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目的分析安溪县法定报告传染病的流行现状和变化趋势,为制订防控策略提供依据。方法用描述性流行病学方法对《疾病监测信息报告管理系统》的疫情进行分析。结果 2005-2010年全县共报告法定传染病22种14 820例,年均发病率为229.78/10万;报告死亡的传染病有7种77例,死亡率1.19/10万,病死率0.52%;以血源及性传播传染病(47.73%)为主,呼吸道传染病(46.64%)次之;发病率居前5位的为肺结核(89.12/10万)、病毒性肝炎(68.74/10万)、梅毒(24.63/10万)、其他感染性腹泻(18.51/10万)和流行性腮腺炎(10.47/10万);死亡率居前5位的为艾滋病(0.68/10万)、狂犬病(0.31/10万)、肺结核(0.09/10万)、病毒性肝炎(0.05/10万)和新生儿破伤风(0.03/10万),病死率居前5位的为狂犬病(100.0%)、艾滋病(47.8%)、新生儿破伤风(14.3%)、乙脑(7.7%)和肺结核(0.1%)。结论血源及性传播传染病是今后防治的重点,同时必须加强肺结核、腹泻病、流行性腮腺炎、狂犬病、乙脑和新生儿破伤风等传染病的防控力度。
Objective To analyze the epidemic situation and trend of legal notifiable infectious diseases in Anxi County and provide basis for making prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemic situation of Disease Surveillance Information Reporting Management System. Results A total of 14 820 cases of legal infectious diseases were reported from 2005 to 2010, with an average annual incidence of 229.78 / 100 000. There were 7 reported 77 kinds of infectious diseases with a mortality rate of 1.19 / 100,000 and a case fatality rate of 0.52% (47.73%) were mainly blood and sexually transmitted diseases (46.64%), followed by tuberculosis (89.12 / 100,000), viral hepatitis (68.74 / 100,000) ), Syphilis (24.63 / 100000), other infectious diarrhea (18.51 / 100000) and mumps (10.47 / 100000). The top five deaths were AIDS (0.68 / 100,000), rabies 0.31 / 100,000), tuberculosis (0.09 / 100,000), viral hepatitis (0.05 / 100,000) and neonatal tetanus (0.03 / 100,000). The top five cases were rabies (100.0%), AIDS (47.8%), neonatal tetanus (14.3%), JE (7.7%) and tuberculosis (0.1%). Conclusions Blood and sexually transmitted diseases are the focus of prevention and treatment in the future. At the same time, prevention and control of infectious diseases such as tuberculosis, diarrhea, mumps, rabies, Japanese encephalitis and neonatal tetanus must be strengthened.