1990—2011年云南省传染病发病及死亡流行病学分析  

Epidemiological analysis of morbidity and mortality of infectious diseases in Yunnan Province from 1990-2011

作　　者：王荣华[1] 李琼芬[1] 郝林会[1] 何继波[1] 

机构地区：[1]云南省疾病预防控制中心,昆明市650022

出　　处：《职业与健康》2013年第3期279-282,共4页Occupation and Health

摘　　要：目的分析1990—2011年云南省甲乙类法定传染病发病、死亡特点和变化趋势,总结防治经验。方法采用云南省1990—2011年法定传染病报告数据,对云南省传染病的发病和死亡情况进行回顾性研究,描述传染病发病和死亡特点及变化趋势。结果 21年来,传染病报告发病率总体呈下降趋势,发病率报告最高年份是1991年,为317.72/10万;发病率最低年份是2000年为175.08/10万;平均报告发病率为218.3101/10万。肠道传染病发病构成由1990年的70.72%,下降到2011年的16.61%,自然疫源及虫媒传染病发病构成由1990年的16.93%下降到2011年的8.35%,血源及性传播传染病构成由1990年的5.68%,上升到2011年的47.04%。传染病报告死亡率由1990年的1.23/10万上升到2011年的3.39/10万,其中2011年艾滋病死亡率达2.743 3/10万。结论云南省21年来传染病报告发病率、死亡率发生了根本性的变化;肠道传染病、自然疫源及虫媒传染病和新生儿破伤风显著下降,血源及性传播传染病显著上升,传染病疾病谱和死亡谱的变化反映了所采取的防治措施是有效的,但一些传染病呈上升趋势的传染病也提示了传染病的长期性和复杂性。应加强和提高研究和控制力度,有效地控制传染病。[ Objective ] To analyze the incidence, death characteristics and variation tendency of Class A and B of notifiable diseases in Yunnan province from 1990-2011, and summarize prevention and control experience. [ Methods] Based on the reported data of notifiable diseases in Yunnan Province from 1990-2011, the incidence and mortality of infectious disease were retrospectively analyzed, and the incidence, death characteristic and variation tendency were described. [ Results] During 21 years, the incidence of infectious disease showed a downward trend, the highest incidence was 317.72 /100 000 in 1991, the lowest incidence was 175.08/100 000 in 2000, with the average incidence rate of 218. 3101/100 000. The constitute of infection disease was significantly changed which were intestinal infectious diseases from 70.72% in 1990 dropped to 16.61% in 2011, insect-borne infectious dis- eases constitute from 16.93% in 1990 down to 8.35% in 2011, blood and sexually transmitted infectious diseases constitute from 5. 68% in 1990 rising to 47. 04% in 2011. Infectious disease mortality rate in an upward trend, the mortality rate was 1.23/100 000 in 1990 rising to 3.39/100 000 in 2011, and AIDS mortality rate up to 2.743 3/100 000 in 2011. [ Conclusion] Incidence and mortality of infectious diseases has undergone a fundamental change among 21 years in Yunnan Province. The Incidence rate of intestinal, insect-borne and neonatal tetanus has decreased significantly. A significant increase in blood and sexually transmitted infections was come to pass. The change of infectious diseases spectrum reflects the control measures taken are effective, but the upward trend in some infectious diseases suggest that long-term and complex nature of the infectious diseases. It is necessary to strengthen and improve the research and control efforts to effective control of infectious diseases.

关 键 词：传染病 发病和死亡趋势 流行病学分析 

分 类 号：R181.3[医药卫生—流行病学]