2016—2020年四川省恙虫病流行特征分析  

Epidemiological characteristics of scrub typhus in Sichuan Province from 2016 to 2020

作　　者：秦瑶 张伦 张瑶 张孟媛 谢红梅 魏荣杰 康殿巨[1] 杨长虹[1] QIN Yao;ZHANG Lun;ZHANG Yao;ZHANG Meng-yuan;XIE Hong-mei;WEI Rong-jie;KANG Dian-ju;YANG Chang-hong(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China;Chengdu Center for Disease Control and Prevention,China Railway Chengdu Bureau Group Co,Ltd.,Chengdu 610081,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]中国铁路成都局集团有限公司成都疾病预防控制中心,成都610081

出　　处：《预防医学情报杂志》2022年第10期1329-1333,共5页Journal of Preventive Medicine Information

基　　金：重庆市技术创新与应用发展专项重点项目(项目编号:cstc2020jscx-cylhX0003);NIH过敏与传染病预防控制项目(项目编号:5R01AI125842-02)。

摘　　要：目的分析2016—2020年四川省恙虫病流行特征,为恙虫病防控提供科学依据。方法汇总2016—2020年四川省恙虫病监测数据,分析全省恙虫病流行特征,运用ArcGIS 10.7使用莫兰指数(Moran’s I)进行全局空间自相关与局部空间自相关分析。结果全省恙虫病年均报告发病率为0.99/10万,存在明显的空间聚集特点,“高-高”聚集区主要分布在四川攀枝花市、凉山彝族自治州地区,7-9月为高发季节,中老年农民为高危人群,0~6岁占比较高,基层医疗机构报告率较低。结论四川地区省恙虫病疾病负担较重,应进一步强化监测,加强高发地区基层医务人员培训和重点人群宣传教育,提高恙虫病防控能力。Objective To analyze the epidemiological characteristics of scrub typhus in Sichuan Province from 2016 to 2020,and to provide scientific basis for the prevention and control of scrub typhus.Methods The surveillance data of scrub typhus in Sichuan Province from 2016 to 2020were summarized,and the epidemiological characteristics of scrub typhus in the whole province were analyzed.ArcGIS 10.7 was used to analyze the global spatial autocorrelation and local spatial autocorrelation using Moran’s I index.Results The province’s average annual reported incidence of scrub typhus was 0.99/105,with obvious spatial clustering characteristics.The“high-high”clustering areas were mainly distributed in Panzhihua City and Liangshan Yi Autonomous Prefecture.July to September was the season of high incidence.Middle-aged and elderly farmers were high-risk groups.The proportion of 0-6 years old was higher.The reporting rate of primary medical institutions was lower.Conclusions The disease burden of scrub typhus in Sichuan Province is relatively heavy.Monitoring should be further strengthened,and the training of grassroot medical personnel in highincidence areas and the publicity and education of key populations should be strengthened to improve the ability of scrub typhus prevention and control.

关 键 词：恙虫病 流行特征 时空分布 

分 类 号：R513[医药卫生—内科学]