印度恰蒂斯加尔邦疟疾流行病学：2015-2023年监测数据分析

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-07-02 DOI:10.1093/trstmh/traf072

Dharmendra Kumar Gahwai, Mogan Kaviprawin, Gollapalli Pavan Kumar, Deepak Kumar Panigrahi, Jaswant Kumar Das, Kalyani Patel, Meenakshi Roy, Seema Tigga, Tripti Jain, Yogesh Patel, Amit Kumar, Aarthy Ramasamy, Manikandanesan Sakthivel, Ganeshkumar Parasuraman

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引用次数: 0

摘要

背景：印度占东南亚疟疾负担的三分之二。我们描述了2015年至2023年印度恰蒂斯加尔邦综合疾病监测规划下实验室确诊的疟疾病例。方法：对2015年1月至2023年12月印度恰蒂斯加尔邦5个地区实验室确诊疟疾病例进行监测数据分析。按地区和年份估算寄生虫年发病率（API）。我们使用Stata 16.0中的广义估计方程估计了多年来95% CI的发病率比（IRR）。结果：2015 - 2023年共报告疟疾病例391 387例。API范围为每1000人0.4-3.2，每年下降25% (IRR:0.75；95% CI 0.71 ~ 0.79)。病例在7月（季风季节）和11月达到高峰。恰蒂斯加尔邦巴斯塔尔的发病率一直较高(IRR:12.5；95% CI 3.7 - 43.0)和素古雅地区(IRR:7.4；95% CI 2.0 ~ 27.4)与中部地区比较。结论：多年来，恰蒂斯加尔邦南部地区的发病率持续上升。我们建议从5月开始加强病媒控制措施的实施。应该进行进一步的研究，以确定恰蒂斯加尔邦南部疟疾发病率高的原因。

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Epidemiology of malaria in Chhattisgarh, India: a surveillance data analysis, 2015-2023.

Background: India accounts for two-thirds of the malaria burden in Southeast Asia. We described the lab-confirmed malaria cases under the Integrated Disease Surveillance Programme in Chhattisgarh, India, from 2015 to 2023.

Methods: We conducted a surveillance data analysis by abstracting the lab-confirmed malaria cases from five regions of Chhattisgarh from January 2015 to December 2023. We estimated the annual parasite incidence (API) by region and year. We estimated the incidence rate ratio (IRR) with a 95% CI over the years using a generalized estimating equation in Stata 16.0.

Results: A total of 391 387 malaria cases were reported from 2015 to 2023. API ranged from 0.4-3.2 per 1000 population with an annual decline of 25% (IRR:0.75; 95% CI 0.71 to 0.79). Cases peaked in July (monsoon season) and November. Incidence was consistently higher in Chhattisgarh's Bastar (IRR:12.5; 95% CI 3.7 to 43.0) and Surguja regions (IRR:7.4; 95% CI 2.0 to 27.4) compared with the central region.

Conclusions: Southern districts of Chhattisgarh consistently documented increased incidence over the years. We recommend strengthening the implementation of the vector control measures starting in May. Further research should be conducted to identify the reasons for the high malaria incidence in southern Chhattisgarh.

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来源期刊

Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.00

自引率

9.10%

发文量

115

审稿时长

4-8 weeks

期刊介绍： Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.