Analysis of Malaria Situation in Jask County During the Implementation of the Elimination Programme in 2010-2020

Mahmood Hosseinpoor, Sajjad Fekrijaski, S. Zare, M. Soleimani-Ahmadi
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Abstract

Background: Currently, Iran has entered the malaria elimination phase, and no malaria cases have been observed in this country during the last two consecutive years. Continuous monitoring and analysis of the malaria situation are necessary to achieve the elimination goals set to be achieved in 2025. This study aimed to determine the malaria situation analysis during the implementation of the elimination programme in Jask county, one of the most important malaria foci in Iran. Methods: This descriptive-analytical study was conducted in Jask county of Hormozgan province in the southeast of Iran from 2010 to 2020. Data were collected from the national malaria surveillance system and special forms that were completed by malaria focal points in Jask county. Data were analyzed using SPSS 21 software and descriptive statistics. Results: A total of 347 confirmed malaria cases were recorded, and the total number of cases was found to decrease from 114 cases in 2010 to 11 in 2020. The mean age of the patients was 23.4±19.6 years, and most cases (74.06%) belonged to 15-year-old or older people. Plasmodium vivax was the most prevalent species (83.86%). Based on the results, males were more infected (81.84%) than females, and the majority of the patients were from rural areas (86.4%). Conclusion: Malaria incidence has significantly decreased during the past eleven years in Jask county. The considerable drop in the incidence of malaria may be related to the implementation of comprehensive malaria control measures and intensive entomological and parasitological monitoring.
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贾斯克县2010-2020年消除疟疾规划实施期间疟疾形势分析
背景:目前,伊朗已进入消除疟疾阶段,该国连续两年未发现疟疾病例。为了实现定于2025年实现的消除疟疾目标,必须持续监测和分析疟疾情况。本研究旨在确定伊朗最重要的疟疾疫源地之一贾斯克县在实施消除规划期间的疟疾情况分析。方法:2010 - 2020年在伊朗东南部霍尔木兹甘省贾斯克县进行描述性分析研究。数据收集自国家疟疾监测系统和贾斯克县疟疾联络点填写的特殊表格。数据分析采用SPSS 21软件和描述性统计。结果:共记录疟疾确诊病例347例,总病例数由2010年的114例减少到2020年的11例。患者平均年龄23.4±19.6岁,15岁及以上年龄组占74.06%。间日疟原虫以83.86%的流行率最高。结果显示,男性感染率(81.84%)高于女性,且以农村患者居多(86.4%)。结论:近11年来贾斯克县疟疾发病率明显下降。疟疾发病率的大幅下降可能与实施综合疟疾控制措施和加强昆虫学和寄生虫学监测有关。
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