广东省佛山市南海区2010-2017年恙虫病流行特征分析  

Epidemiologic features of scrub typhus from 2010 to 2017 in Nanhai District,Foshan City,Guangdong Province

作　　者：李鹏宾 邱宗耀[1] 柯志攀[1] 曾鸿[1] LI Pengbin;QIU Zongyao;KE Zhipan;ZENG Hong(Foshan Nanhai District Center for Disease Control and Prevention,Guangdong 528299,China)

机构地区：[1]佛山市南海区疾病预防控制中心,广东528299

出　　处：《医学动物防制》2018年第12期1183-1185,1188,共4页Journal of Medical Pest Control

基　　金：佛山市科技计划项目(2017AB000132)

摘　　要：目的分析2010-2017年佛山市南海区恙虫病的流行特征,为恙虫病防控提供科学依据。方法收集"中国疾病预防控制信息系统"中报告的佛山市南海区2010-2017年恙虫病疫情资料,采用描述性流行病学方法进行分析。结果 2010-2017年佛山市南海区共报告恙虫病病例608例,无死亡病例,年均报告发病率为2.81/10万,各年报告发病率分别为1.13/10万、1.11/10万、1.75/10万、2.69/10万、1.68/10万、2.38/10万、5.38/10万和4.67/10万。5～11月为发病高峰期,共报告病例582例,占总发病数的95.72%。2010-2017年报告发病数居前3位的镇街分别为里水(185例)、狮山(160例)和丹灶(101例),报告病例数占全区总病例数的73.36%,各镇街之间发病率差异有统计学意义(χ2=359.566,P<0.01);男女性别比为1∶1.16,不同性别发病率差异有统计学意义(χ2=16.186,P<0.01),40～岁组报告病例数占总病例数的80.10%;职业以农民为主,占52.30%,农民与非农民发病率差异有统计学意义(χ2=20.126,P<0.01)。结论佛山市南海区近年恙虫病发病呈明显上升趋势,40～岁女性农民发病相对危险度高。应加强基层医生的培训,结合社区签约医生,做好重点人群健康宣教工作,有效控制疫情发生,以减少重症和死亡病例。Objective To analyze epidemiologic features of scrub typhus in Nanhai District of Foshan City from 2010 to 2017,and provide evidence for the prevention and control of local scrub typhus. Methods Scrub typhus notifications in Nanhai District from 2010 to 2017 from China Information System for Disease Control and Prevention were collected and analyzed with descriptive epidemiological methods. Results From 2010 to 2017,a total of 608 notifications were reported in Nanhai District,representing an average annual rate of 2. 81/100 000. No mortality was reported. The annual notifications was 1. 13/100 000,1. 11/100000,1. 75/100 000,2. 69/100 000,1. 68/100 000,2. 38/100 000,5. 38/100 000 and 4. 67/100 000 respectively in chronological order. The peak of incidence was from May to November each year,with a total of 582（ 95. 72%） notifications. The top three most frequently reported towns were Lishui（ 185 cases）,Shishan（ 160 cases） and Danzao（ 101 cases）,and these three towns contributed to 73. 36% of all cases. There was statistically significant difference in the incidence of scrub typhus among different towns（ χ^2= 359. 566,P〈0. 01）. The ratio between male and female was 1∶ 1. 16,and there were statistically significant differences in the incidence between genders（ χ^2= 16. 186,P〈0. 01）. With regards to age,the number of people aged 40 years and over with scrub typhus account for 80. 10% of total notifications. The majority（ 52. 30%） of patients are farmers,and the differences in incidence between farmers and non-farmers were statistically significant（ χ^2= 20. 126,P〈0. 01）. Conclusion The annual incidence of scrub typhus has been increasing over recent years. Female farmers at the age of 40 years and over had a relatively higher risk of being diagnosed with scrub typhus. To decrease morbidity and mortality,effective interventions are as follows： provide more training to primary care physicians; carry out health educations for targeted groups via collaboration with aligned com

关 键 词：恙虫病 流行病学 南海区 

分 类 号：R513.2[医药卫生—内科学]