2006—2023年宝鸡市肾综合征出血热流行特征分析  

Epidemiological characteristics of hemorrhagic fever with renal syndrome in Baoji city from 2006 to 2023

作　　者：何微[1] 李欣欣 田辉[1] 胡晓倩[1] 李广智[3] He Wei;Li Xinxin;Tian Hui;Hu Xiaoqian;Li Guangzhi(Department for Infectious Disease Prevention and Control,Baoji City Center for Disease Control and Prevention,Baoji 721000,China;Institute for Infectious Disease Prevention and Control,Shaanxi Provincial Center for Disease Control and Prevention,Xi'an 710054,China;Shaanxi Field Epidemiology Training Program,Shaanxi Provincial Center for Disease Control and Prevention,Xi'an 710054,China)

机构地区：[1]宝鸡市疾病预防控制中心传染病预防控制科,宝鸡721000 [2]陕西省疾病预防控制中心传染病预防控制所,西安710054 [3]陕西省疾病预防控制中心现场流行病学培训项目,西安710054

出　　处：《国际病毒学杂志》2024年第6期507-511,共5页International Journal of Virology

摘　　要：目的分析宝鸡市2006—2023年间肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)的流行特征,为HFRS的防控提供科学指导。方法收集宝鸡市2006—2023年HFRS的发病数据,采用发病率和发病数等指标描述HFRS流行病学分布特征,利用SuperMap进行空间可视化呈现。利用GeoDa1.6软件进行全局空间自相关分析,通过计算Moran’sI指数,判断宝鸡市HFRS在乡镇级水平上是否存在聚集性。利用FleXScan3.1.2软件进行空间扫描,探测空间聚集区域。结果2006—2023年间共报告HFRS 3915例,年均报告发病率为5.90/10万。10月至次年1月为季节高峰,男女性别比为2.99∶1,年龄主要集中在16~60岁,>60岁组病例占比逐年上升,由2006年的13.39%上升至2023年的46.56%。农民是发病主要人群(79.69%)。空间分析显示,扶风县的全部乡镇、眉县和岐山县的部分乡镇为主要集聚区。结论宝鸡市HFRS发病存在空间聚集性,60岁以上人群疾病负担加重,今后应持续疫情监测分析,关注空间聚集和老龄人群的疾病控制工作,将HFRS发病率控制在较低水平。Objective To analyze the epidemic characteristics of hemorrhagic fever with renal syndrome(HFRS)in Baoji city from 2006 to 2023,so as to provide scientific guidance for the prevention and control of HFRS.Methods The incidence data of HFRS in Baoji city from 2006 to 2023 were collected.The incidence rate and case numbers were used to described the epidemic characteristics of HFRS.The Supermap software was used for spatial visualization.Global spatial autocorrelation analysis used GeoDa1.6 software to calculate Moran’s index for assessing the clustering of HFRS at township level in Baoji.FleXScan3.1.2 was applied for spatial scanning of spatial clustering regions.Results From 2006 to 2023,a total of 3915 HFRS cases were reported in Baoji city,with an average annual reported incidence of 5.90/100000.The seasonal peak lasted from October to the next January.Themale to female ratio was 2.99:1.The age group was mainly 16-60 years old group,and the proportion of case in over 60 years old group increased year by year,from 13.39% in 2006 to 46.56% in 2023.Farmers were the main population(79.69%).Spatial autocorrelation analysis shows that all the towns in Fufeng county and some towns in Mei county and Qi county were the main agglomeration areas.Conclusions The incidence of HFRS showed clustering features in Baoji city.The disease burden of people over 60 years old was heavy.In the future,the epidemic surveillance and analysis should be continued,and the disease control work of spatial clustering areas and elderly people should be focused to control the incidence of HFRS to a low level.

关 键 词：肾综合征出血热 流行特征 空间聚集 

分 类 号：R51[医药卫生—内科学]