉 ,
  • 计星宇 ,
  • 温立海 ,
  • 王曹昊威 ,
  • 纪海涛 ,
  • 陈会杰
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  • 沈阳市疾病预防控制中心(沈阳市卫生监督所),辽宁 沈阳 110000
张昭玉(1996—),女,本科,医师,从事传染病预防控制。E-mail:wangzhaojundezhao@126.com
*陈会杰(1987—),男,硕士,副主任医师,从事传染病预防控制。E-mail: chj1317@126.com

收稿日期: 2024-03-19

  修回日期: 2024-07-08

  网络出版日期: 2024-08-07

Epidemiological characteristics of imported malaria in Shenyang, Liaoning Province from 2013 to 2022

  • ZHANG Zhaoyu ,
  • JI Xingyu ,
  • WEN Lihai ,
  • WANG Caohaowei ,
  • JI Haitao ,
  • CHEN Huijie
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  • Shenyang Center for Disease Control and Prevention (Shenyang Health Inspection), Shenyang 110000, Liaoning, China

Received date: 2024-03-19

  Revised date: 2024-07-08

  Online published: 2024-08-07

摘要

为了解辽宁省沈阳市输入性疟疾流行情况,收集国家传染病报告信息管理系统中2013—2022年沈阳市输入性疟疾报告病例数据和个案流调资料,采用描述性流行病学方法分析沈阳市输入性疟疾病例疟疾类型、人群、时间和输入来源分布等特征。结果显示,2013—2022年沈阳市共报告输入性疟疾176例,2016年和2018年报告病例数最多,均为25例(14.2%),2022年报告病例数最少,为5例(占2.8%),报告病例数呈下降趋势。病例类型以恶性疟为主(152例),占86.4%(152/176),卵形疟、间日疟、三日疟分别占7.4%(13/176)、4.5%(8/176)、1.7%(3/176)。男性报告病例168例(占95.5%),女性报告病例8例(占4.5%),男女性别比为21∶1。报告病例年龄主要集中在40~49岁(34.1%,60/176)。2013—2022年全年均有病例报告,其中9月份报告病例数最多,为20例(占11.4%),季节性不明显。输入来源地涉及3个洲28个国家,以非洲国家为主,占95.6%(168/176)。提示沈阳市应继续加强输入性疟疾监测和病例处置,加强出入境人员健康教育,防止输入再传播,巩固消除疟疾成果。

本文引用格式

张昭玉 , 计星宇 , 温立海 , 王曹昊威 , 纪海涛 , 陈会杰 . 2013—2022年辽宁省沈阳市输入性疟疾流行特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2024 , 42(4) : 525 -528 . DOI: 10.12140/j.issn.1000-7423.2024.04.015

Abstract

To understand the epidemiological characteristics of imported malaria in Shenyang, data on imported malaria cases and case investigations reported in Shenyang from 2013 to 2022 were collected from the National Diseases Reporting Information System and analyzed the type, population, time and source of imported malaria cases in Shenyang using descriptive epidemiological methods. A total of 176 imported malaria cases were reported in Shenyang from 2013 to 2022. The number of reported cases was the highest in 2016 and 2018, both at 25 cases (14.2%), while it was the lowest in 2022, at 5 cases (2.8%), with a decreasing trend. The majority of the reported cases were falciparum malaria (152 cases), accounting for 86.4%. Ovale malaria, vivax malaria and malariae malaria accounted for 7.4% (13/176), 4.5% (8/176) and 1.7% (3/176) respectively. There were 168 reported cases among males (accounting for 95.5%), and 8 reported cases among females (accounting for 4.6%), with a male-to-female ratio of 21∶1. The age of the reported cases was mainly in the age groups of 40-49 years (60 cases, 34.1%). Cases were reported throughout the year from 2013 to 2022, with the highest number of cases reported in September (12 cases, 11.4%). There was no obvious seasonal pattern. The sources of reported cases involved 28 countries from 3 continents, mainly from African countries, accounting for 95.6% (168/176). It suggested Shenyang should continue to strengthen the monitoring and case management of imported malaria, as well as enhancing the health education for entry-exit personnel, so as to prevent the re-transmission of imported malaria and consolidate the achievements of malaria elimination.

参考文献

[1] Wu YP, Xiao XL, Xiang YF, et al. Epidemiological analysis on imported malaria cases in Yuexiu District, Guangzhou from 2014 to 2020[J]. J Med Pest Control, 2022, 38(11): 1102-1105, 1109. (in Chinese)
  (伍燕萍, 肖晓玲, 向蓥飞, 等. 2014—2020年广州市越秀区疟疾输入性病例的流行病学分析[J]. 医学动物防制, 2022, 38(11): 1102-1105, 1109.)
[2] Bourzac K. Infectious disease: beating the big three[J]. Nature, 2014, 507(7490): S4-S7.
[3] World Health Organization. World malaria report 2023[R]. Geneva: WHO, 2023: 1-24.
[4] Feng J, Zhou SS. From control to elimination: the historical retrospect of malaria control and prevention in China[J]. Chin J Parasitol Parasit Dis, 2019, 37(5): 505-513. (in Chinese)
  (丰俊, 周水森. 从控制走向消除: 我国疟疾防控的历史回顾[J]. 中国寄生虫学与寄生虫病杂志, 2019, 37(5): 505-513.)
[5] Zhang L, Yin JH, Xia ZG. Risks of and response to cluster outbreak of imported malaria during malaria post-elimination era in China[J]. China Trop Med, 2023, 23(6): 585-589. (in Chinese)
  (张丽, 尹建海, 夏志贵. 中国消除疟疾后输入性疟疾突发聚集性疫情的风险和应对[J]. 中国热带医学, 2023, 23(6): 585-589.)
[6] Zhu GD, Gao Q, Cao J. Challenges and countermeasures in prevention of re-establishment of imported malaria in China[J]. Chin J Schisto Control, 2021, 33(1): 7-9, 21. (in Chinese)
  (朱国鼎, 高琪, 曹俊. 中国防止疟疾输入再传播面临的挑战和应对策略[J]. 中国血吸虫病防治杂志, 2021, 33(1): 7-9, 21.)
[7] Shenyang Municipal Government. Fever after entry need to check malaria or “CO-VID-19”?[EB/OL]. (2020-04-26)[2024-03-06]. https://www.shenyang.gov.cn/zwgk/zwdt/bxgz/202112/t20211201_1711834.html.1.
  (沈阳市政府. 入境后有发热症状需排查疟疾还是“新冠”?[EB/OL]. (2020-04-26)[2024-03-06]. ttps://www.shenyang.gov.cn/zwgk/zwdt/bxgz/202112/t20211201_1711834.html.1.)
[8] Wu X, Zhou B, Hu XF, et al. Mosquito monitoring in Shenyang from 2014 to 2018[J]. Chin J Hyg Insectic Equip, 2020, 26(3): 236-239. (in Chinese)
  (吴旭, 周博, 胡晓芳, 等. 2014—2018年沈阳市蚊虫监测分析[J]. 中华卫生杀虫药械, 2020, 26(3): 236-239.)
[9] Tang LH, Gao Q, Yu XB, et al. Diagnosis of malaria: WS 259-2015[S]. Beijing: National Health and Family Planning Commission of the People’s Republic of China, 2015: 1-48. (in Chinese)
  (汤林华, 高琪, 余新炳, 等. 疟疾的诊断: WS 259—2015[S]. 北京: 中华人民共和国国家卫生和计划生育委员会, 2015: 1-48.)
[10] Teng C, Lei L, Sun YW, et al. Epidemiological characteristics of malaria in Liaoning Province from 2008 to 2013[J]. Chin J Schisto Control, 2014, 26(2): 200-202. (in Chinese)
  (滕聪, 雷露, 孙英伟, 等. 2008—2013年辽宁省疟疾流行特征[J]. 中国血吸虫病防治杂志, 2014, 26(2): 200-202.)
[11] Zhang L, Xia ZG. Epidemiological characteristics of malaria in China in 2023[J]. Chin J Parasitol Parasit Dis, 2024, 42(2): 135-139. (in Chinese)
  (张丽, 夏志贵. 2023年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(2): 135-139.)
[12] Chen ZH, Hong J, Zhang RB, et al. Epidemiological analysis on malaria cases reported in Kunming during 2006-2021[J]. Chin J Parasitol Parasit Dis, 2023, 41(2): 233-237. (in Chinese)
  (陈志辉, 洪劲, 张荣兵, 等. 2006—2021年昆明市疟疾流行特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(2): 233-237.)
[13] Zhang L, Feng J, Xia ZG, et al. Epidemiological characteristics of malaria and progress on its elimination in China in 2019[J]. Chin J Parasitol Parasit Dis, 2020, 38(2): 133-138. (in Chinese)
  (张丽, 丰俊, 夏志贵, 等. 2019年全国疟疾疫情特征分析及消除工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2020, 38(2): 133-138.)
[14] Feng J, Zhang L, Zhang SS, et al. Malaria epidemiological characteristics in China, 2005-2015[J]. China Trop Med, 2017, 17(4): 325-335. (in Chinese)
  (丰俊, 张丽, 张少森, 等. 全国2005—2015年疟疾疫情分析[J]. 中国热带医学, 2017, 17(4): 325-335.)
[15] Liu Q, Liu J. A review on advances in global malaria epidemiology[J]. Chin J Public Health, 2023, 39(4): 509-513. (in Chinese)
  (刘巧, 刘珏. 全球疟疾流行病学研究进展[J]. 中国公共卫生, 2023, 39(4): 509-513.)
[16] Teng C, Li X, Sun YW, et al. Epidemiological characteristics of malaria in Liaoning Province from 1951 to 2014[J]. Chin J Schisto Control, 2017, 29(2): 143-145. (in Chinese)
  (滕聪, 李鑫, 孙英伟, 等. 1951—2014年辽宁省疟疾流行特征[J]. 中国血吸虫病防治杂志, 2017, 29(2): 143-145.)
[17] Li ZW, Du WY, Wang WJ, et al. Trend and spatiotemporal distribution characte-ristics of malaria in mainland China 2010 to 2017: an analysis on national registration data[J]. Chin J Public Health, 2022, 38(9): 1203-1208. (in Chinese)
  (李振伟, 杜宛毓, 王文静, 等. 中国内地2010—2017年疟疾流行趋势及时空分布特征分析[J]. 中国公共卫生, 2022, 38(9): 1203-1208.)
[18] Li P, Xu HD, Wang MR. The prevalence of common infectious diseases in Africa[J]. Mil Med J Southeast China, 2020, 22(4): 390-394. (in Chinese)
  (李平, 徐海栋, 汪茂荣. 非洲地区常见传染病流行现状[J]. 东南国防医药, 2020, 22(4): 390-394.)
[19] Fang ZQ, Liu LJ, Wang J, et al. Infection risk of malaria among Chinese returnees from Africa, 2013-2015[J]. Chin J Front Health Quar, 2019, 42(1): 43-48. (in Chinese)
  (方志强, 刘丽娟, 王静, 等. 2013—2015年非洲归国人员疟疾感染风险调查[J]. 中国国境卫生检疫杂志, 2019, 42(1): 43-48.)
[20] Bo SS. Study on malaria control knowledge, attitude, behavior and infection status of Chinese labor service workers in Africa[D]. Beijing: China CDC, 2020: 42-43. (in Chinese)
  (薄珊珊. 我国赴非劳务人员疟疾防控知识、 态度、 行为及感染现况研究[D]. 北京: 中国疾病预防控制中心, 2020: 42-43.)
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