潍坊市肾综合征出血热流行规律及发病特征分析

发布时间：2018-01-14 16:04

本文关键词：潍坊市肾综合征出血热流行规律及发病特征分析　出处：《现代预防医学》2015年21期 　论文类型：期刊论文

【摘要】：目的了解潍坊市肾综合征出血热(HFRS)的流行规律及发病特征,为防控工作提供决策和依据。方法对1974-2013年潍坊市HFRS人间发病趋势及2003-2013年鼠间监测资料进行描述流行病学分析。结果 1974-2013年全市共报告HFRS病例29 475例,平均发病率11.91/10万,死亡510例,总病死率为1.73%。这40年间经历了5个流行周期,1982年、2004-2005年、2012-2013年3次小的流行高峰,1985-1987年、1995-2000年2次大的流行高峰。从1974-2013年HFRS发病季节看,秋冬峰(10-11月份)稍高于春峰(3-5月份),第1个流行周期(1974-1982年)、第2个流行周期(1983-1991年)、第4个流行周期(2003-2010年)、第5个流行周期(2011-2013年)秋冬峰明显高于春峰,而只有第3个流行周期(1993-2002年)春峰稍高于秋冬峰。南部的临朐县、青州市、诸城市、安丘市、昌乐县占报告病例总数的69.39%。2003-2013年报告发病率与鼠带病毒指数呈正相关(r=0.989,P0.001)。结论潍坊市HFRS发病每10年左右为1个流行周期,每次流行高峰为2~6年;季节特征为双峰型,不同时期双峰分布呈不同特点。南部山区、丘陵地区为HFRS高发病区。
[Abstract]:Objective to understand the Weifang hemorrhagic fever with renal syndrome (HFRS) epidemic regularity and clinical characteristics, and provide decision-making basis for prevention and control. Methods descriptive epidemiological analysis was conducted on the incidence of human HFRS in Weifang city in 1974-2013 and 2003-2013 mice. The results of 1974-2013 monitoring data of 29475 HFRS cases were reported, the average incidence rate of 11.91/10 million., 510 cases died, the total mortality rate experienced 5 epidemic cycle, for the 40 years 1.73%. 1982, 2004-2005, the popular peak, 3 small 2012-2013 1985-1987 years, 1995-2000 years 2 major epidemic peak from 1974-2013 HFRS. The onset season, autumn winter peak (10-11 months) is slightly higher than the spring peak (3-5 months), first popular period (1974-1982 years), second popular period (1983-1991 years), fourth popular period (2003-2010 years), fifth epidemic period (2011-2013 years) was significantly higher than that of spring and autumn winter peak peak, while only third A popular cycle (1993-2002) was slightly higher than that of autumn and winter spring peak peak. The south of Linqu County, Qingzhou City, Zhucheng City, Anqiu City, the total number of reported cases of 69.39%.2003-2013 reported incidence rate was positively correlated with the index of rats with virus accounted for Changle county (r=0.989, P0.001). Conclusion the incidence of HFRS in Weifang city for every 10 years or so 1 popular period, every time the epidemic peak for 2~6 years; the seasonal characteristics of Shuangfeng and Shuangfeng in different periods showed different distribution characteristics. The southern mountain area, hilly area is HFRS high incidence area.

【作者单位】：山东省潍坊市疾病预防控制中心传染病防制科;
【分类号】：R512.8
【正文快照】： 潍坊市位于山东半岛中部,辖4区6市2县,人口930余万,地势南高北低。南部为山区、丘陵,中部为倾斜平原,北部为沿海平原。多年来潍坊市特别是南部山区、丘陵地带一直是山东省肾综合征出血热(HFRS)的高发地区[1,2]。为了解潍坊市HFRS的流行规律及发病特征变化,更好地制订防控措略,

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