铜陵县2005-2009年法定传染病流行特征研究

发布时间：2018-02-19 22:19

本文关键词： 传染病流行特征发病率构成比　出处：《安徽医科大学》2010年硕士论文　论文类型：学位论文

【摘要】：目的分析铜陵县2005-2009年法定传染病流行特征,为政府制定防制策略提供科学依据。方法将铜陵县2005-2009年疾病监测信息报告管理系统中报告的传染病进行整理,采用描述性流行病学方法对铜陵县2005-2009年法定传染病报告发病情况进行分析。结果2005-2009年共报告法定传染病21种(不含手足口病、甲型H1N1流感)5007例,年平均报告发病率338.93/10万,2005-2009年发病率依次为319.02/10万、284.42/10万、301.97/10万、342.85/10万、448.62/10万,2009年发病率最高,总体呈上升趋势。乙类传染病共报告16种2839例(不含甲型H1N1流感),年平均报告发病率192.17/10万;丙类传染病共报告5种2168例(不含手足口病),年平均报告发病率146.75/10万;乙类传染病报告发病率2009年低于丙类,其他年份均高于丙类,但发病率波动幅度不大;丙类传染病一直呈上升趋势,且2009年报告发病率高于乙类。 2005-2009年报告发病居前五位的病种分别为肺结核、其它感染性腹泻、病毒性肝炎、流行性腮腺炎、淋病,共计报告4382例,占五年法定传染病报告总数的87.52%。2005-2009年肺结核共报告1670例,年平均发病率113.04/10万,农民占75.57%。其它感染性腹泻共报告1452例,年平均发病率98.29/10万,5-8月份为发病高峰,占56.20%;0岁组报告相对较多,占21.49%;农民发病最多,占31.82%。病毒性肝炎共报告530例,年平均发病率35.88/10万,其中乙肝占80%;20-50岁年龄组发病较多,占71.70%;以农民发病最多,占59.81%。流行性腮腺炎共报告488例,年平均发病率33.03/10万,3-7月份为发病高峰,占70.70%;3-20岁发病最多,92.26%;学生占79.10%。淋病共报告242例,年平均报告率16.38/10万,25-55岁年龄组占83.06%;农民最多,占47.11%。发病以呼吸道传染病报告最多,2005-2009年共报告2465例,占总报告数的49.23%;其次是肠道传染病,共报告1689例,占总报告数的33.73%;呼吸道传染病、肠道传染病2005-2009年共报告4154例,占总报告数的82.96%;血源及性传播传染病报告820例,占16.38%;自然疫源及虫媒传染病报告25例,占0.5%;其他途径传染病报告最少,共报告8例,占0.16%。肠道传染病年平均发病率114.33%,除2008年有波动外,总体呈上升趋势;呼吸道传染病传染病年平均发病率166.86%,除2005年有波动外,总体也呈上升趋势;血源及性传播传染病2005-2008年一直在下降后2009年又开始回升;自然疫源及虫媒传染病、其他途径传染病一直在很低水平呈散发状态。 2009年铜陵县共报告风疹病例184例,发病率61.73/10万。高峰集中于3月中旬-4月上旬,年龄分布10-20年龄组发病较高,占72.28%;发病人群主要是中小学生,占79.89%。 2005-2009年梅毒共报告141例,年平均发病率13.24/10万。2005-2007年呈下降趋势,而后开始上升。发病年龄主要以25-50年龄组为主,共报告105例,占总数的74.47%,发病职业人群主要是农民,共报告71例,占50.35%。 2005-2009年痢疾共报告136例,均为细菌性痢疾,年平均发病率9.21/10万。2005-2007年呈上升趋势,而后开始下降。5-8月份共报告75例,占全部病例的55.15%;发病年龄中0-2岁组发病相对较多,共报告30例,占报告总数的22.06%。发病职业人群中农民最多,共报告56例,占41.18%。 2009年报告的64例流行性感冒全部发生在下半年8-12月份,发病高峰主要集中在8-9月,共报告41例,占2009年全部病例的64.06%。2009年流行性感冒发病年龄主要是4-20岁年龄组,共报告53例,占82.81%。职业主要以学生为主,共报告42例,占65.63%。铜陵县麻疹发病高峰主要在3-5月份,共报告39例,占报告病例数的63.93%。发病年龄组主要以0岁组为主,共报告30例,占49.19%;其次为15 -40岁人群,共报告27例,占44.26%;职业主要以散居儿童为主,共报告31例,占50.82%;其次为农民10例,占16.39%。铜陵县手足口病2008-2009年共报告468例,发病高峰在4-6月份;农村居住儿童发病发病较多,共报告393例,占83.97%;散居儿童占61.75%,0-5岁年龄组儿童发病占95.09%。 2009年共报告甲型H1N1流感106例,9月下旬、11月中旬、12月上旬分别有个发病高峰,学生占81.13%,5-20岁年龄组发病占报告病例数的83.02%。结论肠道与呼吸道传染病占有很大比重,今后防病工作重点仍是肠道与呼吸道传染病。丙类传染病一直呈上升趋势,应加强对丙类传染病工作的防控。继续加强对未发生传染病的监测工作,加强对法定传染病之外的传染病的监测工作,加强对新增法定传染病或新发传染病的防控工作。
[Abstract]:Objective to analyze the epidemic characteristics of the legal infectious diseases in Tongling County for 2005-2009 years, and to provide scientific basis for the government to formulate the control strategy.
Methods the infectious diseases reported in the 2005-2009 years' disease surveillance information reporting system in Tongling county were sorted out, and the incidence of notifiable infectious diseases in Tongling County in 2005-2009 years was analyzed by descriptive epidemiological method.
Results a total of 2005-2009 years of legal infectious disease report 21 (not including the hand foot and mouth disease, influenza a H1N1) in 5007 cases, the average annual reported incidence rate of 338.93/10 million, 2005-2009 year incidence rate were 319.02/10 million, 284.42/10 million, 301.97/10 million, 342.85/10 million, 448.62/10 million in 2009, the incidence rate is highest, the overall upward trend.
Class B infectious diseases were reported in 16 of 2839 cases (excluding H1N1 influenza), the average annual reported incidence rate of 192.17/10 million; class C infectious diseases were reported in 5 of 2168 cases (excluding HFMD), the average annual reported incidence rate of 146.75/10 million; B report the incidence of infectious diseases of class C is lower than the rate in 2009. The other two years higher than Class C, but the incidence of small fluctuations; class C infectious diseases have been increasing, and the reported incidence in 2009 higher than B.
2005-2009 years of reported incidence of the top five diseases were tuberculosis and other infectious diarrhea, viral hepatitis, mumps, gonorrhea, a total of 4382 cases, accounting for five of the total annual report of notifiable infectious diseases in 87.52%.2005-2009 pulmonary tuberculosis 1670 cases were reported, the average annual incidence rate of 113.04/10 million, accounting for 75.57%. of other farmers infectious diarrhea in 1452 cases were reported, the average annual incidence rate of 98.29/10 million, 5-8 months is the peak incidence, accounting for 56.20%; 0 years old group reported relatively more, accounted for 21.49%; farmers accounted for the highest incidence of hepatitis 31.82%. virus were reported in 530 cases, the average annual incidence rate of 35.88/10 million, which accounted for 80% of hepatitis B; 20-50 year old age group the incidence is more, accounted for 71.70%; with the highest incidence of farmers, accounting for 59.81%. of mumps reported a total of 488 cases, the average annual incidence rate of 33.03/10 million, 3-7 months is the peak incidence, accounted for 70.70%; the onset of 3-20 years, 92.26% students accounted for 79.10%. of gonorrhea; A total of 242 cases were reported, with an average annual reporting rate of 16.38/10 million, and 83.06% of the 25-55 year old age group, and the largest number of farmers, accounting for 47.11%..
The incidence of respiratory infectious disease report up to 2005-2009 years, reported a total of 2465 cases, accounting for 49.23% of total reported number; followed by intestinal infectious diseases, 1689 cases were reported, accounting for 33.73% of the total number of reports; respiratory infectious diseases, intestinal infectious diseases were reported in 2005-2009 years in 4154 cases, accounting for 82.96% of total reported number of infectious disease report; blood and sexually transmitted 820 cases, accounting for 16.38%; the report of infectious diseases and insect borne natural foci in 25 cases, accounting for 0.5%; other ways of infectious disease report at least, reported a total of 8 cases, accounting for 0.16%. of intestinal infectious diseases the average annual incidence rate of 114.33%, in 2008 there are fluctuations, the overall upward trend; infectious disease of respiratory tract infectious diseases in average the incidence rate of 166.86%, in 2005 there are fluctuations, the overall upward trend; blood and sexually transmitted diseases for 2005-2008 years has been in decline after 2009 began to rise; natural foci and insect borne infectious diseases, infectious diseases have been the other way at a very low level in Emanate.
In 2009, a total of 184 cases of rubella were reported in Tongling County, with an incidence of 61.73/10 million. The peak was concentrated in the middle of March -4, and the age distribution was 10-20. The age group had a high incidence, accounting for 72.28%. The main population was primary and secondary school students, accounting for 79.89%..
In 2005-2009 years, 141 cases of syphilis were reported. The annual incidence rate was 13.24/10 million,.2005-2007 showed a downward trend, and then began to rise. The age of onset was mainly 25-50 age groups. 105 cases were reported, accounting for 74.47% of the total. The occupational population was mainly farmers, and 71 cases were reported, accounting for 50.35%..
2005-2009 years of dysentery were reported in 136 cases, both for bacterial dysentery, the average annual incidence rate of 9.21/10 million.2005-2007 year upward trend, and then began to decline in the month of.5-8 reported a total of 75 cases, accounting for 55.15% of the total cases; 0-2 more years of age group of age of onset, 30 cases were reported, accounting for the total number of reported incidence of 22.06%. occupation the crowd most farmers, reported a total of 56 cases, accounting for 41.18%.
64 cases of influenza in 2009 report all occurred in the second half of the 8-12 months, the peak incidence occurred in 8-9 months, 41 cases were reported in 2009, accounting for all cases of 64.06%.2009 influenza in the age of onset is 4-20 year old age group, 53 cases were reported, accounting for 82.81%. occupation mainly students, reported a total of 42 for example, 65.63%.
The peak incidence of measles in Tongling County in 3-5 months, 39 cases were reported, 63.93%. age group accounted for the number of cases reported mainly in the 0 year old group, 30 cases were reported, accounting for 49.19%; followed by 15-40 year olds, 27 cases were reported, accounting for 44.26%; occupation mainly scattered children. 31 cases were reported, accounting for 50.82%; followed by farmers in 10 cases, accounting for 16.39%.
468 cases of hand foot and mouth disease were reported in Tongling 2008-2009 years ago. The peak incidence was 4-6 months. The incidence of children living in rural areas was more than that. 393 cases were reported, accounting for 83.97%, scattered children accounted for 61.75%, and children in 0-5 years old group accounted for 95.09%..
A total of 106 cases of influenza A (H1N1) were reported in 2009. There was a peak in late September, mid November and early December. The incidence of influenza A (81.13%) and 5-20 years old group accounted for 83.02%. of the reported cases.
Conclusion intestinal and respiratory tract infectious disease prevention work occupies a large proportion, the future is still the focus of intestinal and respiratory infectious disease. C Class infectious diseases have been increasing, should strengthen the prevention and control of infectious diseases of class C work. To continue to strengthen the monitoring work without the occurrence of infectious diseases, strengthen the monitoring of infectious diseases outside the legal infectious disease to strengthen the new, infectious disease or new infectious disease prevention and control work.

【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R181.3

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