楚雄彝族自治州2006-2016年乙类传染病流行特征分析  

Epidemiological characteristics of class B infectious diseases in Chuxiong Yi Autonomous Prefecture,2006-2016

作　　者：罗琼梅 吴学林 胡海梅 高丽芬 胡秋凌 钱发宝 阎勇 袁嘉忆 

机构地区：[1]楚雄州疾病预防控制中心急性传染病防制科,云南楚雄675000

出　　处：《现代预防医学》2018年第3期524-528,共5页Modern Preventive Medicine

摘　　要：目的分析楚雄彝族自治州(以下简称楚雄州)乙类传染病的流行规律,为制定传染病预防控制措施提供科学依据。方法利用中国疾病预防控制信息系统数据资料,采用描述性流行病学分析方法对楚雄州2006-2016年乙类传染病流行特征进行分析。结果 11年间,楚雄州共报告乙类传染病22种45 541例,死亡408例,年均发病率152.45/10万,年均死亡率1.37/10万,病死率0.90%。发病居前5位的病种为肺结核(56.86/10万)、乙肝(37.37/10万)、痢疾(15.68/10万)、梅毒(14.27/10万)和丙肝(6.64/10万)。发病率居前3位的县市为元谋县(231.67/10万)、武定县(175.82/10万)、双柏县(172.27/10万)。农民(占69.79%)和学生(占5.53%)发病数最多。血源及性传播传染病(占42.04%)、呼吸道传染病(占38.95%)、肠道传染病(占17.45%)构成比较大。结论肺结核、乙肝、痢疾、梅毒等仍是楚雄州重点防控的乙类传染病;元谋县、武定县、双柏县为防控的重点地区,农民、学生为防控的重点人群。血源及性传播传染病、呼吸道传染病、肠道传染病的防控仍是楚雄州重要的公共卫生问题。Objective To explore and study the prevalence of infectigus diseases in the Chuxiong Yi Autonomous Prefecture （the following is the Chuxiong）, and to provide a scientific basis for the development of infectious disease prevention and control measures. Methods Based on the data of Chinese disease prevention and control information system, the descriptive epidemiological method was used to .analyze the epidemiological characteristics of infectious diseases in Chuxiong from 2006 to 2016. Results In the past 11 years, the Chuxiong has reported 22 cases of class B -type infectious diseases ,45 541 cases and 408 deaths ,with ah annual average incidence of 152.45/10 million, an annual mortality rate of 1.37/10 million, and a mortality rate of O. 90%. The top five cases orb - type infectious diseases were tuberculosis（ 56.86/10 million）, hepatitis B （37.37/10 million）, dysentery（ 15.68/10 million）, syphilis（ 14.27/10 million）and Hepatitis e （6.64/10 million）. The top three counties were Yuanmou county （ 231.67/10 million）, Wuding county （ 175.82/10 million） and Shuangbai county （ 172.27/10 million）. Farmers（69.79% ）and students （5.53%）had the most cases. Blood source and sexually transmitted infections （42.04%）, respiratory tract infections （38.95%）and iritestinal infectious diseases （17.45%）constituted a large proportion. Conclusion Tuberculosis, hepatitis B, bacillary dysentery, syphilis and hepatitis C are still should be a focus on prevention and control. Yuanmou County, Wuding County, Shuanbai county are the key areas. Farmers and students are the main susceptible groups. Preventing and controlling blood source and sexually transmitted diseases, respiratory tract infections and intestinal infectious diseases are the important public health problems in Chuxiong.

关 键 词：乙类传染病 发病率 流行趋势 

分 类 号：R181.23[医药卫生—流行病学]