2006-2015年江苏省盐城市恙虫病流行病学特征分析  

Epidemiological analysis of scrub typhus in Yancheng City of Jiangsu Province,2006-2015

作　　者：辛化雷[1,2] 李晓静[2] 徐士林[3] 张永杰[4] 祖荣强[4] 裴迎新[1] 孙健平[2] 

机构地区：[1]中国疾病预防控制中心中国现场流行病学培训项目,北京100050 [2]青岛市疾病预防控制中心,山东青岛266000 [3]盐城市疾病预防控制中心,江苏盐城224000 [4]江苏省疾病预防控制中心,江苏南京210000

出　　处：《现代预防医学》2017年第19期3475-3478,共4页Modern Preventive Medicine

摘　　要：目的了解2006-2015年江苏省盐城市恙虫病流行病学特征,为科学有效的采取防控措施提供科学依据。方法选择"中国疾病预防控制信息系统"中的2006-2015年江苏省盐城市恙虫病临床诊断病例和实验室确诊病例为研究对象,采用描述流行病学方法对其地点、时间和人群分布情况进行描述分析。结果 2006-2015年盐城市共报告2540例恙虫病,年均发病率为3.11/10万,发病率由2006年的1.84/10万上升到2015年的8.92/10万;呈秋冬型单峰分布,10、11月份报告病例数占96.8%;60-79岁年龄组人群发病率最高,在9.72/10万-10.89/10万之间,男性发病高峰(75-79岁)较女性滞后(60-64岁);农民占87.1%;2006-2010年均发病率以滨海县最高,为3.56/10万,2011-2015年发病较高的县区有大丰市12.41/10万和东台市11.74/10万,沿海县区2006-2010年和2011-2015年年均发病率分别是1.57/10万和6.90/10万,内陆地区则分别是0.31/10万和3.08/10万。结论 2006-2015年发病率上升较快且呈典型秋冬型分布,高年龄段人群发病率较高,沿海地区发病总体高于内陆地区。建议加强灭鼠、灭螨等宿主动物与媒介控制工作,并对农民进行健康教育。Objective To find the characteristic about the scrub typhus in 2006 -2015 in Yancheng city, Jiangsu province, and offer science recommendations for the scrub typhus prevention. Methods We choose the clinical diagnosis and laboratory confirmed cases from the China disease prevention and control information system＂ about the reported cases in 2006 -2015 in Yancheng city as the research object, analyzed the location, time and population distribution by using descriptive epidemiology. Results 2 540 cases were reported. The annual morbidity was 3.11 per 100000 people,ranging from 1.84 per 100 000 people in 2006 to 8.92 per 100 000 in 2015 ;Most cases reported in Oct and Nov,accounting for 96.8% in all cases. 60 -79 - year - old group had the highest morbidity,between 9.72 per 100 000 to 10. 89 per 100 000. Peasants accounted for 87. 1% in all cases. Binhai county had the highest morbidity before 2010,which was 3.56 per 100 000, and Dafeng and Dongtai county had a high morbidity in 2011 -2015 ,which was 12.41 per 100 000 and 11.74 per 100 000 respectively. Conclusion The morbidity had risen from 2006 - 2015, and most cases were reported in Oct and Nov. Older age group had a higher morbidity. The morbidity was higher in the coastal city compared inland city. Suggesting strengthen the host animals and vector control, to eliminate mites and rodents, and develop health education for the peasants.

关 键 词：恙虫病 盐城市 流行病学 

分 类 号：R181.23[医药卫生—流行病学]