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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Epidemiology of Imported Malaria in Taiwan between 2002–2013: The Importance of Sensitive Surveillance and Implications for Pre-Travel Medical Advice
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The Epidemiology of Imported Malaria in Taiwan between 2002–2013: The Importance of Sensitive Surveillance and Implications for Pre-Travel Medical Advice

机译：2002-2013年台湾进口疟疾的流行病学：敏感监测的重要性及其对旅行前医疗咨询的影响

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The purpose of this study was to assess the epidemiology of imported malaria in Taiwan between 2002 and 2013. We analyzed the national data recorded by the Taiwan Centers for Disease Control (Taiwan CDC). Malaria cases were diagnosed by blood films, polymerase chain reaction, or rapid diagnostic tests. The risk of re-establishment of malarial transmission in Taiwan was assessed. A total of 229 malaria cases were included in our analysis. All of the cases were imported. One hundred and ninety-two cases (84%) were diagnosed within 13 days of the start of symptoms/signs; 43% of these cases were acquired in Africa and 44% were acquired in Asia. Plasmodium falciparum was responsible for the majority (56%) of these cases. Travel to an endemic area was associated with the acquisition of malaria. The malaria importation rate was 2.36 per 1,000,000 travelers (range 1.20–5.74). The reproductive number under control (Rc) was 0. No endemic transmission of malaria in Taiwan was identified. This study suggests that a vigilant surveillance system, vector-control efforts, case management, and an educational approach focused on travelers and immigrants who visit malaria endemic countries are needed to prevent outbreaks and sustain the elimination of malaria in Taiwan.
机译：这项研究的目的是评估2002年至2013年台湾地区进口疟疾的流行病学。我们分析了台湾疾病控制中心（台湾疾病预防控制中心）记录的国家数据。疟疾病例通过血膜，聚合酶链反应或快速诊断检测得到诊断。评估了台湾重新建立疟疾传播的风险。我们的分析总共包括229个疟疾病例。所有案件都是进口的。在症状/体征开始后的13天内诊断出192例（84％）;这些案件中有43％是在非洲获得的，而44％是在亚洲获得的。在这些病例中，恶性疟原虫占大多数（56％）。到流行地区旅行与获得疟疾有关。疟疾的进口率为每1,000,000旅行者2.36例（范围1.20-5.74）。受控制的生殖数（R c ）为0。在台湾未发现疟疾的地方传播。这项研究表明，需要采取严密的监视系统，病媒控制工作，案件管理以及针对访问疟疾流行国家的旅行者和移民的教育方法，以防止在台湾爆发和维持疟疾的消灭。

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