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目的评估雅安市3个地震重灾县震后发生肠道传染病的风险,为地震灾区制定预防肠道传染病的有效措施提供依据。方法采用描述流行病学方法对四川省雅安市天全县、芦山县、宝兴县2008-2013年3月肠道传染病疫情监测情况进行分析。结果 2008-2013年3月雅安市天全县、芦山县、宝兴县共报告乙类法定肠道传染病5种,共计293例,死亡0例,占雅安市肠道报告病例总数的11.20%,年报告发病率15.91/10万。其中2008年报告发病率最高为27.50/10万,自2010年以后开始逐年下降,至2012年降至13.94/10万。报告发病率最高的细菌性痢疾病例主要集中在5~9月(134/288,46.53%)。灾区介水肠道传染病如细菌性痢疾发生暴发疫情的风险较高。结论震后灾区卫生状况差,随着气温升高,应采取注意保护水源和饮水安全,加强食品安全监管等相应措施控制肠道传染病尤其是细菌性痢疾的暴发流行。
Objective To evaluate the risk of intestinal infectious diseases after the earthquake in 3 counties in Ya’an City, and to provide basis for effective measures to prevent intestinal infectious diseases in earthquake-hit areas. Methods Epidemiological methods were used to analyze the surveillance of intestinal infectious diseases in Tianquan County, Lushan County, Baoxing County, Ya’an City, Sichuan Province during 2008-2013. Results There were 5 statutory group B intestine infectious diseases reported in Tianquan County, Lushan County and Baoxing County, Ya’an City from March to March 2013. There were 293 total cases and 0 deaths, accounting for 11.20% of the total reported cases in Ya’an. , The annual report incidence of 15.91 / 100000. Including the highest reported incidence in 2008 was 27.50 / 100,000, starting from 2010 after declining year by year, down to 13.94 / 100,000 in 2012. The highest incidence of bacterial dysentery cases reported in May to September (134 / 288,46.53%). Stricken areas of water-borne enteric infections such as bacterial dysentery outbreaks are at higher risk. Conclusion After the earthquake, the sanitation status in disaster-stricken areas is poor. As the temperature rises, corresponding measures should be taken to control the epidemic of intestinal diseases, especially bacillary dysentery, by taking measures to protect water sources and drinking water and to strengthen food safety supervision.