2013-2018年北京市肾综合征出血热时空扫描分析  

Spatial and temporal distributions of hemorrhagic fever with renal syndrome from 2013 to 2018 in Beijing of China

作　　者：任振勇[1] 谭博文 陈艳伟[1] 孙玉兰[1] 金昊源 李爽[1] 田丽丽[1] 王全意[1] 陈丽娟[1] 窦相峰[1] REN Zhen-yong;TAN Bo-wen;CHEN Yan-wei;SUN Yu-lan;JIN Hao-yuan;LI Shuang;TIAN Li-li;WANG Quan-yi;CHEN Li-juan;DOU Xiang-feng(Beijing Center for Disease Control and Prevention/Beijing Center for Preventive Medicine Research,Beijing 100013,China;不详)

机构地区：[1]北京市疾病预防控制中心/北京市预防医学研究中心,100013 [2]首都医科大学公共卫生学院 [3]北京工商大学轻工科学技术学院

出　　处：《首都公共卫生》2020年第4期178-180,共3页Capital Journal of Public Health

摘　　要：目的描述北京市2013-2018年肾综合征出血热(hemorrhagic fever with rental syndrome,HFRS)的时空聚集特征。方法研究对象是发病日期在2013年1月1日-2018年12月31日现住址为北京市的肾综合征出血热病例,病例信息来源于国家疾病监测信息报告管理系统。乡(镇、街道)人口数据来源于国家统计局。使用SPSS 22.0软件进行统计描述,使用SaTScan 9.5软件进行时空扫描分析。结果2013-2018年,北京市共报告肾综合征出血热病例74例,年病例数在7~23之间,月发病数在0~6之间,月平均病例数为1.03,单纯时间分析显示发病高峰月份是5月,5月理论病例数应为6.37,实际病例数为15。单纯空间扫描的主要聚集区域为朝阳区与顺义区交界处的6个乡镇街道,次要聚集区域包括延庆区与怀柔区的15个乡(镇)。结论北京市近6年肾综合征出血热存在朝阳区和顺义区交界处的6个乡(镇、街道)和延庆区与怀柔区的15个乡(镇)的聚集发病区域,聚集区域的发现有利于进一步明确并消除危险因素,从而降低肾综合征出血热发病率。Objective To explore the space-time cluster of hemorrhagic fever with renal syndrome(HFRS) in Beijing,during 2013-2018.Methods The subjects were HFRS patients with dates of onset during 2013-2018 and lived in Beijing for more than 6 months.The data were collected from the Internet-based National Notifiable Disease Reporting System.The population of the township came from the National Bureau of Statistics.SPSS 22.0 software was used for statistical description.The space-time scan analysis was performed by Sa TScan 9.5 software.Results During 2013-2018,74 HFRS cases were reported in Beijing.The number of annual cases changed from 7 to 23.The average number of cases per month was 1.03,and the monthly number changed from 0 to 6.Simple temporal analysis showed that the peak month of HFRS onset was May,with 15 cases compared with 6.37 calculated expected cases.Simple space scanning showed that the mostly likely cluster area including6 townships that belongs to Shunyi and Chaoyang district,and the secondary likely cluster area located including 15 townships that belongs to Yanqing and Huairou district.Conclusions The cluster areas of HFRS were identified including 6 townships at the edge of urban and 15 townships at northern suburb.To find and control the risk factors at these areas might help decrease the incidence of HFRS in Beijing ultimately.

关 键 词：肾综合征出血热 汉坦病毒 时空扫描分析 

分 类 号：R512.8[医药卫生—内科学]