CAJ | 학술논문

目的分析河北省迁安市流行性出血热的流行特征,为其预防和控制提供依据.方法 2004-2010年河北省迁安市流行性出血热疫情资料来源于“国家疾病监测信息报告管理系统”,人口资料来源于“国家疾病监测信息报告管理系统的基本信息系统”,采用描述性流行病学方法进行统计分析.结果 2004- 2010年迁安市报告的流行性出血热发病人数分别为86、67、12、1、0、1、7例,共计173例,报告发病率分别为13.12/10万(86/640 249)、10.42/10万(67/642 688)、1.86/10万(12/645 124)、0.15/10万(1/647 983)、0(0/650 720)、0.15/10万(1/653 839)、0.11/10万(7/657 380),年平均报告发病率为3.86/10万(25/648 283).2004年至2008年报告发病率在迅速下降,2009年后缓慢回升；具有明显的冬季(11月-次年1月)、春季(2-5月)季节高峰；发病年龄主要集中在10～＜50岁,占总发病人数的82.08％(142/173);男性发病人数(114例)高于女性(59例)；职业分布以农民和学生为主,占总发病人数的87.86％(152/173).结论迁安市疫情在迅速下降后又缓慢回升,提示今后仍应加强疫情监测、防鼠灭鼠及重点人群的防护.
목적 분석하북성천안시류행성출혈열적류행특정,위기예방화공제제공의거.방법 2004-2010년하북성천안시류행성출혈열역정자료래원우“국가질병감측신식보고관리계통”,인구자료래원우“국가질병감측신식보고관리계통적기본신식계통”,채용묘술성류행병학방법진행통계분석.결과 2004- 2010년천안시보고적류행성출혈열발병인수분별위86、67、12、1、0、1、7례,공계173례,보고발병솔분별위13.12/10만(86/640 249)、10.42/10만(67/642 688)、1.86/10만(12/645 124)、0.15/10만(1/647 983)、0(0/650 720)、0.15/10만(1/653 839)、0.11/10만(7/657 380),년평균보고발병솔위3.86/10만(25/648 283).2004년지2008년보고발병솔재신속하강,2009년후완만회승；구유명현적동계(11월-차년1월)、춘계(2-5월)계절고봉；발병년령주요집중재10～＜50세,점총발병인수적82.08％(142/173);남성발병인수(114례)고우녀성(59례)；직업분포이농민화학생위주,점총발병인수적87.86％(152/173).결론 천안시역정재신속하강후우완만회승,제시금후잉응가강역정감측、방서멸서급중점인군적방호.
Objective To analyze the epidemiologic characteristics of epidemic hemorrhagic fever syndrome (EHF) from 2004 to 2010 and provide scientific basis for formulating control measures.Methods Epidemiological data of EHF between 2004 to 2010 were obtained from the “National Disease Surveillance Report on Management Information System”,and the population data were from the “National Disease Surveillance Information Management System for Basic Information Report System”.Descriptive epidemiological methods was used for statistical analysis.Results A total of 173 cases were reported in Qian'an from 2004 to 2010.From 2004 to 2010,the cases were 86,67,12,1,0,1,and 7 cases,respectively,and the rate were 13.12/10 million ( 86/640 249 ),10.42/10 million (67/642 688 ),1.86/10 million ( 12/645 124),0.15/10 million (1/647 983 ),0(0/650 720),0.15/10 million( 1/653 839),and 0.11/10 million(7/657 380),respectively.The overall rate was 3.86/10 million(25/648 283) of population.From 2004 to 2008 the incidence reported declined rapidly,then increased slowly after 2009.The cases were found intensively in winter(November - next January) and spring season (february - may).The incidence in the age group of 10 - 45 was higher than that of other age groups,and the total number of cases was 82.08％(142/173).The incidence in males( 114 cases) was higher than that of females(59 cases).Occupational distribution mainly to peasants and students,which accounted for 87.86％ (152/173).Conclusions Epidemic in the city declines rapidly follows by a slow recovery,suggesting that in the future surveillance,mice-killing and protection of vulnerable population should be strengthened.