2005-2019年湖北省学校流行性腮腺炎暴发疫情流行特征  

Epidemiological characteristics of mumps outbreaks in schools in Hubei province from 2005 to 2019

作　　者：杨雯雯[1] 张鹏[1] 蔡晶[1] 吴然 谢聪 黄淑琼[1] YANG Wen-wen;ZHANG Peng;CAI Jing;WU Ran;XIE Cong;HUANG Shu-qiong(Hubei Center for Disease Control and Prevention,Wuhan,Hubei 430079,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《现代预防医学》2020年第18期3284-3287,共4页Modern Preventive Medicine

基　　金：湖北省卫生计生委科研项目(WJ2017M139)。

摘　　要：目的分析湖北省学校2005-2019年流行性腮腺炎暴发疫情的流行特征,为制定流行性腮腺炎的防控策略提供依据。方法对2005-2019年湖北省流行性腮腺炎暴发疫情进行描述性流行病学分析,对不同地区暴发疫情的罹患率进行聚类分析,对疫情处置效果进行分析。结果湖北省2005-2019年共发生流行性腮腺炎暴发疫情288起,报告病例12 488例,罹患率为3.16%。报告疫情较多的年份为2017、2006和2011年,月份主要集中在3-6月及10-12月;襄阳市、十堰市报告事件起数最多,武汉市和荆州市的平均罹患率最高,且所有地区疫情暴发场所均以小学为主。目前,疫情主要由属地医疗机构报告发现干预时间中位数为8.8 d,疫情持续时间为27.0 d。结论小学是湖北省流行性腮腺炎暴发疫情的重点场所,冬春季节应加强疫情防控,及早干预疫情缩短疫情持续时间。Objective The aim of this study was to analyze the epidemiological characteristics of mumps outbreaks in Hubei province from 2005 to 2019,and thus to provide references for prevention and control strategy of mumps.Methods Descriptive epidemiological method was used to analyze the data of mumps outbreak in Hubei province from 2005 to 2019,and cluster analysis was adopted to analyze the incidence of outbreaks in different regions.Meanwhile,the effectiveness of control measures was evaluated.Results A total of 288 mumps outbreaks were reported from 2005 to 2019,with 12488 reported mumps cases(attack rate was 3.16%).The peak year appeared in 2017,2006 and 2011,and mumps outbreaks occurred mainly from march to June and October to December.The largest number of outbreaks occurred in Xiangyang and Shiyan.Wuhan and Jingzhou had the highest average incidence rate.And all the outbreaks concentrated in primary schools.At present,the outbreaks were mainly detected by local medical institutions.The intervention time was 8.8 days.And the duration was 27.0 days.Conclusion Primary schools in Hubei were at high-risk for mumps outbreak.The prevention and control of mumps should be strengthened especially in winter and spring,and early intervention can shorten the duration of outbreaks.

关 键 词：流行性腮腺炎 暴发疫情 流行病学研究 

分 类 号：R181.8[医药卫生—流行病学]