2017年龙岩市法定传染病疫情分析  

Analysis on epidemic situation of notifiable infectious diseases,Longyan city,2017

作　　者：邓小如[1] 陈杰雄[1] 林梅艳[1] DENG Xiao-ru;CHEN Jie-xiong;LIN Mei-yan(Longyan City Center for Disease Control and Prevention,Longyan,Fujian,364000,Chin)

机构地区：[1]龙岩市疾病预防控制中心,福建龙岩364000

出　　处：《预防医学论坛》2018年第4期281-283,287,共4页Preventive Medicine Tribune

摘　　要：目的了解龙岩市法定传染病流行特征,为风险评估和防控策略提供科学依据。方法对医疗机构通过传染病报告信息管理系统报告的龙岩市2017年法定传染病进行描述性分析。结果 2017年全市共报告甲乙丙类传染病23种17 773例,死亡20例;报告发病率为675.78/10万、死亡率为0.76/10万。无甲类传染病报告,与2016年相比,乙类传染病发病率下降9.54%、死亡率上升12.35%,疫情总体呈下降态势;丙类传染病发病率上升0.5%、死亡率上升11.4%,疫情总体平稳。影响乙类传染病发病态势的主要病种为病毒性肝炎(占34.35%)、梅毒(占26.83%)、肺结核(占20.44%)、淋病(占11.81%);乙类传染病的主要发病人群是20~60岁(占69.90%);其中血源及性传播疾病(占71.81%)居乙类传染病发病、死亡(占76.47%)首位;呼吸道传染病(占21.85%)居第2位;肠道传染病(占5.91%)居第3位;虫媒及自然疫源性疾病(占0.44%)总体持续在较低发病水平状态,但自2010年以来呈现出持续上升态势。在丙类传染病中,影响其发病态势的病种主要为手足口病(占82.68%)、其他感染性腹泻病(占14.04%)、流行性感冒(占1.78%)。该类疾病发病具有明显的季节性并具有一定的地域集中性(长汀、新罗、上杭累计占67.58%),主要高发人群为<10岁儿童(占94.55%),总体具有夏秋季高发(5~10月累计占76.57%)、低年龄组高发、易出现聚集性疫情或暴发(丙类传染病突发事件数占45.45%)等特点。结论龙岩市法定传染病疫情不容忽视。Objective To understand the epidemiological characteristics of notifiable infectious diseases in Longyan city so as to provide scientific basis for risk assessment and prevention and control strategies. Methods Descriptive analysis was conducted on the notifiable diseases in Longyan city in 2017 which was reported by medical institutions through the notifiable disease report information management system. Results Totally 17 773 cases of infectious diseases consisting of 23 varieties divided into categories A,B and C were reported throughout the city in 2017,and 20 of them were death cases;the reported incidence rate was 675.78/105 with the death rate of 0.76/105.No report on Category A infectious diseases,compared with 2016,the incidence rate of Category B infectious diseases decreased by 9.54% with death rate increased by 12.35%,showing ageneral downward trend of the epidemic situation;the incidence rate of Category C infectious diseases increased by 0.5% with death rate increased by 11.4%showing ageneral stable status of the epidemic situation.Main diseases entities influencing the incidence status of Category B infectious diseases in Longyan city were viral hepatitis（34.35%）,syphilis（26.83%）,tuberculosis（20.44%）,gonorrhea（11.81%）;most of the patients suffering from Category B infectious diseases were people aged from 20 to 60（69.90%）years old;among them,blood and sexually transmitted diseases（71.81%）topped the list of incidence rate and death rate（76.47%）of Category B infectious diseases;respiratory infectious diseases（21.85%）ranked the second place;and intestinal infectious diseases（5.91%）ranked the third place;insect-borne and zoonosis-borne diseases（0.44%）maintained a relatively lower incidence rate in general,however,showed agradually rising trend since 2010.Main diseases entities influencing the incidence status of Category C infectious diseases were hand-foot-mouth disease（82.68%）,other infectious diarrhea（14.04%）,influenza（1.78%）.For Category C infecti

关 键 词：传染病 流行特征 

分 类 号：R181.8[医药卫生—流行病学]