{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:30:46Z","timestamp":1776825046869,"version":"3.51.2"},"reference-count":31,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,4,4]]},"abstract":"<jats:p>To study the epidemiological distribution and the incident trends of imported malaria from 2012 to 2016 in Zhejiang Province, southeastern China, we collected data on malaria from the Information System for Parasitic Disease Control and Prevention. A total of 1,003 malaria cases were reported during 2012\u20132016, and all of these cases were imported. <jats:italic>Plasmodium falciparum<\/jats:italic> was the predominant species (76.3%) in Zhejiang Province. The percentage of <jats:italic>Plasmodium vivax<\/jats:italic> decreased from 33.6% to 8.1%, whereas the percentage of <jats:italic>Plasmodium ovale<\/jats:italic> and <jats:italic>Plasmodium malariae<\/jats:italic> increased. Most cases were male (89.8%), mostly in the age group of 21\u201350 years (82.6%). Businessmen (33.0%), workers (21.0%), farmers (18.8%), and overseas laborers (11.7%) were at high risk. The origin of the largest number of imported cases was Africa (89.5%), followed by Asia (10.0%) and Oceania (0.5%). The time interval from illness onset to confirmation was found to be significantly associated with the complications of patients. Out of 3,461 febrile individuals tested during reactive case detection, 10 malaria-positive individuals were identified. Effective surveillance and response system should be strengthened to prevent the reintroduction of malaria.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0476","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T07:00:32Z","timestamp":1519714832000},"page":"1107-1112","source":"Crossref","is-referenced-by-count":18,"title":["Malaria in Southeastern China from 2012 to 2016: Analysis of Imported Cases"],"prefix":"10.4269","volume":"98","author":[{"given":"Xuan","family":"Zhang","sequence":"first","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linong","family":"Yao","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimin","family":"Sun","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinren","family":"Pan","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hualiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lingling","family":"Zhang","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Ruan","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","author":"World Health Organization","year":"2016"},{"key":"b2","series-title":"Chin J Publ Health","first-page":"263","article-title":"Descriptive analysis of trends of malaria prevalence in China from 2006 to 2010","volume":"29","author":"Li","year":"2013"},{"key":"b3","author":"Ministry of Health of the People\u2019s Republic of China","year":"2010"},{"key":"b4","series-title":"Am J Trop Med Hyg","first-page":"305","article-title":"Malaria in Zhejiang Province, China, from 2005 to 2014","volume":"93","author":"Chen","year":"2015"},{"key":"b5","author":"Chinese Centre for Disease Control and Prevention","year":"2011"},{"key":"b6","series-title":"Malar J","first-page":"39","article-title":"Trends of imported malaria in China 2010\u20132014: analysis of surveillance data","volume":"15","author":"Zhou","year":"2016"},{"key":"b7","series-title":"Malar J","first-page":"459","article-title":"The increasing importance of Plasmodium ovale and Plasmodium malariae in a malaria elimination setting: an observational study of imported cases in Jiangsu Province, China, 2011\u20132014","volume":"15","author":"Cao","year":"2016"},{"key":"b8","series-title":"Tran R Soc Trop Med Hyg","first-page":"990","article-title":"Malaria risk perception, knowledge and prophylaxis practices among travellers of African ethnicity living in Paris and visiting their country of origin in sub-Saharan Africa","volume":"101","author":"Pistone","year":"2007"},{"key":"b9","series-title":"J Travel Med","first-page":"173","article-title":"Knowledge, attitudes, and practices on malaria prevention among Chinese international travelers","volume":"18","author":"Zhang","year":"2011"},{"key":"b10","series-title":"Chin Front Health Quar","first-page":"154","article-title":"Investigation on knowledge of malaria among exit laborers at Anhui port [in Chinese]","volume":"37","author":"Ye","year":"2014"},{"key":"b11","series-title":"Clin Infect Dis","first-page":"572","article-title":"Imported falciparum malaria in Europe: sentinel surveillance data from the European network on surveillance of imported infectious diseases","volume":"34","author":"Jelinek","year":"2002"},{"key":"b12","series-title":"Malar J","first-page":"29","article-title":"Malaria in overseas labourers returning to China: an analysis of imported malaria in Jiangsu Province, 2001\u20132011","volume":"13","author":"Liu","year":"2014"},{"key":"b13","series-title":"Lancet","first-page":"900","article-title":"The changing epidemiology of malaria elimination: new strategies for new challenges","volume":"382","author":"Cotter","year":"2013"},{"key":"b14","series-title":"Nature","first-page":"207","article-title":"The effect of malaria control on Plasmodium falciparum in Africa between 2000 and 2015","volume":"526","author":"Bhatt","year":"2015"},{"key":"b15","series-title":"Malar J","first-page":"240","article-title":"The ears of the African elephant: unexpected high seroprevalence of Plasmodium ovale and Plasmodium malariae in healthy populations in Western Africa","volume":"13","author":"Doderer-Lang","year":"2014"},{"key":"b16","series-title":"Parasitology","first-page":"1880","article-title":"Detection of persistent Plasmodium spp. infections in Ugandan children after artemether-lumefantrine treatment","volume":"141","author":"Betson","year":"2014"},{"key":"b17","series-title":"Am J Trop Med Hyg","first-page":"996","article-title":"Isolation and characterization of the MSP1 genes from Plasmodium malariae and Plasmodium ovale","volume":"82","author":"Birkenmeyer","year":"2010"},{"key":"b18","series-title":"J Pathog Biol","first-page":"217","article-title":"Identification on the malaria vector with sequence analysis of the ribosomal DNA ITS2 region in Zhejiang Province [in Chinese]","volume":"1","author":"Yao","year":"2006"},{"key":"b19","series-title":"Rev Soc Bras Med Trop","first-page":"232","article-title":"Malaria outbreaks in a non-endemic area of Brazil, 2005","volume":"41","author":"Limongi","year":"2005"},{"key":"b20","series-title":"Infect Dis Poverty","first-page":"32","article-title":"Investigation and control of a Plasmodium falciparum malaria outbreak in Shan Special Region II of Myanmar along the China-Myanmar Border from June to December 2014","volume":"5","author":"Liu","year":"2016"},{"key":"b21","series-title":"Malar J","first-page":"71","article-title":"Malaria transmission in non-endemic areas: case report, review of the literature and implications for public health management","volume":"8","author":"Zoller","year":"2009"},{"key":"b22","series-title":"Malar J","first-page":"304","article-title":"Surveillance considerations for malaria elimination","volume":"11","author":"Barclay","year":"2012"},{"key":"b23","series-title":"PLoS Med","first-page":"e1001642","article-title":"Communicating and monitoring surveillance and response activities for malaria elimination: China\u2019s \u201c1-3-7\u201d strategy","volume":"11","author":"Cao","year":"2014"},{"key":"b24","series-title":"Lancet Infect Dis","first-page":"709","article-title":"Further shrinking the malaria map: how can geospatial science help to achieve malaria elimination?","volume":"13","author":"Clements","year":"2013"},{"key":"b25","series-title":"Int J Environ Res Public Health","first-page":"5651","article-title":"The epidemiology of imported malaria in Taiwan between 2002\u20132013: the importance of sensitive surveillance and implications for pre-travel medical advice","volume":"11","author":"Chen","year":"2014"},{"key":"b26","series-title":"Am J Trop Med Hyg","first-page":"139","article-title":"Tackling imported malaria: an elimination endgame","volume":"93","author":"Sturrock","year":"2015"},{"key":"b27","series-title":"Malar J","first-page":"151","article-title":"Severe malaria in Canada, 2001\u20132013","volume":"14","author":"McCarthy","year":"2015"},{"key":"b28","series-title":"Chin J Schisto Control","first-page":"259","article-title":"Epidemic situation and control strategy of imported malaria in Hubei Province from 2006 to 2011","volume":"25","author":"Li","year":"2013"},{"key":"b29","series-title":"Malar J","first-page":"54","article-title":"Adapting the local response for malaria elimination through evaluation of the 1-3-7 system performance in the China\u2013Myanmar border region","volume":"16","author":"Wang","year":"2017"},{"key":"b30","series-title":"Clin Chem","first-page":"821","article-title":"Capture and ligation probe-PCR (CLIP-PCR) for molecular screening, with application to active malaria surveillance for elimination","volume":"61","author":"Cheng","year":"2015"},{"key":"b31","series-title":"Am J Trop Med Hyg","first-page":"806","article-title":"Towards malaria elimination: monitoring and evaluation of the \u201c1-3-7\u201d approach at the China\u2013Myanmar border","volume":"95","author":"Feng","year":"2016"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/98\/4\/article-p1107.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/98\/4\/article-p1107.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/98\/4\/article-p1107.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T15:22:20Z","timestamp":1722439340000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/98\/4\/article-p1107.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,4]]},"references-count":31,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.17-0476","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,4]]}}}