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目的探讨上海市浦东新区2005～2009年0～5岁本地婴幼儿传染病疫情特点及防控策略。方法采用描述性研究的方法,利用全国传染病网络直报系统中浦东新区2005～2009年资料,统计分析0～5岁本地婴幼儿传染病发病及构成情况。结果上海市浦东新区2005～2009年0～5岁本地婴幼儿传染病发病率平均为2109.87/10万,在782.51/10万与2857.59/10万间波动。传染病疾病谱变化不大,主要为肠道(1549.83/10万,在310.57/10万与2227.73/10万之间波动)和呼吸道传染病(530.86/10万,在441.49/10万与595.01/10万间波动),发病前5位的病种是手足口病、水痘、流行性腮腺炎、其他感染性腹泻、菌痢。5年间传染病职业构成比为散居51.57%(在49.68%与62.16%间波动)、幼托48.43%(在37.84%与56.50%间波动)。结论上海市浦东新区2005～2009年0～5岁本地婴幼儿传染病发病率总体呈递增趋势,主要传播途径为肠道和呼吸道,散居和幼托儿童发病构成比差距逐渐减小,应根据0-5岁本地婴幼儿传染病发病特点,采取积极、有效的预防和控制措施,降低传染病发病率。
Objective To investigate the epidemiological characteristics of local infants and young children from 0 to 5 years old in Pudong New Area, Shanghai from 2005 to 2009 and the control strategies. Methods Descriptive research methods were used to analyze the incidence and constitution of infants and young children from 0 to 5 years of age in the Pudong New Area from 2005 to 2009 in the national infectious diseases direct reporting system. Results The incidence of local infectious diseases of infants and young children aged 0-5 years in Pudong New Area, Shanghai from 2005 to 2009 was 2109.87 / 100000, fluctuating between 782.51 / 100000 and 2857.59 / 10 million. The spectrum of infectious diseases did not change much, mainly as intestinal (1549.83 / 100,000, fluctuating between 310.57 / 100,000 and 2,227.73 / 100,000) and respiratory infectious diseases (530.86 / 100,000, 441.49 / 100,000 and 595.01 / 10 million fluctuations), the incidence of the top five diseases are hand, foot and mouth disease, chickenpox, mumps, other infectious diarrhea, bacillary dysentery. Occupational occupational ratio of infectious diseases was 51.57% (fluctuating between 49.68% and 62.16%) and 48.43% (fluctuating between 37.84% and 56.50%) for 5 years. Conclusion The prevalence of local infectious diseases of infants and young children aged 0-5 years in Pudong New District of Shanghai Municipality increased from 2005 to 2009 generally. The main routes of transmission are intestinal tract and respiratory tract. The gap between the incidence rates of diaspora and preschool children is gradually decreasing. -5 years of local infectious disease characteristics of infants and young children, take active and effective prevention and control measures to reduce the incidence of infectious diseases.