机构地区:[1]中国疾病预防控制中心传染病管理处,北京102206 [2]中国疾病预防控制中心卫生应急中心,北京102206 [3]中国疾病预防控制中心病毒病预防控制所,北京102206 [4]中国疾病预防控制中心传染病预防控制所,北京102206 [5]吉林省地方病第一防治研究所,吉林白城137000
出 处:《疾病监测》2021年第8期811-817,共7页Disease Surveillance
基 金:国家科技重大专项(No.2018ZX10713001);国家自然科学基金(No.91846302)。
摘 要:目的评估2021年全国夏季重点传染病疫情形势,为进一步做好夏季重点传染病监测与防控提供参考和指导。方法根据我国传染病疫情报告信息管理系统、流感专病监测信息管理系统的监测数据,在对2021年1—5月全国法定传染病监测数据以及2017—2020年同期疫情形势进行分析基础上,采用专家会商法,研判我国2021年夏季重点传染病的疫情形势。结果2021年截至5月23日,全国共报告法定传染病247万例,较2020年同期(260万例)下降5%;排除新型冠状病毒肺炎(COVID-19)后,报告发病数较2019年同期(426万例)下降42%,较2017—2019年同期平均水平(324万例)下降24%;死亡7162例,较2020年同期(11671例)下降39%,较2017—2019年同期平均(7639例)下降6%。布鲁氏菌病报告病例数(2.7万)较2020年同期上升73%,较2017—2019年同期平均上升70%,内蒙古布鲁氏菌病发病率自2017年开始迅猛上升,宁夏回族自治区、甘肃省自2018年呈上升趋势。手足口病报告病例数(43万例)和重症数(433例)较2020年同期分别上升985%和1070%。全国共报告登革热病例15例,较2020年同期(110例)下降86%。报告炭疽病例59例,较2020年同期(47例)略有增加。流行性感冒报告病例数(10.7万例)较2020年同期下降90%。2021年我国内地共报告11例人感染禽流感病例,较往年略有增加,均为散发。结论2021年1—5月全国法定传染病疫情总体低于往年同期平均水平,夏季仍将继续维持总体平稳态势。预计夏季布鲁氏菌病、手足口病、登革热、炭疽的发病水平将呈现上升趋势,应加强对这些夏季重点传染病的监测预警。Objective To assess the incidences of key infectious diseases in the summer of 2021 in China and provide reference and guidance for further surveillance,prevention and control of these infectious diseases in the summer of 2021.Methods The incidence data of notifiable infectious diseases from January to May 2021 in China collected from National Notifiable Infectious Disease Reporting System and the influenza surveillance system were analyzed and compared with the incidence data of the diseases during the same periods from 2017 to 2020 by experts to evaluate and predict the incidence trends of the key infectious diseases in summer 2021.Results As of May 23,2021,a total of 2.47 million cases of notifiable diseases had been reported in China,a decrease of 5%compared with the same period in 2020(2.60 million cases).After the exclusion of COVID-19 cases,the case number was 42%lower than that during the same period in 2019(4.26 million cases)and 24%lower than the average of the same periods from 2017 to 2019(3.24 million cases).A total of 7162 deaths had been reported in China,which was 39%lower than that during the same period in 2020(11671 deaths)and 6%lower than the average of the same periods from 2017 to 2019(7639 deaths).From January to May 2021,a total of 27000 brucellosis cases were reported,which was 73%higher than that during the same period in 2020 and 70%higher than the average during the same periods from 2017 to 2019.The incidence of brucellosis in Inner Mongolia has increased rapidly since 2017,and the incidences of brucellosis in Ningxia and Gansu have been in increase since 2018.During this period,a total of 430000 cases of hand foot and mouth disease(HFMD),including 433 severe cases,were reported,an increase of 985%and 1070%compared with the same period in 2020,a total of 15 dengue fever cases were reported,which was 86%lower than that during the same period in 2020(110 cases),a total of 59 anthrax cases were reported,which was higher than that during the same period in 2020(47 cases),a total of 107000
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