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目的研究山东省2006—2012年恙虫病疾病负担,为制订恙虫病的有效防制措施及合理分配有限的卫生资源提供科学依据。方法收集山东省疾病预防控制中心传染病网络报告系统中2006年1月1日—2012年12月31日恙虫病发病数据,采用发病率、伤残调整生命年(DALYs)和DALY强度评价恙虫病的疾病负担。结果2006—2012年山东省全省恙虫病年均发病率为0.35/10万,年均DALYs为63.82人年,年均DALY强度为0.066 6人年/10万;城市地区恙虫病年均DALY强度为0.014 1人年/10万,低于农村地区的0.121 3人年/10万;女性恙虫病年均DALY强度为0.071 4人年/10万,高于男性的0.061 9人年/10万;各年龄组中,60~69岁年龄组恙虫病年均DALY强度最大,为0.182 7人年/10万。结论山东省农村地区恙虫病疾病负担高于城市地区,女性和60~69岁年龄组人群是恙虫病发病的高危人群。
Objective To study the burden of disease of scrub typhus from 2006 to 2012 in Shandong Province and provide scientific evidence for the effective prevention and control of scrub typhus and rational distribution of limited health resources. Methods The data of tsutsugamushi disease from January 1, 2006 to December 31, 2012 were collected from the Infectious Disease Network Reporting System of Center for Disease Control and Prevention in Shandong Province. The incidence rate, disability-adjusted life years (DALYs) and DALY intensity were used to evaluate tsutsugamushi disease The burden of disease. Results The annual incidence rate of scrub typhus in Shandong province was 0.35 / 100000 between 2006 and 2012, the average annual DALYs was 63.82 person-years, and the average annual DALY intensity was 0.066 6 person-years / 100,000. The average annual DALY intensity The average annual DALY intensity of female scrub typhus was 0.071 4 person years / 100000, higher than that of male 0.061 9 person years / 100000; In each age group, the average annual DALY intensity of scrub typhus in the 60-69 age group was 0.182 7 person-years / 100,000. Conclusion The disease burden of scrub typhus in rural areas in Shandong Province is higher than that in urban areas. The female and the population aged 60-69 are at high risk of scrub typhus.