2005-2014年竹山县细菌性痢疾流行病学分析  

The epidemiological analysis of bacillary dysentery from 2005 to 2014 in Zhushan County of Hubei Province

作　　者：孙长喜[1] 刘兴宝[1] 郭海荣[1] 王海军 曾宪宏[1] 邵霞[1] 朱东斌[1] SUN Chang-xi LIU Xing-bao GUO Hai-rong et al(Center for Disease Control and Prevention ,Zhushan, Hubei 442200,Chin)

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

出　　处：《中国农村卫生事业管理》2017年第6期667-669,共3页Chinese Rural Health Service Administration

基　　金：2013年中央财政补助疾控和爱卫项目--水和环境项目(鄂卫生计生通讯[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10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:2005-2014年竹山县共报告细菌性痢疾285例,年均报告发病率6.14/10万,无死亡病例报告。报告发病率以2006年最高(17.41/10万),2014年最低(0.22/10万)。疫情分布于17个乡镇,年均报告发病率以竹坪乡(16.46/10万)和城关镇(11.93/10万)为高。四季均有发病,主要集中于7-10月,占发病总数的56.84%(162/285)。男性发病高于女性,发病年龄以0~4岁最高,占45.26%(129/285)。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 10 years in Zhushan county of Hubei province and conducted descriptive epidemiological analysis.Results From 2005to2014,there were a total of 285 cases of bacillary dysentery in Zhushan County,the average annual reported incidence rate being6.14/10 thousand.No death case was reported.The reported incidence was the highest in 2016（17.41/10thousand）,the lowest in 2014（0.22/10thousand）.The epidemic covered 17villages/towns,of which the average annual reported incidence rates of Zhuping village（16.46/10thousand）and Chengguan town（11.93/10thousand）were the highest.The disease may develop in four seasons,mainly from July to October,which accounted for 56.84%（162/285）.The incidence rate in male was higher than that in female,and the majority of the patients were 0to 4years old,accounting for 45.26%（129/285）.Conclusions The incidence rates of bacillary dysentery in Zhushan County showed a steady downward trend since 2008.In order to consolidate the achievements 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.Meanwhile,we should strengthen the knowledge publicity of intestinal infectious disease prevention,and increase prevention efforts from May to October.Suspicious patients,especially enteritis patients should be classified as isolation management objects in summer and autumn,so as to timely find out,report and control infectious sources,to prevent the spread of the epidemic.

关 键 词：湖北省竹山县 细菌性痢疾 流行病学 控制对策 

分 类 号：R181.3[医药卫生—流行病学] R516.4[医药卫生—公共卫生与预防医学]