【摘要】 目的分析2010 2013年浙江省疟疾流行特征,为进一步推进消除疟疾工作提供科学依据。方法通过网络直报收集2010 2013年浙江省疟疾病例基本信息,结合个案调查数据,分析病例流行特征。结果 20102013年浙江省共报告603例疟疾病例,其中间日疟200例,恶性疟395例,卵形疟6例,三日疟1例,混合感染1例。本地感染病例10例,均为间日疟,占病例总数的1.66%,输入性病例593例,占病例总数的98.34%。2012年开始无本地病例报告。各月均有病例报告,流行季节(5 10月)和非流行季节报告病例数差异无统计学意义(χ2=3.254,P=0.354)。金华、杭州、温州、丽水和宁波等地区报告病例数较多,占病例总数的76.45%(461/603)。20~49岁人群占病例总数的80.10%(483/603);男女性别比为6.9∶1。感染来源地主要为非洲和亚洲等疟疾流行区,分别占病例总数的70.98%和16.92%。结论浙江省本地感染病例已经控制,输入性病例主要来自非洲和亚洲,以青壮年外出劳务人员为主,应加强风险人群的疟疾监测和健康教育。更多还原

【Abstract】 Objective To understand the incidence pattern of malaria in Zhejiang province from 2010 to 2013,and provide a scientific evidence for malaria elimination. Methods The incidence data of malaria in Zhejiang from 2010 to2013 were collected from national disease reporting information system and epidemiological investigation. Results A total of 603 malaria cases were reported,including 200 vivax malaria cases,395 falciparum malaria cases,6 ovale malaria cases,1 quartan malaria case and 1 mixed infection case. Among the reported cases,10( 1. 66%) occurred in local people( 1. 66%),593( 98. 34%) were imported cases,and no local malaria case has been found since 2012.Malaria cases were reported every month,and the case number during May-October was not significantly different from that in other months( χ2= 3. 254,P = 0. 354). The cases mainly distributed in Jinhua,Hangzhou,Wenzhou,Lishui and Ningbo,the cases in these areas accounted for 76. 45% of the total( 461 /603). Most cases were 20 to 49 years old,accounting for 80. 10% of the total( 483 /603) and the male to female ratio of the cases was 6. 9 ∶ 1. The infection sources were mainly from malaria endemic regions of Africa and Asia, accounting for 70. 98% and 16. 92%.Conclusion The local malaria transmission have been controlled in Zhejiang. However,imported malaria becomes a major challenge. It is still necessary to strengthen the malaria surveillance and health education among risk population.更多还原