Epidemiological analysis on kala-azar cases during 1990-2014 in Kashi Prefecture, Xinjiang, China
Objective To investigate the epidemic situation and characteristics of visceral leishmaniasis in Kashi Prefecture, Xinjiang, so as to provide a scientific basis for formulating the strategies and measures of prevention and control suitable to local characters. Methods The information of visceral leishmaniasis in Kashi Prefecture, Xinjiang during 1990-2014 was collected through the disease outbreak surveillance network information system and clinical diagnosis and laboratory confirmed cases. and summarized by the frequency distribution table and graph. The distribution of time, space and population of the cases, incidence, and con-stituent ratio were statistically analyzed using SPSS 12.0 software. Results The visceral leishimaniasis cases were reported in 10 counties among 12 counties of Kashgar region during 1990-1990 with the total number of 2 500 cases, of which 232 cases reported in 2002 as the most. accounting for 9.28% of the total number of reported cases. Among the 10 counties and cities, the most cases were reported from Kashi city with 1 724 cases (68.96%), followed by northwestern with 539 cases (21.56%) while only 1 cases reported in Zip county in 2013. In the endemic area of human origin leishimaniasis, the most reported cases were during April to June, as the first peak of prevalence, and the second peak was in October with the age distribution of 3-15 years old group. In desert type endemic area the cases mainly reported during September to February next year with the age distribution of 0-2 years old age group. Conclusion The epidemiological features pre-sented the different characteristics in terms of prevalence peaks and age distribution between different types of anthropogenic and desert kala azar, so corresponding prevention measures are suggested to be implemented.