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作 者:杨继红[1]
出 处:《职业与健康》2014年第14期1952-1954,共3页Occupation and Health
摘 要:目的掌握遂宁市细菌性痢疾发病强度和流行特征,为制定防治规划和评价实施效果提供准确依据。方法利用描述流行病学方法分析该市细菌性痢疾疫情资料。结果 2004—2012年细菌性痢疾年均发病率为17.61/10万,年均报告死亡率为0.01/10万,各年度报告发病率差异有统计学意义(P〈0.01)。男性年均报告发病率为19.19/10万,女性年均报告发病率为15.96/10万,男女性报告发病率差异有统计学意义(P〈0.01);各年度男性报告发病数和报告发病率均高于女性,男女发病数之比为1.25∶1。散居儿童、农民、学生报告发病数分别占全部报告发病数的31.77%、24.72%、17.40%。3岁以下年龄组占30.34%,其中0岁~组报告发病占全部报告发病数的17.12%;5—10月报告发病数占全年报告发病数的66.84%。结论遂宁市2004—2012年细菌性痢疾呈婴幼儿高发态势,职业高峰明显,以夏秋季发病为主。应加强卫生宣教工作,提高防范意识和水平;强化食品安全和饮水卫生监管,搞好环境卫生整治;加强肠道病门诊管理,提高诊断水平,强化疫情报告观念;做好暴发疫情的应急处理,有效控制疫情蔓延。[Objective]To know the strength and epidemic characteristics of bacterial dysentery in Suining City,provide accurate basis for developing the control plan and evaluating its effect.[Methods]The descriptive epidemiological method was used to analyze the epidemic data of bacterial dysentery in Suining City.[Results]The average annual incidence rate of bacterial dysentery in Suining City from 2004-2012 was 17. 61 /lakh,while the average annual mortality rate was 0. 01 /lakh,and there was statistically significant difference in annual incidence rate( P 0. 01). The average annual incidence rate in males and females was 19. 19 /lakh and 15. 96 /lakh respectively,and the difference between males and females was statistically significant( P 0. 01). The case number and incidence rate in males were higher than those in females in every year,and the male-to-female ratio in case number was1. 25∶ 1. The cases of scattered children,farmers and students respectively accounted for 31. 77%,24. 72% and 17. 40% of the total cases. 30. 34% of patients were children under 3 years old,and cases in 12 month-old age group accounted for 17. 12% of total cases. The cases reported from May to October accounted for 66. 84% of cases in whole year.[Conclusion]The infants have a high incidence of bacillary dysentery in Suining City from 2004-2012,there is an obvious occupational feature,and the peak season has occurred in summer and autumn. It is necessary to strengthen the health education to enhance the prevention awareness and level,strengthen the supervision on food safety,drinking water health and environmental hygiene,strengthen the management on intestinal outpatient clinics,improve the level of diagnosis,strengthen the conception of epidemic reporting,and implement the emergency treatment of the outbreaks to effectively control the epidemic situation.
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