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目的分析十堰市网络直报以来法定传染病流行现状,为今后预防控制法定传染病提供科学依据。方法采用描述流行病学方法进行分析。结果十堰市2004—2010年无甲类传染病报告;累计报告乙类传染病19种84 559例,死亡164例,年平均报告发病率为336.37/10万,死亡率为0.71/10万;报告丙类传染病8种39 013例,死亡1例,年平均报告发病率169.03/10万。与十堰市1997—2003年比,乙类传染病报告发病率上升72.24%。十堰城区乙类传染病报告发病率明显高于县市。法定传染病报告发病以农民、学生和15岁以下年龄组人群较多。实施网络直报以后,传染病报告的及时性、准确性大大提高。结论针对乙型肝炎、肺结核、流行性腮腺炎等重点病种,以及农民、学生等重点人群和十堰城区等重点地区,采取切实有效的防控措施,持续控制十堰市法定传染病报告发病率。
Objective To analyze the status quo of legal infectious diseases epidemic since the network was directly reported in Shiyan City and provide a scientific basis for future prevention and control of the legal infectious diseases. Methods Descriptive epidemiological methods were used for analysis. Results There was no report of Class A Infectious Diseases from 2004 to 2010 in Shiyan City. There were 19 reports of 55 559 cases of Class B infectious diseases and 164 deaths. The annual average reported incidence was 336.37 / 100,000 and the death rate was 0.71 / There were 39 013 cases of 8 kinds of Category C infectious diseases and 1 case of death. The annual average incidence was 169.03 / 100,000. Compared with 1997-1993 in Shiyan City, the incidence of Type B infectious diseases reported increased by 72.24%. The incidence of Category B infectious diseases in Shiyan City was significantly higher than that in counties and cities. Statutory Infectious Diseases Reported incidence of peasants, students and the age group of 15 years of age crowd more. After the implementation of the network direct report, the timely and accurate reporting of infectious diseases has been greatly enhanced. Conclusions Effective prevention and control measures are taken for key diseases such as hepatitis B, tuberculosis and mumps, key population such as peasants and students, and key urban areas such as Shiyan City, so as to continuously control the reported incidence of notifiable infectious diseases in Shiyan.