| 姚光海,邹志霆,王丹,黄艳萍,聂炜,刘慧慧,唐光鹏.贵州省2007－2012年伤寒/副伤寒防控效果评价[J].Chinese journal of Epidemiology,2014,35(5):552-556 |
| 贵州省2007－2012年伤寒/副伤寒防控效果评价 |
| Evaluation on the effects of prevention and control programs regarding typhoid fever and paratyphoid fever in Guizhou province，from 2007 to 2012 |
| Received:October 18, 2013 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.05.018 |
| KeyWord: 伤寒/副伤寒 评价 效果 |
| English Key Word: Typhoid fever/paratyphoid fever Evaluation Effect |
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| Abstract: |
| 目的 评价 2007－2012 年贵州省伤寒/副伤寒防控效果。方法 收集贵州省2007－2012 年伤寒/副伤寒疫情数据、病例卡片信息、防控措施及管理文件等资料，比较 2007－2009 年与 2010－2012 年伤寒/副伤寒平均发病率、暴发疫情变化、病例发病到确诊的时间间隔变化、病例上报机构变化、实验室诊断病例比例变化和疫情报告管理变化情况，利用Excel和EpiInfo软件进行描述和χ2检验统计分析。结果 2007－2009年贵州省共报告伤寒/副伤寒5 978例，平均发病率为5.29/10万；2010－2012年共报告伤寒/副伤寒2 765例，平均发病率为2.57/10万，平均发病率比2007－2009年下降51.31%。各市（州）均有不同程度下降，局部存在暴发和流行，暴发起数减少87.50%。报告病例发病到确诊时间间隔变化的差异无统计学意义（χ2＝0.08，P＝0.99），县级及以上医疗机构报告病例增加11.51%，乡镇级及以下医疗机构报告病例减少61.47%，实验室诊断病例比例增加23.63%，填卡及时率增加8.44%，卡片录入及时率增加6.76%，县区审核及时率增加2.40%。结论 贵州省伤寒/副伤寒防控成效显著，但依然存在局部暴发或流行的风险，健康教育和实验室监测等工作亟待加强。 |
| English Abstract: |
| Objective This study was to evaluate the effects of prevention and control regarding programs on typhoid fever and paratyphoid fever，in Guizhou province，from 2007 to 2012，to provide evidence for the improvement of related programs．Methods Data on typhoid fever and paratyphoid including information on epidemics，individual，cases，measures for prevention and control programs taken and relative government documents were collected and analyzed in Guizhou province，from 2007 to 2012. Information related to the average annual incidence，nature of outbreaks， time span before confirmed diagnosis was made，unit which carried the case report，proportion of laboratory confirmed diagnosed cases and case-management were compared between 2007-2009 and 2010-2012 descriptively while chi-square test with Excel and EpiInfo software were used for data analysis. Results In the period of 2007-2009，a total of 5 978 typhoid fever and paratyphoid fever cases were reported in Guizhou province with the average yearly incidence as 5.29/100 000. In the period of 2010-2012，2 765 cases were reported with the average yearly incidence as 2.57/100 000. When compared to the former，data from the latter period showed that the average yearly incidence had declined 51.31% in all the prefectures. There were still some outbreaks appeared but the total number of cases involved reduced 87.50%. The time span before the confirmation of diagnosis became shorter but the difference was not statistically significant （χ2＝0.08，P＝0.99）. Number of cases reported by hospitals at county or above had 11.51% of increase while those cases reported at the township hospitals or below decreased for 61.47% . The proportion of laboratory diagnosed cases increased 23.63%. Rates of timeliness on cards being filled in，inputted and audited showed increase of 8.44%，6.76% and 2.40% respectively. Conclusion Successful measures for prevention and control on typhoid fever and paratyphoid fever had been remarkably taken in Guizhou province，but the potential risk of outbreaks still existed in some areas，suggesting that health education and surveillance programs including laboratory diagnosis，should be strengthened. |
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