湖州市流行性腮腺炎的流行病学特征(2004—2020年)  

Epidemiology of mumps in Huzhou city(2004-2020)

作　　者：罗小福[1] 张超 沈建勇[2] 任飞林[1] 徐秦儿[1] 陈奕晔 Luo Xiaofu;Zhang Chao;Shen Jianyong;Ren Feilin;Xu Qiner;Chen Yiye(Institute of Immunization Planning,Huzhou Center for Disease Control and Prevention,Huzhou 313000,China;Office of Administration,Huzhou Center for Disease Control and Prevention,Huzhou 313000,China)

机构地区：[1]湖州市疾病预防控制中心免疫规划科,湖州313000 [2]湖州市疾病预防控制中心行政办公室,湖州313000

出　　处：《国际流行病学传染病学杂志》2022年第2期125-128,共4页International Journal of Epidemiology and Infectious Disease

基　　金：湖州市科技计划(2020GY37)。

摘　　要：目的了解2004—2020年湖州市流行性腮腺炎的流行特征,评价腮腺炎疫苗对流行性腮腺炎的控制效果。方法从中国疾病预防控制信息管理系统中收集整理湖州市2004—2020年报告的流行性腮腺炎个案资料,对病例做描述性分析,比较疫苗常规使用之前(2004—2009年)、疫苗常规使用5年内(2010—2014年)和疫苗常规使用5年后(2015—2020年)三个时期流行性腮腺炎发病率,描述三个时期湖州市各区县发病率情况,人群分布情况以及季节分布情况。结果2004—2020年湖州市累计报告流行性腮腺炎11531例,年均发病率为23.45/10万,疫苗使用前、使用5年内和5年后三个时期的发病率分别为31.82/10万、30.92/10万和9.54/10万,总体呈下降趋势(χ_(趋势)^(2)=1955.233,P<0.001)。各区县均有病例报告,其中南浔区报告发病率最高,为30.75/10万;4—7月为发病高峰,报告病例6411例(55.60%);发病年龄段以5~<10岁最高,为248.64/10万,三个时期各年龄段中以2004—2009年5~<10岁组发病率最高,为334.16/10万。结论湖州市实施含腮腺炎成分疫苗常规免疫后,流行性腮腺炎发病率持续下降,预防效果良好。Objective To investigate the epidemiological characteristics of mumps in Huzhou city from 2004 to 2020,and to evaluate the control of mumps after the immunization of mumps-containing vaccine(MuCV).Methods The data of mumps cases reported in Huzhou from 2004 to 2020 were collected from China disease prevention and control information management system.The reported cases were descriptively analyzed,and the incidence rates of mumps during 2004-2009(before MuCV routine immunization),2010-2014(within 5 years of MuCV routine immunization),and 2015-2020(5 years after MuCV routine immunization)were compared.The incidence rates among different districts,population and seasons in Huzhou in three periods were described.Results From 2004 to 2020,a total of 11531 cases of mumps were reported in Huzhou.The annual average incidence of mumps was 23.45 per 100000 with 31.82 per 100000,30.92 per 100000,and 9.54 per 100000 in 2004-2009,2010-2014 and 2015-2020,respectively.The incidence of mumps decreased obviously(χ_(trend)^(2)=1955.233,P<0.001).Mumps cases were distributed in all districts of Huzhou with the highest incidence of 30.75 per 100000 in Nanxun district.The seasonal peak occurred from April to July with 6411 cases(55.60%)reported.The highest incidence rate was 248.64 per 100000 in children aged 5-<10.During the three periods,the highest incidence rate was 334.16 per 100000 in children aged 5-<10 in 2004-2009.Conclusions After the implementation of MuCV routine vaccination in Huzhou,the incidence of mumps continually decreases with good preventive effect.

关 键 词：流行性腮腺炎 疫苗接种 流行病学 发病率 

分 类 号：R512.1[医药卫生—内科学] R181.3[医药卫生—临床医学]