文章摘要
孙军玲,张静,马会来,常昭瑞.2012年全国和高发省份伤寒、副伤寒流行特征分析[J].中华流行病学杂志,2013,34(12):1183-1188
2012年全国和高发省份伤寒、副伤寒流行特征分析
Epidemiological features of typhoid/paraty’phoid fever in provinces with high incidence rate andinthewhole country,in 2012
收稿日期:2013-06-20  出版日期:2014-10-16
DOI:10.3760/cmaj.issn.0254-6450.2013.012.007
中文关键词: 伤寒;副伤寒;流行特征
英文关键词: Typhoidfever;Paratyphoidfever;Epidemiological features
基金项目:国家公益性卫生行业科研专项(200802025)
作者单位E-mail
孙军玲 102206 北京,中国疾病预防控制中心传染病预防控制处传染病监测预警中国疾病预防控制中心重点实验室
中国现场流行病学培训项目 
 
张静 102206 北京,中国疾病预防控制中心传染病预防控制处传染病监测预警中国疾病预防控制中心重点实验室  
马会来 中国现场流行病学培训项目 cfetpmhl@hotmail.com 
常昭瑞 102206 北京,中国疾病预防控制中心传染病预防控制处传染病监测预警中国疾病预防控制中心重点实验室 changzr@chinacdc.cn 
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中文摘要:
      目的分析2012年全国伤寒、副伤寒法定报告数据,了解全国疫情态势和高发省份发病、人群特征变化趋势,为制定全国和高发地区防控措施提供依据。方法采用描述流行病学方法分析网络直报信息系统中2012年全国伤寒、副伤寒法定报告数据。结果2012年全国共报告伤寒、副伤寒病例11 998例,死亡3例,发病率为0.89/10万。与2011年相比,伤寒、副伤寒发病率上升1.20%。报告实验室诊断病例6522例,占总病例数的54.36%,其中伤寒与副伤寒之比为1.71:1,副伤寒占36.86%。病例均以农民为主,其次为学生和散居儿童,伤寒、副伤寒发病率均以0~4岁组儿童最高(分别为1.31/10万和0.46/10万)。云南、贵州、广东、广西、浙江、湖南和新疆为高发省,2005--2012年大部分高发省发病率呈明显下降趋势,但广东省下降幅度最小,各高发省问发病高峰和高发人群有差异。结论2012年全国伤寒、副伤寒处于一个相对较低的发病水平,而5岁以下儿童是防控重点人群,部分高发省防控形势依然严峻。
英文摘要:
      0bjective Through analyzing the national statutory reporting data on typhoid,paratyphoid fever in 2012,we were trying to understand the whole picture of typhoid,paratyphoidfever at the national level as well as to understand the trends and characteristics of typhoid andparatyphoid fever in provinces with high incidence rate,SO as to the development of prevention andcontrol strategies of the diseases in mose high.incidence rate provinces.Methods We descriptivelyanalyzed the national typhoid and paratyphoid fever statutory reporting data which was reportedthrough disease surveillance information reporting system in 2012.Results 11 998 cases with typhoidand paratyphoid fever were reported with 3 fatal ones,in 2012 in the whole country.The incidencerate was 0.89 per 1 00 000.Compared to the data gathered in 20 11.the incidence rates of typhoid/paratyphoid fever increased by 1.20%.The total number of the confirmed cases on typhoid andparatyphoid fever was 6522 and was accounted for 54.36%of the total cases,in which paratyphoidfever accounted for 36.86%.Cases were mainly involved farmers and followed by students andchildren.Incidence rates of typhoid and paratyphoid fever in children aged 0-4 years old appeared thehighest(respectively 1.31/100 000 and 0.46/100 000).Yunnan,Guizhou,Guangdong,Guangxi,Zhejiang,Hunan and Xinjiang provinces(autonomous regions)were identified as provinces withhigh-incidence rates of typhoid and paratyphoid fever.During 2005-2012,the incidence rates in mostof the above high-incidence provinces showed a downward trend.except for in Guangdong which hadonly showed a slight change.There were variations on peak period and highly-hit population in sevenhigh-incidence provinces.Conclusion The incidence rate of typhoid/paratyphoid fever was in arelatively low level in China。Prevention and control strategies on the diseases in children under 5years old remained a challenge.warranted more work to be done.The epidemiological situation is stillsevere in some high-incidence rate provinces
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