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目的对扩大国家免疫规划实施前后流行性乙型脑炎(乙脑)流行特征进行分析,为更好控制乙脑流行和改进免疫规划工作提供依据。方法对2000-2009年合肥市乙脑疫情资料采用描述流行病学方法,使用M icrosoftExcel软件输入数据进行统计。结果 2000-2009年合肥市共发生乙脑病例242例,自2005年后报告发病率有明显的下降趋势。病例主要分布在长丰县(96例),肥东县(94例),肥西县(22例),三县发病数(212例)占发病总数的87.60%,市区30例,占发病总数的12.40%,三县病例数多于市区。以0~6岁为多见,占64.88%。免疫史不详及空白为164例,占67.77%。7、8月发病236例,占全年发病总数的97.52%。结论合肥市乙脑发病数仍以农村病例为主,多数病例无免疫史,乙脑疫苗纳入免疫规划后,乙脑得到较好的控制。
Objective To analyze the epidemiological characteristics of Japanese encephalitis (JE) before and after the implementation of the national immunization program to provide the basis for better controlling the epidemic of JE and improving the immunization planning. Methods Descriptive epidemiological data of epidemic situation of Japanese encephalitis in Hefei City from 2000 to 2009 were used to input statistics by using Microsoft Excel software. Results A total of 242 cases of Japanese encephalitis occurred in Hefei from 2000 to 2009, and the incidence of this disease decreased significantly after 2005. The cases were mainly distributed in Changfeng County (96 cases), Feidong County (94 cases) and Feixi County (22 cases), and the incidences of the three counties (212 cases) accounted for 87.60% of the total number of cases and 30 cases in the urban area, accounting for the total number of cases Of the 12.40%, three counties more cases than the urban area. To 0 to 6 years old more common, accounting for 64.88%. Unknown history of immunization and blank for 164 cases, accounting for 67.77%. In July and August, 236 cases were diagnosed, accounting for 97.52% of the total. Conclusions The incidence of Japanese encephalitis in Hefei is still mainly in rural areas, with no history of immunization in most cases. After JE vaccine is administered into the immunization program, JE has good control.