2008-2013年嘉善县重点肠道传染病流行特征分析

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目的:分析嘉善县2008-2013年肠道传染病发病特征和流行趋势,为制定防控措施提供科学依据。方法:对嘉善县2008-2013年重点传染病疫情资料进行描述性流行病学分析。结果:2008-2013年嘉善县6种重点肠道传染病共报告9 179例,年均报告发病率为211.23/10万,占法定传染病总数的49.55%。发病数居前三位的分别手足口病(5 830例,占63.51%)、其他感染性腹泻(2 971例,占32.37%)、菌痢(213例,占2.32%);发病时间以4-7月为主,占肠道传染病发病总数的52.75%(4 842/9 179);全县各镇及街道均有肠道传染病报告,发病数和发病率均以魏塘街道最高。年龄构成以5岁以下发病率最高(159.54/10万);男女性别比为1.37∶1;职业分布以散居儿童为主(占64.78%)。结论:2008-2013年嘉善县肠道传染病发病有上升趋势,但以散发为主,应继续加强肠道门诊规范化建设,提高监测质量,以达到降低肠道传染病发病率,防止爆发疫情发生。 Objective: To analyze the incidence and epidemic trend of intestinal infectious diseases in Jiashan County from 2008 to 2013 and provide a scientific basis for making prevention and control measures. Methods: Descriptive epidemiological analysis of epidemic situation of major infectious diseases in Jiashan County from 2008 to 2013 was conducted. Results: A total of 9 179 cases of major enteric infections in Jiashan County from 2008 to 2013 were reported, with an average annual incidence rate of 211.23 / 100,000, accounting for 49.55% of the total number of notifiable infectious diseases. Among the top three cases, HFMD (5 830 cases, accounting for 63.51%), other infectious diarrhea (2971 cases, accounting for 32.37%) and bacillary dysentery (213 cases, accounting for 2.32%); the onset time was 4 July, accounting for 52.75% (4 842/9 179) of the total number of intestinal infectious diseases. There were reports of intestinal infectious diseases in towns and streets throughout the county. The incidence and incidence of these diseases were the highest in Weitang streets. The age group was the highest under the age of 5 (159.54 / 100000); the male-female ratio was 1.37:1; the occupational distribution was dominated by scattered children (64.78%). Conclusion: The incidence of intestinal infectious diseases in Jiashan County increased from 2008 to 2013. However, the distribution of intestinal infectious diseases in Jiashan County should be strengthened. The standardized construction of intestinal clinics should be strengthened and the quality of monitoring should be improved so as to reduce the incidence of intestinal infectious diseases and prevent the occurrence of outbreaks .
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