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目的分析漳州市水痘发病流行病学特征,为制定防控策略提供依据。方法用描述性流行病学方法对漳州市2009—2013年水痘疫情资料进行分析。结果 2009—2013年全市共报告水痘4 144例,年均发病率17.05/10万,发病率呈逐年上升趋势;发病呈明显双峰分布,高峰为冬季(每年11月至次年1月)和春末夏初(4~6月),分别报告占40.9%和28.3%;主要以15岁以下儿童(71.5%)为主;性别比为1.4∶1,男性发病率(19.46/10万)高于女性(14.50/10万);共报告暴发疫情9起波及16 981人,事件报告敏感性3~34d,中位数15.6d,发病219例,罹患率1.3%,均发生于学校、幼托机构,有免疫史的仅27.3%。结论为有效防控漳州市水痘疫情,应采取加强疫情监测、提高儿童疫苗接种率、严格病例隔离治疗、适时开展应急接种、普及防病知识宣传等综合防控措施。
Objective To analyze the epidemiological characteristics of chickenpox in Zhangzhou and provide the basis for making prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemic data of chicken pox in Zhangzhou from 2009 to 2013. Results A total of 4 144 chickenpox cases were reported in the city from 2009 to 2013, with an average annual incidence rate of 17.05 / 100 000. The incidence rate showed a trend of increasing year by year. The incidence was obviously bimodal with the peak in winter (November to January) and Spring and early summer (April-June) reported 40.9% and 28.3% respectively, mainly children under 15 years old (71.5%); the sex ratio was 1.4:1, and the male incidence rate was 19.46 / 100000 In women (14.50 / 100000), a total of 16 981 people were reported as outbreaks in 9 cases. The sensitivities of these cases were reported from 3 to 34 days, with a median of 15.6 days. The incidence was 219 cases and the attack rate was 1.3%. All of them occurred in schools, Institutions, with only 27.3% of immunizations. Conclusion In order to effectively prevent and control the epidemic situation of chickenpox in Zhangzhou City, it is necessary to take comprehensive prevention and control measures such as strengthening the surveillance of epidemic situation, raising the vaccination rate of children, strictly isolating the cases, timely vaccinating and popularizing the publicity of disease prevention knowledge.