2005—2022年荆州市戊型病毒肝炎流行病学特征分析  

Analysis of epidemiological characteristics of hepatitis E in Jingzhou city,2005–2022

作　　者：王丽 宋开发[1] 苏斌[1] 黄继贵[1] 张冬 WANG Li;SONG Kai-fa;SU Bin;HUANG Ji-gui;ZHANG Dong(Jingzhou Municipal Center for Disease Control and Prevention,Jingzhou,Hubei 434000,China)

机构地区：[1]湖北省荆州市疾病预防控制中心,湖北荆州434000

出　　处：《疾病预防控制通报》2023年第4期59-62,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的分析2005—2022年湖北省荆州市戊型病毒性肝炎(简称戊肝)流行病学特征,为戊肝的防治工作提供依据。方法利用中国疾病预防控制信息系统收集荆州市2005—2022年戊肝报告病例信息,采用描述流行病学方法分析其流行病学特征,运用圆形分布法分析戊肝发病的季节性特征。结果2005—2022年荆州市共报告戊肝4165例、年均发病率4.06/10万,发病呈整体上升趋势(趋势χ^(2)=1287.375,P<0.01)。发病高峰日为3月26日,高峰期为12月19日—次年的6月29日。全市8个县(市、区)戊肝年均报告发病率差异有统计学意义(χ^(2)=4416.603,P<0.01)。男、女戊肝报告病例数之比为2.52∶1。职业以农民为主、占55.41%。病例主要集中在40~69岁、占发病总数的70.47%,各年龄组发病率差异有统计学意义(χ^(2)=2654.870,P<0.01)。所有报告病例均无戊肝疫苗接种史。无戊肝聚集性疫情与突发公共卫生事件报告。结论2005—2022年荆州市戊肝发病呈整体上升趋势,以40~69岁、农民为主,有较强季节性特征;应在做好戊肝监测的基础上,高峰季节针对高风险人群做好戊肝防治健康教育宣传与科普,推广成人戊肝疫苗接种。Objective To analyze the epidemiological characteristics of viral hepatitis E(hepatitis E)in Jingzhou city from 2005 to 2022,and provide basis for the prevention and treatment of hepatitis E.Methods The data of the cases with hepatitis E reported in Jingzhou city from 2005 to 2022 were collected from the National Notifiable Disease Information Reporting System.The characteristics of epidemic of hepatitis E were analyzed with descriptive epidemiological methods,and the seasonal distribution was analyzed with circular distribution method.Results Totally 4165 cases with hepatitis E were reported in Jingzhou from 2005 to 2022,with the average annual incidence rate of 4.06/100000.The incidence rates showed increasing trend(trendχ^(2)=1287.375,P0.01).March 26 was the day of morbidity peak,and the peak period was from December 19 to June 29 of the following year.There was statistical difference(χ^(2)=4416.603,P0.01)among the average annually reported incidence rates of hepatitis E in 8 counties(cities and districts)of Jingzhou city.The ratio of the male cases to the female was 2.52∶1.Farm was the main occupation and accounted for 55.41%.Most cases concentrated from age 40-69 years old,accounting for 70.47%.There were no statistical difference in the incidence rates of age groups(χ^(2)=2654.870,P0.01).All reported cases had no the history of hepatitis vaccination.There was no aggregated epidemic and public health emergency of hepatitis E reported.Conclusions The incidence of hepatitis E shows overall upward trend in Jingzhou city from 2005 to 2022.The cases aged 40-69 years and farm cases are mainly.The seasonal characteristic is obvious.Base on the good monitoring of hepatitis E,The health education and popularization of hepatitis E for the high-risk groups should be improved in peak season,and promote the hepatitis E vaccination in adults.

关 键 词：戊型病毒性肝炎 季节性 流行病学特征 

分 类 号：R512.6[医药卫生—内科学]