[Analysis of malaria epidemiological characteristics in Hechi City, Guangxi Zhuang Autonomous Region from 2005 to 2015].

OBJECTIVE: To analyze the epidemiological characteristics of malaria in Hechi City, Guangxi Zhuang Autonomous Region from 2005 to 2015, so as to provide the evidence for formulating and adjusting measures of malaria elimination. METHODS: The data of malaria cases in 11 counties of Hechi City from 2005 to 2015 were collected and analyzed by using Micro-soft Office Excel 2003 and SPSS 17.0. RESULTS: A total of 160 malaria cases were reported in Hechi City from 2005 to 2015, and the annual average malaria incidence was 3.6 per million. There were 10 local recurrence cases (accounting for 6.25％, 10/160) and 150 imported cases (accounting for 93.75％, 150/160). For the etiology, Plasmodium vivax accounted for 51.87% (83/160) in these cases, P. falciparum accounted for 34.38% (55/160), P. ovale accounted for 1.25% (2/160), P. malariae accounted for 5.00% (8/160), and the indeterminate accounted for 7.50% (12/160). During the period of 11 years, the malaria incidence first dropped and then rose. There were no local cases after 2009. However, an imported falciparum malaria death case was reported in 2010, a severe imported falciparum malaria case was reported in 2013 and another in 2015. A severe case of maternal-neonatal vivax malaria was reported in 2014. These cases were mainly distributed in 10 counties of Hechi City, with more young male adults who engaged in digging mining. More cases concentrated from April to August. Most of the reported malaria cases were imported, 60.00% (96/160) of them returned from Africa and Southeast Asia, and 33.75% (54/160) from other domestic provinces. The median of the interval from symptom appearance to diagnosis was 5 d, and there was a significant difference among the above years (χ2= 33.40, P＜0.05). CONCLUSIONS: Malaria is still an important public health problem in Hechi City, and the appropriate control measures and effective tools should be strengthened for malaria elimination. The key to consolidate the achievements of malaria control is strengthening the malaria monitoring management of the floating population.