1999-2015年连云港市肾综合征出血热流行特征分析
发布时间：2019-03-02 08:05
【摘要】：目的了解江苏省连云港市肾综合征出血热(HFRS)流行特征,为该市HFRS防制提供科学依据。方法采用描述性流行病学方法对1999-2015年江苏省连云港市HFRS的时间、地点和人群分布情况进行描述。结果 1999-2015年连云港市共报告1 937例HFRS病例,占全省总数的32.6%,年均发病率2.34/10万,1999-2015年发病率总体呈下降趋势;呈秋冬型单峰分布,10月-次年1月病例数占总数的75.5%,不同县区发病高峰存在差异;年均发病率以灌云县最高,为3.92/10万,赣榆县HFRS发病率由1999年的12.93/10万下降到2015年0.34/10万、东海县由4.91/10万下降到0.74/10万,市区(海州、连云)发病2001年之前最低0.15/10万,2013-2015年最高达到4.07/10万;随年龄增大发病率上升,60岁~发病率最高,为6.33/10万,60岁以上年龄组2005-2008年发病率在3.61/10万以下,2009-2015年(除2012年)在4.69~6.86/10万之间。结论连云港市HFRS流行近年出现老疫区(赣榆、东海)发病率降低,而市区(海州、连云)上升,60岁以上年龄组发病上升的新特征,需要及时调整防控重点。
[Abstract]:Objective to understand the epidemic characteristics of hemorrhagic fever with renal syndrome (HFRS) in Lianyungang City, Jiangsu Province, and to provide scientific basis for HFRS control in Lianyungang City. Methods descriptive epidemiological method was used to describe the time, location and population distribution of HFRS in Lianyungang City, Jiangsu Province from 1999 to 2015. Results from 1999 to 2015, a total of 1 937 HFRS cases were reported in Lianyungang city, accounting for 32.6% of the total number of cases in the province. The average annual incidence rate was 2.34 / 100000, and the incidence rate decreased from 1999 to 2015 as a whole. The number of cases from October to January of the following year accounted for 75.5% of the total, and there was a difference in the peak of incidence among different counties. The annual incidence of HFRS decreased from 12.93 / 100000 in 1999 to 0.34 / 100000 in 2015 in Ganyu County, and from 4.91 / 100000 in Donghai County to 0.74 / 100000 in Donghai County. The incidence rate was 0.15 / 100000 before 2001 and 4.07 / 100000 in 2013-2015; With the increase of age, the incidence rate from 60 to 100000 was the highest (6.33 / 100000). The incidence rate was less than 3.61 / 100000 in 2005-2008 and 4.69 / 6.86 / 100000 in 2009-2015 (except 2012) in the age group over 60 years old in 2005-2008 and in 2009-2015 (except 2012), the incidence rate was less than 3.61 / 100000. Conclusion the prevalence of HFRS in Lianyungang city has decreased in recent years, while the incidence rate in urban area (Haizhou, Lianyun) has increased. It is necessary to adjust the emphasis of prevention and control in time because of the new characteristics of rising incidence in the age group over 60 years old in Lianyungang.
【作者单位】： 青岛市疾病预防控制中心;中国疾病预防控制中心;江苏省疾病预防控制中心;南京军区军事医学研究所;南京医科大学第一附属医院;
【基金】：国家自然科学基金项目(81473036) 江苏省重大新发传染病综合防控科技示范工程(BE2015714) 江苏省流行学重点学科(ZDXKA2016008) 江苏省医学青年人才项目(QNRC2016545)
【分类号】：R181.3;R512.8
[Abstract]:Objective to understand the epidemic characteristics of hemorrhagic fever with renal syndrome (HFRS) in Lianyungang City, Jiangsu Province, and to provide scientific basis for HFRS control in Lianyungang City. Methods descriptive epidemiological method was used to describe the time, location and population distribution of HFRS in Lianyungang City, Jiangsu Province from 1999 to 2015. Results from 1999 to 2015, a total of 1 937 HFRS cases were reported in Lianyungang city, accounting for 32.6% of the total number of cases in the province. The average annual incidence rate was 2.34 / 100000, and the incidence rate decreased from 1999 to 2015 as a whole. The number of cases from October to January of the following year accounted for 75.5% of the total, and there was a difference in the peak of incidence among different counties. The annual incidence of HFRS decreased from 12.93 / 100000 in 1999 to 0.34 / 100000 in 2015 in Ganyu County, and from 4.91 / 100000 in Donghai County to 0.74 / 100000 in Donghai County. The incidence rate was 0.15 / 100000 before 2001 and 4.07 / 100000 in 2013-2015; With the increase of age, the incidence rate from 60 to 100000 was the highest (6.33 / 100000). The incidence rate was less than 3.61 / 100000 in 2005-2008 and 4.69 / 6.86 / 100000 in 2009-2015 (except 2012) in the age group over 60 years old in 2005-2008 and in 2009-2015 (except 2012), the incidence rate was less than 3.61 / 100000. Conclusion the prevalence of HFRS in Lianyungang city has decreased in recent years, while the incidence rate in urban area (Haizhou, Lianyun) has increased. It is necessary to adjust the emphasis of prevention and control in time because of the new characteristics of rising incidence in the age group over 60 years old in Lianyungang.
【作者单位】： 青岛市疾病预防控制中心;中国疾病预防控制中心;江苏省疾病预防控制中心;南京军区军事医学研究所;南京医科大学第一附属医院;
【基金】：国家自然科学基金项目(81473036) 江苏省重大新发传染病综合防控科技示范工程(BE2015714) 江苏省流行学重点学科(ZDXKA2016008) 江苏省医学青年人才项目(QNRC2016545)
【分类号】：R181.3;R512.8
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