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目的了解近年四川省法定传染病的发病死亡情况,分析传染病疫情。方法用描述性方法对2006-2010年四川省法定传染病报告发病死亡情况进行分析。采用Cox-Stuart趋势检验分析部分重点传染病历史发病率趋势。结果四川省报告甲乙丙类传染病35种,甲乙类发病率从2006年的301.40/10万逐年下降到2010年的225.42/10万,而丙类发病率从2006年的90.76/10万逐年上升到2010年的143.51/10万;甲乙类传染病中血源及性传播传染病报告发病、死亡所占比例最大,分别占44.26%和47.86%,其次为呼吸道传染病,为39.81%和24.81%;甲乙类传染病中报告发病居前列的病种为肺结核、乙肝、梅毒和痢疾,丙类为其它感染性腹泻病、流行性腮腺炎、手足口病。梅毒和艾滋病的报告发病率呈上升趋势,经Cox-Stuart检验有统计学意义(P<0.05)。结论提高对丙类传染病及新发传染病的重视,加强监测和应急处置,防止疫情的扩散;乙肝的发病率15岁以上的高年龄组人群中相对较高,应扩大疫苗接种的年龄范围,提高人群接种率;梅毒和艾滋病为亟待控制的血源及性传播疾病。梅毒在0岁组和85岁及以上年龄组有较高的发病率,其中0岁组主要为胎传梅毒,85岁及以上年龄组为隐性梅毒;肺结核疫情正在得到控制。
Objective To understand the incidence and mortality of notifiable infectious diseases in Sichuan Province in recent years and analyze the epidemic situation of infectious diseases. Methods The descriptive method was used to analyze the reported incidence of death from notifiable infectious diseases in Sichuan Province from 2006 to 2010. Cox-Stuart trend test was used to analyze the historical incidence of some key infectious diseases. Results In Sichuan province, 35 species of A and B infectious diseases were reported. The incidence of A and B diseases dropped from 301.40 / 100,000 in 2006 to 225.42 / 100,000 in 2010, while the incidence of C increased year by year from 90.76 / 100,000 in 2006 Up to 143.51 / 10 million in 2010; among the A and B infectious diseases, the incidence of blood and sexually transmitted infections was the highest, accounting for 44.26% and 47.86% respectively, followed by respiratory infectious diseases with 39.81% and 24.81% respectively, ; Class A and B infectious diseases in the top incidence of tuberculosis, hepatitis B, syphilis and dysentery, C for other infectious diarrhea, mumps, hand, foot and mouth disease. The incidence of syphilis and AIDS was on the rise, with a statistically significant Cox-Stuart test (P <0.05). Conclusions Increased attention to infectious diseases of category C and emerging infectious diseases, monitoring and emergency treatment to be strengthened to prevent the spread of the outbreak. The incidence of hepatitis B is relatively high among the over-15-year-old population, and the age range of vaccination should be expanded , To increase the rate of population coverage; syphilis and AIDS as the urgent need to control blood and sexually transmitted diseases. Syphilis has a high incidence in 0-year-old and 85-year-olds and above, with 0-year-olds predominantly having fetal syphilis and 85 years of age and older being latent syphilis; and tuberculosis outbreaks are under control.