文章摘要
谢忠杭,李玲芳,祝寒松,黄文龙,林嘉威,陈武,欧剑鸣.福建省2011-2022年伤寒流行特征分析[J].中华流行病学杂志,2024,45(2):207-212
福建省2011-2022年伤寒流行特征分析
Epidemiological characteristics of typhoid fever in Fujian Province, 2011-2022
收稿日期:2023-08-30  出版日期:2024-02-20
DOI:10.3760/cma.j.cn112338-20230830-00107
中文关键词: 伤寒  发病率  流行特征  热点分析
英文关键词: Typhoid fever  Incidence rate  Epidemiological characteristic  Hotspot analysis
基金项目:福建省中青年骨干人才培养项目(2021GGA037);福建省自然科学基金(2020J01094);福建省科技创新平台建设(2019Y2001)
作者单位E-mail
谢忠杭 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001  
李玲芳 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001  
祝寒松 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001  
黄文龙 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001  
林嘉威 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001  
陈武 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001  
欧剑鸣 福建省疾病预防控制中心应急处置与疫情管理所/福建省人兽共患病研究重点实验室, 福州 350001 ojmfj@qq.com 
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中文摘要:
      目的 分析2011-2022年福建省伤寒发病趋势和流行特征,探索高发人群和热点区域,为制定针对性防控措施提供科学依据。方法 从中国疾病预防控制信息系统收集福建省2011-2022年伤寒监测资料,采用SAS 9.4软件进行统计学分析,采用ArcGIS 10.8软件对各县(区)发病率进行空间自相关分析。结果 2011-2022年福建省伤寒共报告发病5 126例,年均发病率为1.10/10万。年均发病率在2011-2015、2016-2019和2020-2022年分别为0.96/10万、1.49/10万和0.81/10万。全年均有发病,高发季节为5-9月。0~4岁和5~9岁年龄组发病数分别占23.59%(1 209/5 126)和9.62%(493/5 126)。全人群的男女性别比为0.97∶1(2 524∶2 602),<10、10~54和≥55岁年龄组男女性别比分别为1.19∶1(925∶777)、0.75∶1(1 060∶1 404)、1.28∶1(539∶421)。宁德市发病占福建省的30.65%(1 571/5 126);发病热点区域主要集中在宁德市。存在再次发病和家庭成员续发现象。结论 2011-2022年福建省伤寒呈低水平流行,应针对重点地区和重点人群加强防控措施;发病存在空间聚集性,宁德市是主要的聚集区域,应深入调研其空间聚集的影响因素。
英文摘要:
      Objective To analyze the incidence trend and epidemiological characteristics of typhoid fever in Fujian Province from 2011 to 2022, and understand the high-incidence population and hotspot areas, and provide evidences to develop more targeted prevention and control measures. Methods The surveillance data of typhoid fever during 2011-2022 in Fujian Province were obtained from the National Disease Reporting Information System and analyzed with SAS 9.4. The spatial autocorrelation analysis of typhoid fever incidence at county/district levels was performed with ArcGlS 10.8. Results A total of 5 126 cases of typhoid fever were reported in Fujian Province from 2011 to 2022, with an average annual incidence rate of 1.10/100 000. The average annual incidence rate was 0.96/100 000 from 2011 to 2015, 1.49/100 000 from 2016 to 2019, and 0.81/100 000 from 2020 to 2022. The disease occurred all the year round, with high epidemic season from May to September. A total of 23.59% (1 209/5 126) of the cases occurred at the age of 0-4, and 9.62% (493/5 126) at the age of 5-9. The male to female ratio of the cases was 0.97∶1 (2 524∶2 602) for the whole population, 1.19∶1 (925∶777) for people under 10 years old, 0.75∶1 (1 060∶1 404) for people between 10 and 54 years old, and 1.28∶1 (539∶421) for people over 55 years old. Cases in Ningde City accounted for 30.65% (1 571/5 126) of the total cases. Most hotspots were occurred in Ningde City. Recurrent and clustered cases were found in family members.Conclusions Typhoid fever was prevalent at a low level in Fujian Province during 2011-2022, indicating that strengthening the prevention and control measures should target key areas and populations. The incidence of typhoid fever in Fujian Province showed spatial aggregation phenomenon, and most cases gathered in Ningde City. Intensive study for the influencing factors of spatial clustering should be conducted.
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