陆伟伟, 张清慧, 吕锡宏, 费胜军, 庞博文. 20132022年上海市松江区输入性疟疾流行特征分析[J]. 上海预防医学, 2023, 35(9): 870-874. DOI: 10.19428/j.cnki.sjpm.2023.22878
引用本文: 陆伟伟, 张清慧, 吕锡宏, 费胜军, 庞博文. 20132022年上海市松江区输入性疟疾流行特征分析[J]. 上海预防医学, 2023, 35(9): 870-874. DOI: 10.19428/j.cnki.sjpm.2023.22878
LU Weiwei, ZHANG Qinghui, LYU Xihong, FEI Shengjun, PANG Bowen. Epidemiological characteristics of imported malaria in Songjiang District of Shanghai from 2013 to 2022[J]. Shanghai Journal of Preventive Medicine, 2023, 35(9): 870-874. DOI: 10.19428/j.cnki.sjpm.2023.22878
Citation: LU Weiwei, ZHANG Qinghui, LYU Xihong, FEI Shengjun, PANG Bowen. Epidemiological characteristics of imported malaria in Songjiang District of Shanghai from 2013 to 2022[J]. Shanghai Journal of Preventive Medicine, 2023, 35(9): 870-874. DOI: 10.19428/j.cnki.sjpm.2023.22878

20132022年上海市松江区输入性疟疾流行特征分析

Epidemiological characteristics of imported malaria in Songjiang District of Shanghai from 2013 to 2022

  • 摘要:
    目的 分析上海市松江区输入性疟疾疫情及其流行特征,为后续的疟疾防治提供参考依据。
    方法 收集并分析松江区2013—2022年疟疾病例、发热病例血液检查以及媒介监测数据。
    结果 2013—2022年松江区共对13 002例发热病例开展疟原虫检测,发现疟疾病例18例,其中恶性疟17例,卵形疟1例。2013—2022年传染病疫情网报告的松江区疟疾病例共36例,包括本区上报病例,外区、外省市上报的现住址为松江区的病例,其中恶性疟31例,间日疟2例,卵形疟2例,三日疟1例。男女性别比为17∶1,年龄以青壮年为主。36例病例均为境外输入病例,包括来自非洲35例,东南亚1例。境外务工人员34例,境外旅游回国人员2例。松江区发现并报告病例17例,本市其他区报告15例,外省市报告4例。本市治疗27例,外省市治疗3例,服用自备抗疟药6例。松江区疟疾媒介监测结果显示中华按蚊密度较低。
    结论 松江区自2008年起未再报告本地感染疟疾病例。应继续以回国人员疟疾监测为防控重点,防止输入再传播,巩固消除疟疾成果。

     

    Abstract:
    Objective To characterize the prevalence and epidemic situation of imported malaria cases in Songjiang District of Shanghai from 2013 to 2022, and to provide evidence for malaria prevention and control.
    Methods Related data were collected and analyzed, including malaria cases, blood testing of febrile patients, and mosquito surveillance in Songjiang from 2013 to 2022.
    Results A total of 13 002 febrile patients in Songjiang were tested for plasmodium parasites from 2013 to 2022, among which 18 malaria cases were confirmed, including 17 cases of falciparum malaria and 1 case of ovale malaria. Moreover, a total of 36 malaria cases were notified in Songjiang through the National Notifiable Disease Reporting System from 2013 to 2022, including cases reported from Songjiang District and other districts or provinces with physical addresses in Songjiang. Of them, there were 31 cases of falciparum malaria, 2 cases of vivax malaria, 2 cases of ovale malaria and 1 case of quartan malaria. The gender ratio of male to female cases was 17∶1, and the majority was young and middle aged. In addition, 35 cases were imported from Africa and 1 case from southeast Asia; 34 cases were migrant workers, and 2 cases were travellers abroad; 17 cases were found and reported in Songjiang, 15 cases were reported from other districts of Shanghai, and 4 cases were reported from other provinces; 27 cases were treated in Shanghai, 3 cases were treated in other provinces and 6 cases were treated with self-provided antimalarial drugs. Mosquito surveillance in Songjiang showed that density of Anopheles sinensis was extremely low.
    Conclusion No indigenous malaria case has been notified in Songjiang since 2008. Malaria surveillance on migrant workers remains the focus of malaria prevention and control. Furthermore, achievement of malaria elimination in Songjiang should be continually enhanced to avoid potential further transmission of imported malaria.

     

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