河北省2011—2018年输入性登革热流行特征及防控策略  

Epidemic characteristics and prevention and control strategy of imported dengue fever in Hebei province,2011-2018

作　　者：蔡亚男[1] 刘世友 魏亚梅 韩旭[1] 韩占英[1] 张艳波[1] 许永刚[1] 齐顺祥[1] 李琦[1] CAI Ya-nan;LIU Shi-you;WEI Ya-mei;HAN Xu;HAN Zhan-ying;ZHANG Yan-bo;XU Yong-gang;QI Shun-xiang;LI Qi(Department of Viral Disease Control and Prevention,Hebei Provincial Key Laboratory of Pathogens and Epidemiology of Infectious Diseases,Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang,Hebei 050021,China)

机构地区：[1]河北省疾病预防控制中心病毒病防治所河北省传染病病原鉴定分析与流行病学重点实验室,河北石家庄050021

出　　处：《实用预防医学》2020年第7期798-801,共4页Practical Preventive Medicine

基　　金：国家科技重大专项(2018ZX10713002);河北省自然科学基金项目(H2018303001)。

摘　　要：目的分析河北省2011—2018年输入性登革热病例的流行病学特征,探讨防控策略和措施。方法采用描述性流行病学方法对2011—2018年河北省输入性登革热发病情况及病例个案调查数据进行统计分析。结果 2011—2018年河北省共报告输入性登革热病例54例,以轻型病例为主,无死亡病例。除2月外,全年均有病例输入,5—10月为高峰(占72.22%)。报告地区以保定和石家庄为主(59.26%);男女比为6.71∶1,20~49岁年龄组占85.18%,职业分布以农民(20例,占37.04%)最多。48例有明确输入来源均为境外输入病例,分别来源于亚洲(36例,75.00%),非洲(10例,占20.83%)、大洋洲(2例,占4.17%)。境内输入广东省和湖南省各1例,病例发病至诊断时间间隔的中位数为6.7 d。临床诊断病例19例,实验室确诊病例35例。结论河北省2011—2018年登革热以输入性病例为主,呈波动上升趋势。防控重点在于输入性病例的发现和报告能力,发现病例及时处置,防止登革热的局部暴发流行。Objective To analyze the epidemiological characteristics of imported dengue fever in Hebei province from 2011 to 2018,and to explore its prevention and control strategy and measures.Methods Descriptive epidemiological method was used to statistically analyze the incidence of imported dengue fever and the data about the surveyed cases in Hebei province from 2011 to 2018.Results A total of 54 cases of imported dengue fever were reported in Hebei province during 2011-2018,and most of the cases were mild,with no deaths.Cases were reported every month except February and peaked at period from May to October(accounting for 72.22%).Cases were reported mainly in Baoding and Shijiazhuang(59.26%).The male-to-female ratio was 6.71∶1.The group aged 20-49 years accounted for 85.18%.The most common occupation was farmer(n=20,accounting for 37.04%).48 cases had definite importation sources,and all of them were cases imported from abroad,including 36(75.00%)cases from Asia,10(20.83%)cases from Africa and 2(4.17%)cases from Oceania.There were 1 case domestically imported from Guangdong province and 1 case domestically imported from Hunan province.The median interval between onset and diagnosis was 6.7 days.There were 19 clinically-diagnosed cases and 35 laboratory-confirmed cases.Conclusions Dengue fever cases in Hebei province in 2011-2018 were mainly the imported cases,showing a fluctuated increasing trend.Special attention should be paid to the discovery and report capacity of imported cases and dealing with patients in time so as to control the local prevalence of dengue fever.

关 键 词：输入性登革热 流行特征 防控策略 

分 类 号：R512.8[医药卫生—内科学]