2011—2019年广西流行性腮腺炎流行病学特征分析  

Epidemiological characteristics of mumps in Guangxi,2011-2019

作　　者：陈加贵 杜进发[1] 杨仁聪[1] 邓秋云[1] 董爱虎[1] 刘静[1] 黎沙 韦佳楠[1] 陆伟才[1] 潘刚勇 CHEN Jiagui;DU Jinfa;YANG Rencong;DENG Qiuyun;DONG Aihu;LIU Jing;LI Sha;WEI Jianan;LU Weicai;PAN Gangyong(Center for Disease Control and Prevention of Guangxi Zhuang Autonomous Region,Nanning Guangxi 530028,China)

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530028

出　　处：《公共卫生与预防医学》2020年第6期42-45,共4页Journal of Public Health and Preventive Medicine

基　　金：广西卫计委自筹经费科研课题(Z20170142);中华预防医学会疫苗与免疫青年人才托举项目(CPMAQT_YMO234);腮腺炎减毒活疫苗保护效果研究(PRO-MUMPS-4005)。

摘　　要：目的分析2011—2019年广西流行性腮腺炎(流腮)流行病学特征,为制定有效防治策略提供科学依据。方法采用描述流行病学方法对2011—2019年广西流腮发病资料进行分析。结果2011—2019年广西共报告流腮146132例,年均发病率为34.23/10万;男性病例88919例(60.85%),女性病例57213例(39.15%);发病率从2011年的62.26/10万下降到2015年的16.46/10万,从2016年的18.60/10万上升到2019年的46.90/10万。流腮发病呈季节性规律,4~7月和10月至次年1月为发病高峰;<15岁儿童病例85.39%;幼托儿童和学生病例占76.83%;2011—2019年共报告流腮暴发疫情228起,发病5347例,占总病例数的3.66%。南宁市、河池市、柳州市、百色市和防城港市年均发病率较高,分别为56.09/10万、48.26/10万、46.77/10万、46.34/10万和40.68/10万。结论广西流腮发病在2015年以后总体呈上升趋势,以大年龄儿童或学生发病为主,建议幼托和入学儿童坚持接种第2剂含腮腺炎成分疫苗,加强学校流腮监测与暴发控制。Objective To analyze the epidemiological characteristics of mumps in Guangxi from 2011 to 2019,and to provide a scientific basis for formulating effective prevention and control strategies.Methods Descriptive epidemiological method was used to analyze the incidence data of mumps in Guangxi from 2011 to 2019.Results From 2011 to 2019,a total of 146,132 cases of mumps were reported in Guangxi,with an average annual incidence rate of 34.23/100000.There were 88,919 male cases(60.85%)and 57,213 female cases(39.15%).The incidence rate decreased from 62.26/100000 in 2011 to 16.46/100000 in 2015,and increased from 18.60/100000 in 2016 to 46.90/100000 in 2019.There were seasonal variations in the incidence,with the incidence peaks occurring from April to July and from October to the following January.85.39%of cases were under 15 years of age,and 76.82%of cases were among kindergarteners or school children.A total of 228 mumps outbreaks were reported during 2011-2019,including 5,347 cases,accounting for 3.66%of the total cases.The incidence rates of mumps in Nanning(56.09/100000),Hechi(48.26/100000),Liuzhou(46.77/100000),Baise(46.34/100000)and Fangchenggang(40.68/100,000)were relatively higher than other places.Conclusion The mumps incidence is on an upward trend in Guangxi since 2015-2019,occurring mainly in older children or students.It is suggested to adhere to the second dose of mumps containing vaccine for kindergarten and school children and strengthen the surveillance and outbreak control of mumps in schools.

关 键 词：流行性腮腺炎 流行病学特征 发病率 

分 类 号：R183[医药卫生—流行病学]