甘肃省榆中县2009年-2016年报告法定传染病疫情分析

发布时间：2018-04-19 23:17

本文选题：法定传染病 + 发病率　；参考：《兰州大学》2017年硕士论文

【摘要】：目的以甘肃省榆中县2009年-2016年报告的法定传染病病例为资料,对法定传染病进行描述性研究及趋势分析,确定榆中县重点防控的传染病种类以及高危人群,为提出针对性的传染病防控措施提供理论依据。方法从《中国疾病预防控制信息系统》中提取法定传染病资料,核实原始资料的真实性。对法定传染病资料从总体发病情况(发病率、发病顺位、构成)、死亡情况以及主要法定传染病三间分布(人群分布,时间分布与地区分布)等方面进行描述性研究及趋势分析,对其中的计数资料进行c2检验,a=0.05。结果1.总体发病情况甘肃省榆中县2009年-2016年没有甲类法定传染病病例与乙类法定传染病按照甲类管理的病例报告。8年间报告乙类与丙类法定传染病共计12765例,年均报告发病率为362.37/10万,总体呈波动性降低态势。报告法定传染病年均发病率顺位依次为:病毒性肝炎,肺结核,细菌性痢疾,其它感染性腹泻与流行性腮腺炎。报告病例按照不同传播途径分类进行统计分析,血源性及性传播传染病年均发病率位居首位,呼吸道传染病年均发病率位居第2位,肠道传染病年均发病率位居第3位,血源性及性传播传染病以病毒性肝炎病例报告病例为主,其报告病例占血源性及性传播传染病报告总病例的93.94%。2.法定传染病死亡情况榆中县2009年-2016年8年间报告死亡病例共12例,年均报告死亡率为0.34/10万,病死率为0.09%。3.报告病例“三间分布”情况报告病例人群分布情况是,男性患者发病率高于女性(c2=655.713 p0.01),男女性别比为1.69:1;发病人群主要是辖区内的农民与18-岁年龄组人群;报告病例时间分布情况以5月、6月、7月法定传染病多发;报告病例地区分布以西南部山区居民法定传染病的发病率高于东北部山区与中部川区居民发病率(c2=36.350 p0.01)。4.整体发病情况甘肃省榆中县2009年-2016年8年间报告法定传染病年均发病率低于同期国家(486.58/10万)与甘肃省(390.57/10万)发病率水平(c2=189.534 p0.01),报告年均死亡率亦低于同期国家(1.22/10万)与甘肃省(0.49/10万)死亡率水平(c2=107.957 p0.01)。结论1.甘肃省榆中县法定传染病报告病例的年均发病率总体呈波动性降低态势;报告年均死亡率与病死率低于同期国家与甘肃省年均死亡率与病死率水平。2.甘肃省榆中县法定传染病防治的重点人群是18-岁年龄组、农民与男性居民;5、6、7月份法定传染病多发;西南部山区居民法定传染病的发病率高于东北部山区与中部川区居民发病率;病毒性肝炎、肺结核、细菌性痢疾、其它感染性腹泻与流行性腮腺炎是重点防控的法定传染病。
[Abstract]:Objective based on the reported cases of legal infectious diseases in Yuzhong County, Gansu Province from 2009 to 2016, the descriptive study and trend analysis of legal infectious diseases were carried out to determine the types of infectious diseases and the high risk population in Yuzhong County, Gansu Province. To provide theoretical basis for the prevention and control of infectious diseases. Methods the data of legal infectious diseases were extracted from China Disease Prevention and Control Information system to verify the authenticity of the original data. The general incidence (incidence, sequence of incidence, constitution, death and distribution of the main legal infectious diseases) (population distribution, time distribution and regional distribution) of the legal infectious diseases were studied and their trends were analyzed. The counting data were examined by c2 test. Result 1. The overall incidence of infectious diseases in Yuzhong County, Gansu Province, from 2009 to 2016, there were no cases of Class A statutory infectious diseases and Class B statutory infectious diseases reported in accordance with Category A cases. During the period of 8 years, a total of 12765 cases of Class B and Class C legal infectious diseases were reported, with an average annual reported incidence rate of 3,62.37% / 100, 000. Overall volatility decreased. The annual incidence of infectious diseases was ranked as viral hepatitis, tuberculosis, bacillary dysentery, other infectious diarrhea and mumps. The reported cases were statistically analyzed according to different transmission routes. The annual incidence of blood-borne and sexually transmitted infectious diseases ranked first, the annual incidence of respiratory infections ranked second, and the annual incidence of enteric diseases ranked third. The main reported cases of hematogenous and sexually transmitted infectious diseases were viral hepatitis cases, and the reported cases accounted for 93.94% of the total reported cases of blood-borne and sexually transmitted infectious diseases. Death status of legal Infectious Diseases in Yuzhong County from 2009 to 2016, 12 deaths were reported, with an average annual reported mortality rate of 0.34 / 100, 000 and a mortality rate of 0.09 percent and a mortality rate of 0.09 percent. The incidence of male patients was higher than that of females (655.713 p0.01g), and the ratio of male to female was 1.69: 1. The time distribution of reported cases was more frequent in May, June and July, and the incidence of statutory infectious diseases in the southern mountainous areas west of the reported cases was higher than that in the northeast and central Sichuan areas. The overall incidence of infectious diseases in Yuzhong County, Gansu Province, from 2009 to 2016 was lower than that reported in the same period (486.58% / 100 000) and in Gansu Province (3,90.57% / 100 000). The reported annual mortality rate was also lower than that of the same period. ) and Gansu Province (0.49 / 100 000) mortality level of 107.957 p0.01g. Conclusion 1. The average annual incidence of reported cases of statutory infectious diseases in Yuzhong County of Gansu Province was fluctuating, and the reported annual mortality and mortality were lower than those of other countries and Gansu Province in the same period. In Yuzhong County, Gansu Province, the key population for the prevention and control of statutory infectious diseases was the 18-year-old age group, and the incidence of statutory infectious diseases among farmers and male residents was more frequent in July than that in the northeast and central Sichuan areas, and the incidence of statutory infectious diseases in the southwest mountainous areas was higher than that in the northeast and central Sichuan regions. Viral hepatitis, tuberculosis, bacillary dysentery, other infectious diarrhoea and mumps are key legal infectious diseases.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R181.8

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