胡学锋, 吴霜, 翁贇琦, 韩辉, 田玲玲, 吕永生, 徐瑞平, 周鹏程, 吴海磊. 疟疾全球流行现状及我国输入性疫情分析[J]. 疾病监测, 2021, 36(10): 1057-1062. DOI: 10.3784/jbjc.202103150127
引用本文: 胡学锋, 吴霜, 翁贇琦, 韩辉, 田玲玲, 吕永生, 徐瑞平, 周鹏程, 吴海磊. 疟疾全球流行现状及我国输入性疫情分析[J]. 疾病监测, 2021, 36(10): 1057-1062. DOI: 10.3784/jbjc.202103150127
Hu Xuefeng, Wu Shuang, Weng Yunqi, Han Hui, Tian Lingling, Lyu Yongsheng, Xu Ruiping, Zhou Pengcheng, Wu Hailei. Epidemiology of global malaria and imported malaria in China[J]. Disease Surveillance, 2021, 36(10): 1057-1062. DOI: 10.3784/jbjc.202103150127
Citation: Hu Xuefeng, Wu Shuang, Weng Yunqi, Han Hui, Tian Lingling, Lyu Yongsheng, Xu Ruiping, Zhou Pengcheng, Wu Hailei. Epidemiology of global malaria and imported malaria in China[J]. Disease Surveillance, 2021, 36(10): 1057-1062. DOI: 10.3784/jbjc.202103150127

疟疾全球流行现状及我国输入性疫情分析

Epidemiology of global malaria and imported malaria in China

  • 摘要:
      目的  了解疟疾全球流行状况以及我国输入性疟疾病例流行病学特征,为输入性疟疾口岸防控政策提供科学依据。
      方法  检索世界卫生组织发布的全球疟疾报告和中国知网数据库,收集2010 — 2019年全球疟疾和2017 — 2019年我国输入性疟疾资料,进行描述性研究和统计分析,研究全球疟疾流行态势和我国输入性疟疾流行病学特征。
      结果  从全球疟疾风险分布和疟疾流行情况看,非洲仍然是全球疟疾疾病负担最高地区,疟疾报告病例数占全球报告病例数均在90%以上。 我国输入性疟疾病例的感染主要来源地为非洲,占87.81%,且以恶性疟为主。
      结论  非洲是全球疟疾防控的重点区域。 我国大陆消除疟疾本土病例后,来自非洲的输入性疟疾,特别是恶性疟成为我国消除疟疾面临的严重挑战。 要在现有措施基础上加强口岸查验、联防联控、重点人群干预和预警监测,进一步提升输入性疟疾病例处置能力。

     

    Abstract:
      Objective  To investigate the epidemiological characteristics of global malaria and imported malaria in China, and provide scientific reference for the improvement of prevention and control measures of imported malaria at ports in China.
      Methods  The global malaria reports from WHO and CNKI database literature were retrieved. The incidence data of global malaria during 2010–2019 and imported malaria in China during 2017–2019 were collected for descriptive analysis and statistical analysis.
      Results  In terms of the risk for malaria and incidence of malaria, Africa had the most heavy burden of malaria in the world, and the malaria cases reported in Africa accounted for more than 90% of the global total. Africa was the main source region for the imported malaria cases in China, the imported malaria cases from Africa accounted for 87.81% of the total. Plasmodium falciparum was predominant Plasmodium species.
      Conclusion  Africa is the key region for global malaria prevention and control. After the elimination of indigenous malaria cases, the imported malaria, especially falciparum malaria, from Africa, pose a serious threat to the elimination of malaria in China. In addition to the basic prevention and control measures, it is essential to strengthen health quarantine at ports, joint efforts, intervention for risk population and early warning to improve capacity to the response of imported malaria cases in China.

     

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