2009-2015年陕西省人狂犬病流行变化特征分析

发布时间：2018-05-03 10:54

本文选题：陕西省 + 狂犬病　；参考：《现代预防医学》2017年05期

【摘要】：目的分析2009-2015年陕西省人狂犬病发病情况和流行特征,探讨其发病的规律和趋势,为采取针对性防控策略提供依据。方法收集2009-2015年陕西省狂犬病疫情监测资料进行统计分析。结果 2009-2015年陕西省共报告狂犬病274例,年发病率为0.104/10万,其中21.9%的病例在2012年报告。6-10月是发病的高峰季节,报告病例数占总数的56.2%,又以8月(12.8%)和9月(12.4%)最多。病例以农民、学生和散居儿童为主,分别占总数的81.8%、7.7%和2.9%。男女性别比为2.34:1,年龄发病曲线呈"低龄组"和"高龄组"两个高峰,病例构成以40~69岁年龄组(68.6%)和0~14岁组(11.3%)为主。全省53.7%(58/108)的县有病例报告,疫情由陕南经关中逐渐蔓延到陕北,但主要仍以关中和陕南地区流行为主。48.2%的病例发病后3 d内获得诊断,病例发病至死亡的时间中位数为9 d(四分位数6~18 d),发病后7 d内39.8%的病例死亡。结论陕西省人狂犬病以陕南和关中地区高发为主,农民、男性以及15岁以下儿童和40~69岁年龄组是发病重点人群,应在高发季节针对高发地区的重点人群加强精准防控。
[Abstract]:Objective to analyze the incidence and epidemic characteristics of rabies in Shaanxi Province from 2009 to 2015, and to explore the regularity and trend of rabies in Shaanxi Province, and to provide evidence for the prevention and control of rabies. Methods the surveillance data of rabies in Shaanxi Province from 2009 to 2015 were collected and analyzed statistically. Results 274 cases of rabies were reported from 2009 to 2015 in Shaanxi Province, and the annual incidence rate was 0.104 / 100 000. Among them, 21.9% of the cases were the peak season in the reporting period from June to October of 2012, and the number of reported cases accounted for 56.2% of the total. The main cases were farmers, students and scattered children, accounting for 81.8% and 2.9% of the total respectively. The sex ratio of male to female was 2.34: 1. The incidence curve of age was the peak of "low age group" and "old age group". The case composition was mainly composed of 40 ~ 69 years old age group (68.6%) and 0 ~ 14 years old group (11.3%). Case reports were reported in 53.7% / 108 counties of the province. The epidemic spread gradually from southern Shaanxi to northern Shaanxi. However, the main cases were still diagnosed within 3 days after the onset of the disease, mainly in Guanzhong and southern Shaanxi areas. The median time from onset to death was 9 days (quartile 6: 18 d). 39.8% of the cases died within 7 days after onset. Conclusion the incidence of rabies is mainly in southern Shaanxi and Guanzhong. Farmers, males, children under 15 and age group 4069 are the key population of rabies in Shaanxi province, and the precise prevention and control of rabies should be strengthened in the high incidence season for the key population in the high incidence area.
【作者单位】：陕西省疾病预防控制中心;
【分类号】：R512.99;R181.3

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