2004～2013年福建省法定传染病发病动态分析  

Dynamic analysis on incidence of notifiable infectious diseases,Fujian province,2004-2013

作　　者：祝寒松[1] 谢忠杭[1] 陈光敏[1] 吴生根[1] 黄文龙[1] 陈武[1] 欧剑鸣[1] 洪荣涛[1] 

机构地区：[1]福建省疾病预防控制中心福建省人兽共患病研究重点实验室,福建福州350001

出　　处：《预防医学论坛》2015年第9期641-645,共5页Preventive Medicine Tribune

摘　　要：目的分析福建省法定传染病发病动态变化,为制定防控策略提供科学依据。方法采用SAS软件分析福建省2004~2013年法定传染病发病和死亡情况。结果 2004~2013年发病发病1 806 960例,发病率为499.15/10万、死亡率为0.71/10万、病死率为0.14%;前者呈上升趋势（P〈0.01）,后两者呈下降趋势（P〈0.01）;发病率定基发展速度逐年升高（r=0.92）;死亡率定基发展速度和环比发展速度均逐年降低,相关系数r分别为-0.78和-0.68。乙类和丙类发病率分别为327.77/10万和171.30/10万,后者呈快速上升态势（P〈0.01）。呼吸道和血源及性传染病发病例数构成比逐年下降,肠道传染病呈快速上升态势（P〈0.01）。0~岁组发病率呈快速上升态势;死亡率60~〉40~〉20~〉0~岁（P〈0.01）。男性发病率（647.35/10万）大于女性（346.13/10万）,但男女比呈下降趋势。厦门市发病率呈下降趋势（P〈0.01）,乡村与城市发病例数比呈上升趋势。手足口病、其他感染性腹泻病、梅毒、丙肝、艾滋病/HIV感染、流行性出血热、布病等发病呈上升态势。结论福建省传染病近十年发病率总体呈上升趋势,手足口病、乙肝、其他感染性腹泻病等消化道传染病居首,但艾滋病/HIV感染、梅毒、丙肝等呈上升趋势,不同人群和不同地区病种构成也不尽相同。Objective To analyze the dynamic change in incidence of notifiable infectious diseases in Fujian province,so as to provide scientific basis for prevention and control strategies. Methods The data of notifiable infectious diseases in Fujian province,2004-2013,were analyzed using SAS software. Results Of 1 806 960 cases during 2004-2013 the incidence rate was 499.15/105,simultaneousl mortality rate 0.71/105 and fatality rate 0.14%,in this decade.The former showed an upward trend（P 0.01）,and the latter two showed a downward trend（P 0.01）.Fixed base rate growth of incidence increased year by year（r=0.92）.Fixed base and chain development speed of mortality decreased year by year,with the correlation coefficient r =-0.78and-0.68.Incidence of class B infectious diseases 327.77/105 was higher than that of class C 171.30/105,while the latter showed a rapid upward trend（P 0.01）.Constituent ratio of respiratory,blood and sexually transmitted diseases cases were declining,but intestinal infectious diseases showed a rapid upward trend（P 0.01）.The group of 0-age showed a rapid rise in the incidence trend,and mortality difference between the groups was statistically significant：60-40-20-0-（P 0.01）.The incidence of males（647.35/105）was higher than that of females（346.13/105）,but it decreased.Xiamen city showed a downward trend of incidence（P 0.01）.Incident cases of rural compared with urban increased with years.The incidence of foot and mouth disease,other infectious diarrhea,syphilis hepatitis C,AIDS/HIV infection,epidemic hemorrhagic fever and brucellosis showed an upward trend. Conclusion Notifiable diseases in Fujian province show an upward trend in this decade.Hand,foot and mouth disease,HBV other infectious diarrhea and other gastrointestinal diseases are randed at the top in recent years.However,AIDS/HIV infection,syphilis,hepatitis C are upward.Besides,different people and areas show different disease constitute.

关 键 词：法定传染病 发病动态 发病率 死亡率 病死率 

分 类 号：R181.8[医药卫生—流行病学]