摘要
目的针对性分析南宁市2013年1—7月份出国务工,尤其是赴非洲加纳淘金者返乡对南宁市疟疾、登革热等疾病的发病状况,提出有效控制输入性疟疾的方案。方法数据来源于中国疾病预防控制信息系统。结果 2013年上半年南宁市输入性登革热和疟疾发病数均较近几年有所增多。疟疾发病占自然疫源及虫媒传染病的97.88%,发病率为14.29/10万;6月份达到高峰;6县7城区均有发病,上林县占91.24%,其次为宾阳县占2.06%;平均年龄(36.24±8.99)岁;以农民为主,占95.18%(968/1 017)。来源于非洲国家的占99.21%(1 009/1 017),登革热则全部来源于东南亚务工人员。结论 2013年上半年输入性疟疾呈上升态势,目前重点应与公安机关和出入境检验检疫部门合作,做好既往感染者的申报工作;动员乡镇医疗卫生机构排查返乡人员,对镜检阳性的进行规范化治疗,对镜检既往患病者进行预防性服药;做好病例随访和休止期根治;对存在间日疟、卵形疟和混合感染病例的疫点采取媒介控制措施;继续开展媒介按蚊种群调查和密度监测;做好疟疾防控知识的宣传教育。
[ Objective ] To analyze the effect of migrant workers return, especially the gold miners of Ghana, on the incidence rates of malaria and dengue fever, put forward the effective measures to control the imported malaria. [ Methods] The epidemic data of malaria were collected from the China disease prevention and control information system. [ Results] The quantity of imported malaria and dengue fever cases in the first half year of 2013 in Nanning City has increased as compared with recent years. The cases of ma- laria accounted for 97.88% of natural focus diseases and insect-borne diseases, which the incidence rate was 14.29/lakh. The in- cidence rate reached the peak in June. The cases were reported in 6 counties and 7 districts, which Shanglin County accounted for 91.24%, followed by Binyang County （ 2.06% ）. The average age was （36.24 ± 8.99 ） years old, and most of patients were farm- er, accounting for 95.18% （968/1 017）. 99.21% （ 1 009/1 017） of the malaria cases were migrant workers returning from Afri- can countries, and all cases of dengue fever were migrant workers returning from Southeast Asian. [ Conclusion] The incidence rate of imported malaria shows a rising trend in the first half year of 2013. At present, it is important to cooperate with the public securi- ty organizations and the entry-exit inspection and quarantine departments to implement the report of previous infections, promote the township health institutions to take a screening in passengers, carry out a standard treatment among the people with positive results in microscopical examination and the preventive medicine among the previous infections, complete the follow-up and radical treat- ment in resting stage, perform the vector control measures in the epidemic focus with vivax malaria, ovale malaria and mixed infec- tion, continue to carry out investigation and monitoring in the density of anopheles population, and conduct the publicity and educa- tion of the knowledge about malaria prevention and control.
出处
《职业与健康》
CAS
2014年第4期494-496,共3页
Occupation and Health
关键词
疫情
输入性疟疾
输入性虫媒疾病
境外务工人员
Epidemic situation
Imported malaria
Imported insect-borne diseases
Migrant workers
