CAJ | 학술논문

目的：分析2005-2014年江苏省疟疾疫情及流行特征，为制订和调整全省疟疾消除策略和措施提供依据。方法收集2005-2014年江苏省疟疾疫情数据资料，对疟疾发病情况、感染来源以及病例的时间、地区和人群分布进行分析。结果2005-2014年，江苏省共报告疟疾病例5069例，其中间日疟3422例（67.51%）、恶性疟1497例（29.53%）、未分型150例（2.96%）；本地感染疟疾病例2139例（42.20%）、国内输入病例1131例（22.31%）、境外输入病例1799例（35.49%）；男性病例3809例，女性1260例，男女性别比为3.02∶1。病例年龄以25～60岁为主，占67.15%；职业以农民和民工为主，分别占40.26%和23.63%。60.58%的病例分布于徐州、宿迁、淮安、苏州市和南通市。2005-2009年病例以间日疟为主，自2010年起以恶性疟为主，且主要为境外输入性感染，从2012年起无本地感染病例。结论江苏省本地感染疟疾疫情已得到有效控制，初步实现消除疟疾目标。但境外输入性疟疾病例仍较多，且感染呈多样性，是目前的防控重点。
목적：분석2005-2014년강소성학질역정급류행특정，위제정화조정전성학질소제책략화조시제공의거。방법수집2005-2014년강소성학질역정수거자료，대학질발병정황、감염래원이급병례적시간、지구화인군분포진행분석。결과2005-2014년，강소성공보고학질병례5069례，기중간일학3422례（67.51%）、악성학1497례（29.53%）、미분형150례（2.96%）；본지감염학질병례2139례（42.20%）、국내수입병례1131례（22.31%）、경외수입병례1799례（35.49%）；남성병례3809례，녀성1260례，남녀성별비위3.02∶1。병례년령이25～60세위주，점67.15%；직업이농민화민공위주，분별점40.26%화23.63%。60.58%적병례분포우서주、숙천、회안、소주시화남통시。2005-2009년병례이간일학위주，자2010년기이악성학위주，차주요위경외수입성감염，종2012년기무본지감염병례。결론강소성본지감염학질역정이득도유효공제，초보실현소제학질목표。단경외수입성학질병례잉교다，차감염정다양성，시목전적방공중점。
Objective To understand the epidemic situation and epidemiological characteristics of malaria in Jiangsu Prov?ince from 2005 to 2014,so as to provide the evidence for formulating and adjusting the strategies and measures on malaria elimi?nation in this province. Method The epidemiological data of malaria in Jiangsu province from 2005 to 2014 were collected, and the prevalence situation,infection sources as well as the temporal,regional and population distribution of the cases were an?alyzed. Result A total of 5 069 malaria cases were reported in Jiangsu Province form 2005 to 2014,there were 3 422 cases (67.51%)of vivax malaria,1 497 cases(29.53%)of falciparum malaria,and 150 cases(2.96%)that were unclassified. Among all the reported cases,2 139(42.20%)were local cases,1 131 were(22.31%)imported cases from other places in Chi?na ,and 1 799(35.49%)were imported cases from abroad. There were 3 809 male cases and 1 260 female cases,with a sex ratio of 3.02∶1. The patients were mainly aged from 25 to<60 years(accounting for 67.15%),and were mainly young adult farmers (40.26%)and migrant workers(23.63%),who mainly distributed(accounting for 60.58%)in Xuzhou,Suqian,Huai’an,Su?zhou and Nantong cities. The predominant malaria type from 2005 to 2009 were vivax malaria,while after 2010,it changed to falciparum malaria. Conclusions The malaria epidemic situation has been effectively controlled in Jiangsu Province,which re?flects the initiative achievements of malaria elimination. However,there are still many imported malaria cases from abroad,and the species of the Plasmodium are diverse. Therefore,the imported malaria from abroad still remains the key of malaria control in Jiangsu Province.