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首页> 外文期刊>American Journal of Health Research >Malaria outbreak investigation in Mecha, Dera and Fogera districts, Amhara region, Ethiopia
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Malaria outbreak investigation in Mecha, Dera and Fogera districts, Amhara region, Ethiopia

机译：埃塞俄比亚阿姆哈拉地区Mecha，Dera和Fogera地区的疟疾暴发调查

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Introduction- Malaria is caused by the protozoan parasite plasmodium and transmitted by anopheles mosquitoes. It remains the major public health challenge in Amhara region. Mecha, Dera and Fogera are some of the malaria endemic districts of the region. The aim of this study was to investigate the outbreak and guide intervention measures. Methods - Descriptive cross sectional investigation of malaria outbreak was conducted. We used health facility records of malaria data and entomological survey. We discussed with health extension workers and available morbidity, mortality and diagnostic data was collected. We surveyed households for clinical malaria cases and utilization of LLINs and its status, the condition of IRS operation at household level was observed. Results-In Midre-Genet kebele/village the prevalence rate of malaria in the 4th week of April was 3 per 1000(19) population and reached to 37 per 1000(226) population in the 2nd week of May 2012.The attack rate was 82.5 per 1000(67) population in under-fives and 82.6 per 1000(429) population in >5 years old. In Wotet-Ber kebele the prevalence rate of malaria increased to 5 per 1000(35) population in the 1st week of May 2012 and became 22 per 1000 (150) population in the 2nd week of May. The attack rate was 30.4 per 1000(28) population in under-fives and 42.9 per 1000(253) population in >5 years old. In Zemene-Hiwot kebele/village the prevalence rate of malaria increased to 4.5 per 1000 (45) population in the 1st week of May 2012 and became 17 per 1000(171) population in the 3rd week of May 2012. The attack rate was 82.6 per 1000(111) population in under-fives and 36.3 per 1000(312) in >5 years old.In Hamusit cluster the number of confirmed malaria cases surpass the threshold starting from December 2011. Attack rate was 8.9 per 1000(559) population in December 2011 and became 14.7 per 1000(919) population in April 2012. In Aba Kiros kebele prevalence rate of malaria increased in the 2nd week of May 2012 1.2(8) and reached to 14.9(93) per 1000 population in the 1st week of June 2012. Vector control interventions were not done in all affected villages/kebeles. Conclusion- There were multiple breeding sites where the larvae of anopheles mosquitoes found and vector control interventions were not carried out timely. There was no weekly monitoring chart at districts and health facilities to detect increased malaria cases at an early stage.
机译：简介-疟疾是由原生动物寄生虫的疟原虫引起的，并通过按蚊传播。它仍然是阿姆哈拉地区面临的主要公共卫生挑战。 Mecha，Dera和Fogera是该地区一些疟疾流行区。这项研究的目的是调查爆发并指导干预措施。方法-对疟疾暴发进行描述性横断面调查。我们使用了疟疾数据和昆虫学调查的卫生设施记录。我们与健康推广人员进行了讨论，并收集了可用的发病率，死亡率和诊断数据。我们调查了家庭的临床疟疾病例以及LLIN的使用情况及其状况，并观察了家庭层面IRS的运行情况。结果-在Midre-Genet kebele / village中，4月第4周疟疾的患病率为每1000（19）人口3例，到2012年5月第二周达到每1000（226）人口37的发病率。五岁以下儿童每1000（67）人口中有82.5人，五岁以上儿童每1000（429）人口中有82.6人。在Wotet-Ber kebele，疟疾的患病率在2012年5月的第1周增加到每1000（35）人口5个，在5月的第2周变成每1000（150）人口22个。五岁以下儿童的发作率为30.4 / 1000（28）人口，> 5岁以上儿童的发作率为每1000（253）人口42.9。在Zemene-Hiwot kebele /村庄，疟疾的患病率在2012年5月的第1周增加到每1000（45）人口中的4.5，在2012年5月的第3周在每1000（171）人口中的17。五岁以下儿童的平均每千人（111）人口，> 5岁以下人口中的每千人（312）人中有36.3人。在Hamusit集群中，已确诊的疟疾病例数从2011年12月开始超过阈值。攻击率是每千人（559）人口中8.9在2011年12月，到2012年4月，每千人（919）人口中有14.7人。2012年5月第2周，Aba Kiros kebele的疟疾患病率增加了1.2（8），在第一周时达到了每千人14.9（93）。 2012年6月。没有在所有受影响的村庄/地区进行病媒控制干预措施。结论-在多个繁殖地点发现了按蚊幼虫，没有及时进行病媒控制干预。在地区和卫生机构，没有每周的监测图可以在早期发现疟疾的增加病例。

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