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目的分析江陵县1999～2008年法定传染病流行趋势,为制定传染病防治策略提供依据。方法采用描述流行病学方法对江陵县1999～2008年传染病报告发病情况进行分析。结果江陵县1999～2008年共报告乙、丙类法定传染病9836例,死亡29例,年均报告发病率为257.63/10万,年均死亡率为0.71/10万,年均病死率为0.35%。2000～2001年报告发病率最低,2007年报告发病率最高,1999～2008年发病报告数总体呈上升趋势,自2002年开始呈明显增长态势;传染病的主要发病类型有所变化,由肠道传染病转化为血源和呼吸道传染病交替为主;发病的强势病种也发生变化,痢疾下降至第3位,血吸虫病、梅毒分别上升至4、5位。结论近2年,血源及性传播和呼吸道传染病发病率分居一、二位,乙肝、肺结核分居病种一、二位,应加强对重点传染病防控。
Objective To analyze the epidemic trend of notifiable infectious diseases in Jiangling County from 1999 to 2008, and to provide the basis for formulating the prevention and cure of infectious diseases. Methods Epidemiological methods were used to analyze the reported incidence of infectious diseases in Jiangling County from 1999 to 2008. Results From 1999 to 2008, Jiangling County reported 9836 cases of statutory infectious diseases of Category B and C and 29 cases of deaths, with an average annual incidence of 257.63 / 100000, an average annual mortality of 0.71 / 100000 and an annual average mortality of 0.35 %. The incidence in 2000-2001 was the lowest, and the incidence in 2007 was the highest. The incidence of the disease in 1999-2008 showed an overall upward trend, showing a clear growth since 2002. The main types of infectious diseases have changed from intestinal Infectious diseases into alternating blood-borne and respiratory disease-based; strong disease incidence also changed, diarrhea dropped to 3, schistosomiasis, syphilis were increased to 4,5. Conclusions In the recent two years, the incidence of blood-borne and sexually transmitted and respiratory infectious diseases are separated by one or two, and one or two of hepatitis B and pulmonary tuberculosis are separated. Prevention and control of major infectious diseases should be strengthened.