Epidemiological characteristics of Plasmodium malariae malaria in China:a malaria that should not be neglected post elimination

作     者：Li Zhang Bo‑Yu Yi Shui‑Sen Zhou Zhi‑Gui Xia Jian‑Hai Yin Li Zhang;Bo-Yu Yi;Shui-Sen Zhou;Zhi-Gui Xia;Jian-Hai Yin

作者机构：National Institute of Parasitic DiseasesChinese Center for Disease Control and Prevention(Chinese Center for Tropical Diseases Research)NHC Key Laboratory of Parasite and Vector BiologyWHO Collaborating Center for Tropical DiseasesNational Center for International Research On Tropical DiseasesShanghai 200025China 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2023年第12卷第6期

页      面：51-60页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：supported by the National Science and Technology Major Program of China(No.2018ZX10101002-002-005) the Bill&Melinda Gates Foundation(No.INV-018913) 

主　　题：Plasmodium malariae Imported case Recurrence Induced case Reestablishment China 

摘      要：Background Plasmodium malariae was always neglected compared *** *** the present study,we aimed to describe the epidemiology of reported cases infected *** in the past decade to raise awareness of the potential threat of this malaria parasite in *** Individual data of malaria cases infected *** reported in China in the past decade were collected via the China Information System for Disease Control and Prevention and Parasitic Diseases Information Reporting Management System,to explore their epidemiological *** Chi-square tests or Fisher’s Exact Test was used in the statistical *** From 2013 to 2022,a total of *** cases were reported in China,and mainly concentrated in 20-59 years old group(P0.001),and there was no significant trend in the number of cases reported per ***,four kinds *** cases were classified,including 567 imported cases from 41 countries in 8 regions and distributed in 27 provinces(autonomous regions,municipalities)in China,six indigenous cases in a small outbreak in Hainan,seven recurrent cases in Guangdong and Shanghai,and one induced case in Shanghai,*** addition,only 379 cases(65.2%)were diagnosed as malaria on the first visit(P0.001),and 413 cases(71.1%)were further confirmed *** cases(P=0.002).Meanwhile,most cases sought healthcare first in the health facilities at the county and prefectural levels,but only 76.7%(161/210)and 73.7%(146/198)cases were diagnosed as malaria,and the accuracy of confirmed diagnosis as malaria cases infected *** was only 77.2%(156/202)and 69.9%(167/239)in these health facilities *** Even though malaria cases infected *** didn’t account for a high proportion of reported malaria cases nationwide,the threat posed by widely distributed imported cases,a small number of indigenous cases,recurrent cases and induced case cannot be ignored in Chi