2005—2016年湖北竹山县细菌性痢疾流行特征及防控效果  

Epidemic characteristics and prevention and control effect of Bacillary dysentery Zhushan County,Hubei Province(2005-2016)

作　　者：孙长喜[1] 刘兴宝[1] 郭海荣[1] 王海军 李焕新[1] 宋兴志[1] 

机构地区：[1]湖北省竹山县疾病预防控制中心,湖北十堰442200 [2]湖北省竹山县妇幼保健院

出　　处：《公共卫生与预防医学》2017年第3期65-67,共3页Journal of Public Health and Preventive Medicine

基　　金：2013年中央财政补助疾控和爱卫项目-水和环境项目(鄂卫生计生通[2014]61号);竹山县2014年科学技术研究与开发资金(第一批)计划项目(竹科[2014]19号;社会发展项目02号)

摘　　要：目的掌握细菌性痢疾流行特征,为制定防控措施提供依据。方法对湖北省竹山县近12年细菌性痢疾疫情进行统计,用描述流行病学方法进行分析。结果 2005—2016年竹山县共报告细菌性痢疾288例,年均报告发病率5.17/10万,无死亡病例报告。报告发病率以2006年最高(17.41/10万),2016年无病例报告。疫情分布于17个乡镇,年均报告发病率以竹坪乡(13.73/10万)和城关镇(9.84/10万)为高。四季均有发病,主要集中于7~10月,占发病总数的56.94%(164/288)。男性发病高于女性,发病年龄以0~4岁最高,占45.14%(130/288)。结论竹山县细菌性痢疾发病率自2008年起呈稳步下降趋势。为巩固防治成果,应进一步加强生活饮用水监测和监督管理,改善农村卫生条件,保护好水源。同时要加强肠道传染病防治知识宣传,在5~10月要加大防控工作力度,加强疫情监测,将可疑患者特别是夏秋季肠炎病人列为隔离管理对象,以及时发现、报告和管理传染源,控制疫情传播。Objective To master the epidemiological characteristics of bacillary dysentery, so as to provide evidence for formulating the measures of prevention and control. Methods We summarized the incidence of bacillary dysentery epidemic in recent 12 years in Zhushan county in Hubei province and conducted descriptive epidemiological analysis. Results From 2005 to 2016, there were a total of 288 cases of bacillary dysentery in Zhushan County, the average annual reported incidence rate was 5. 17/10 million, no death case were reported. Reported incidence in 2006 was the highest （17.41/10 million）. No cases have been reported in 2016. The epidemic covered 17 villages/towns, of which the average annual reported incidence rate of Zhuping village （13.73/10 million） and Chengguan town（9. 84/10 million） were the highest. The four seasons all have the disease, mainly concentrates from July to October, accounts for 56. 94% （164/288）. The incidence rate in male was higher than that in female, the majority of the patients were 0 to 4 years old, accounted for 45. 14% （130/288）. Conclusion The incidence rate of bacillary dysentery in Zhushan County since 2008 showed a steady downward trend. In order to consolidate the results of prevention and control, we should further strengthen the monitoring and supervision of drinking water, improve the health conditions in rural areas, and protect water sources. At the same time,we should strengthen the intestinal infectious disease prevention knowledge propaganda, and increase prevention efforts from May to October. Suspicious patients, especially enteritis patients should be classified as isolation management object in summer and autumn, so as to in time find out, report and control infectious sources, to control the spread of the epidemic.

关 键 词：细菌性痢疾 流行病学 控制对策 

分 类 号：R516.4[医药卫生—内科学]