广西伤寒及副伤寒防治研究60年  

The typhoid and paratyphoid fever prevention research 60 years in Guangxi

作　　者：马小垒[1] 黄亚铭[2] 

机构地区：[1]全州县疾病预防控制中心,广西全州541500 [2]广西壮族自治区疾病预防控制中心,广西南宁530028

出　　处：《基层医学论坛》2014年第19期2559-2561,共3页The Medical Forum

摘　　要：广西是全国伤寒及副伤寒流行较严重的省份之一,全年均有伤寒副伤寒病例出现,但1996年以前全区以伤寒流行为主,伤寒病例每年7～10月出现一个流行高峰期。自从1996年发现有副伤寒流行以来,到1999年的监测发现全年出现两个流行高峰期,分别是5月份的甲型副伤寒和10月份的伤寒各一个高峰期。而在2004年—2010年的监测发现两个高峰期时间非常接近,分别在7月和8月。广西从上世纪五十年代到九十年代中期伤寒的人群发病率分别为3.96/10万、8.83/10万、3.55/10万、5.04/10万和9.74/10万。1993年—2002年年均发病率为10.27/10万。2004年—2010年伤寒发病率波动在1.61/10万～5.41/10万之间,甲型副伤寒波动在0.80/10万～4.78/10万之间。目前广西的伤寒及副伤寒得到有效控制,但影响疫情暴发的主要原因仍然是边远农村的农民,及学校饮用水被污染所造成。Guangxi is the more serious epidemic of typhoid and paratyphoid one of the provinces in China and had typhoid fever and paratyphoid fever cases occur throughout the year. The typhoid epidemic main and cases of typhoid fever occur annually a peak of epidemic from July to October in Guangxi before 1996. The epidemic paratyphoid have been found since the 1996,the monitoring found that there are two peak of the epidemic to the 1999 and namely in May of paratyphoid fever and in October of typhoid each one peak. But nearly 10 years of monitoring found two peak times were very close of the time respectively in July and August from 2004 to 2010.The population incidence of typhoid fever was 3.96/100 thousand,8.83/100 thousand,3.55/100 thousand 5.04/100 thousand 5.04/100 thousand and 9.74/100 thousand in Guangxi from the 1950＇s to the 1990＇s. The average annual incidence rate 10.27/100 thousand in Guangxi from 1993 to 2002. The typhoid incidence rate fluctuations between the 1.61/100 thousand and 5.41/100 thousand,the paratyphoid fever fluctuations 0.80/100 thousand and 4.78/100 thousand in Guangxi from 2004 to 2010. In summary,the current typhoid and paratyphoid has been effectively controlled in Guangxi,but the impact is still the main reason for the outbreak in remote rural of farmers and schools of students caused by contaminated drinking water.

关 键 词：伤寒 甲型副伤寒 暴发流行 免疫诊断 

分 类 号：R516.3[医药卫生—内科学]