国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2015年
4期
203-207
,共5页
疟疾监测%流动人口%嗜人按蚊%发病率
瘧疾鑑測%流動人口%嗜人按蚊%髮病率
학질감측%류동인구%기인안문%발병솔
Malaria surveillance%Mobile population%An.antropophagus%Incidence
目的 分析环江毛南族自治县(简称环江县)2000-2014年疟疾控制后期疟疾发病特点,评价控制措施和防治效果,为调整疟防措施提供科学依据. 方法 收集2000-2014年环江县本地发热患者、疟疾病灶点居民、流动人口发热患者和非发热患者疟疾监测以及网络直报病例等资料,采用描述性流行病学方法对其进行描述和分析,流动人口发热患者与当地居民疟疾感染差异采用卡方检验.采用间接免疫荧光法(indirect immunofluorescence assay,IFA)检测居民疟疾血清抗体. 结果 2000-2014年,环江县嗜人按蚊分布区共监测本地发热患者217 524人次,病灶点居民7 182人次,流动人口发热患者1 701人次,流动人口非发热人群7 730人次,4类人群疟原虫阳性率依次为0.02％ (38/217 524)、0.03％ (2/7 182)、1.71％ (29/1 701)和0(0/7 730).共检出疟疾患者69例,其中本地感染病例占57.97％ (40/69),流动人口输入性病例占42.03％ (29/69).2000-2014年共捕获蚊虫43 387只,其中中华按蚊占98.06％ (42 545/43 387);嗜人按蚊占0.89％ (282/43 387),2010-2014年未发现嗜人按蚊.重点人群IFA抗体阳性率仅为0.13％ (2/1488). 结论 2006年起,环江县未检出本地传播病例和输入继发病例,疟疾发病以境外输入性病例为主,为如期实现广西消除疟疾目标,应加强对外出非洲和东南亚地区务工返回人员疟疾管理和监测,及时发现和有效治疗输入性传染源.
目的 分析環江毛南族自治縣(簡稱環江縣)2000-2014年瘧疾控製後期瘧疾髮病特點,評價控製措施和防治效果,為調整瘧防措施提供科學依據. 方法 收集2000-2014年環江縣本地髮熱患者、瘧疾病竈點居民、流動人口髮熱患者和非髮熱患者瘧疾鑑測以及網絡直報病例等資料,採用描述性流行病學方法對其進行描述和分析,流動人口髮熱患者與噹地居民瘧疾感染差異採用卡方檢驗.採用間接免疫熒光法(indirect immunofluorescence assay,IFA)檢測居民瘧疾血清抗體. 結果 2000-2014年,環江縣嗜人按蚊分佈區共鑑測本地髮熱患者217 524人次,病竈點居民7 182人次,流動人口髮熱患者1 701人次,流動人口非髮熱人群7 730人次,4類人群瘧原蟲暘性率依次為0.02％ (38/217 524)、0.03％ (2/7 182)、1.71％ (29/1 701)和0(0/7 730).共檢齣瘧疾患者69例,其中本地感染病例佔57.97％ (40/69),流動人口輸入性病例佔42.03％ (29/69).2000-2014年共捕穫蚊蟲43 387隻,其中中華按蚊佔98.06％ (42 545/43 387);嗜人按蚊佔0.89％ (282/43 387),2010-2014年未髮現嗜人按蚊.重點人群IFA抗體暘性率僅為0.13％ (2/1488). 結論 2006年起,環江縣未檢齣本地傳播病例和輸入繼髮病例,瘧疾髮病以境外輸入性病例為主,為如期實現廣西消除瘧疾目標,應加彊對外齣非洲和東南亞地區務工返迴人員瘧疾管理和鑑測,及時髮現和有效治療輸入性傳染源.
목적 분석배강모남족자치현(간칭배강현)2000-2014년학질공제후기학질발병특점,평개공제조시화방치효과,위조정학방조시제공과학의거. 방법 수집2000-2014년배강현본지발열환자、학질병조점거민、류동인구발열환자화비발열환자학질감측이급망락직보병례등자료,채용묘술성류행병학방법대기진행묘술화분석,류동인구발열환자여당지거민학질감염차이채용잡방검험.채용간접면역형광법(indirect immunofluorescence assay,IFA)검측거민학질혈청항체. 결과 2000-2014년,배강현기인안문분포구공감측본지발열환자217 524인차,병조점거민7 182인차,류동인구발열환자1 701인차,류동인구비발열인군7 730인차,4류인군학원충양성솔의차위0.02％ (38/217 524)、0.03％ (2/7 182)、1.71％ (29/1 701)화0(0/7 730).공검출학질환자69례,기중본지감염병례점57.97％ (40/69),류동인구수입성병례점42.03％ (29/69).2000-2014년공포획문충43 387지,기중중화안문점98.06％ (42 545/43 387);기인안문점0.89％ (282/43 387),2010-2014년미발현기인안문.중점인군IFA항체양성솔부위0.13％ (2/1488). 결론 2006년기,배강현미검출본지전파병례화수입계발병례,학질발병이경외수입성병례위주,위여기실현엄서소제학질목표,응가강대외출비주화동남아지구무공반회인원학질관리화감측,급시발현화유효치료수입성전염원.
Objective To analyze the epidemic of malaria and evaluate the result of malaria control in Huanjiang Maonan Autonomous County from 2000 to 2014,so as to provide scientific basis for drawing up and adjusting effective malaria control at the late-stage of malaria control.Methods The data of malaria reporting system,malaria surveillance and anopheles vector monitoring from 2000 to 2014 were collected and analyzed with descriptive epidemiology method.The malaria antibody in serum was examined in local residents with indirect immunofluorescence assay (IFA).Results A total of 217 524,7 182,1 702 and 7 730 slides in local residents,focus residents,febrile patients of mobile population and no fever cases of mobile population was examined.The average positive rates of blood examination were 0.02％,0.03％,1.71％ and 0,respectively.A total of 69 malaria cases were reported,including 40 local malaria cases and 29 imported cases.There were no local malaria cases from 2006 to 2014.A total of 43 387 adult anopheles was captured within the 15 years of surveillance.An.sinensis was the predominant mosquito species accounting for 98.06％ (42 545/43 387) and An.antropophagus accounted for 0.65％ (282/43 387).There was no An.antropophagus found since 2010.The positive rate of IFA in focus residents was 0.13％(2/1 488).Conclusion There were no indigenous malaria cases and secondary cases since 2006 and no An.antropophagus was captured during 2010-2014.The imported malaria case from oversea is dominated in Huanjiang County.In order to achieve the goal of malaria elimination in Huanjiang County on schedule,it needs to strengthen monitoring,diagnosis,and treatment of imported malaria case among overseas workers from the malaria prevalent areas in Africa and southeast Asian countries.
