摘要
目的了解福建省2006-2009年恙虫病流行特征,为制定防治策略和控制措施提供科学依据。方法利用《疾病监测信息报告管理系统》监测报告卡信息,结合综合性医院送检疑似患者血清标本恙虫病抗体检测情况,运用SAS 9.0软件进行汇总分析。结果福建省2006-2009年共报告恙虫病936例,死亡2例;发病率呈逐年上升趋势,年均发病率为0.65/10万。疫情呈散发态势,波及县区数逐年增加,累计波及71个县区;疫情有一定的地域集中性,前5位高发县区(建宁、华安、浦城、永定和龙海)占全省病例的46.47%(435/936);季节性明显,高峰期6～10月的发病构成比(占78.85%)呈逐年增加趋势;发病年龄最小为4月、最大为86岁,人群发病率以50～岁组至75～岁组人群较为高发,以60～岁组(1.71/10万)最高;发病率男女性别比为1.29:1;职业以农民为主(占62.61%),且其构成比呈逐年增加趋势。结论福建省恙虫病流行强度逐年增加,同时具有地域集中性和蔓延性,应重视并加强防治工作。建议加强监测,并在高发地区、高发季节针对重点人群采取针对性防控措施。
Objective To analyze epidemiological characteristics of scrub typhus in Fujian Province during 2006-2009,and provide a scientific basis for making the control and prevention strategy.Methods SAS 9.0 was used to analyze data from the Diseases Surveillance information Reporting and Management System and antibody in serum samples of suspected patients from the general hospitals were detected.Results A total of 936 scrub typhus cases were reported in Fujian Province during 2006-2009,and 2 died.The incidence increased year by year and the average incidence was 0.65/100 000.The epidemic turned to be geographic centralization and outbreaks sporadically in 71 counties,and increased in numbers year by year.46.47%（435/936） cases were in the top 5 high morbidity counties（Jianning,Huaan,Pucheng, Yongding and Longhai）.The disease had seasonal fluctuaction,and the proportion of incidence in peak month 6～10（78.85%） had increased annually.The minimum and maximum age with disease was 4 month and 86 years respectively,and the incidence was higher in 50～ to 75～ age groups,and the 60～ age group was the highest（1.71/100 000）.The male-to-female ratio was 1.29∶1.Farmers accounted for the majority with the case of 62.61% and the ratio increased year by year.Conclusions The epidemic intensity of scrub typhus increase year by year with geographic centralization and spreading,and should be attached importance.We suggested strengthening monitors of scrub typhus and taking corresponding measures in key population among the high incidence areas during high incidence seasons.
出处
《中华疾病控制杂志》
CAS
2011年第2期123-125,共3页
Chinese Journal of Disease Control & Prevention
