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[目的]掌握郧县1996～2009年乙类传染病的发病、死亡构成及其变迁,为制定防制对策提供科学依据。[方法]对1996～2009年郧县法定传染病校正年报表,进行描述性分析。[结果]共报告乙类传染病16种,共计16056例,死亡23例,乙类传染病平均报告发病率为185.12/10万,死亡率为0.27/10万。从疾病谱变化来看,14年来,郧县肠道传染病报告发病率总体呈下降趋势,血源及性传播传染病报告发病数呈上升趋势,主要原因是乙型肝炎报告发病数居高不下;呼吸道传染病发病数保持在较高水平,主要由肺结核报告发病数上升所致;曾经已控制或消除的梅毒、疟疾等疫情有较快回升。[结论]14年间郧县乙类传染病报告发病率总体呈上升趋势。乙型肝炎和肺结核是影响郧县报告发病数的主要传染病,其次是淋病、梅毒等。今后要把传染病防治工作的重点放在农村,重点防治对象是农民和学生,同时,应加大流动人员传染病防治管理力度。
[Objective] To understand the incidence, the composition of death and the change of infectious diseases of Class B in Yun County from 1996 to 2009, and provide a scientific basis for making prevention and control measures. [Methods] The annual report of legal infectious diseases in Yun County from 1996 to 2009 was analyzed descriptively. [Results] A total of 16 kinds of B infectious diseases were reported, with a total of 16,056 cases and 23 deaths. The average reported incidence of Type B infectious diseases was 185.12 / 100,000 and the death rate was 0.27 / 100,000. In the past 14 years, the incidence of intestinal infectious diseases in Yun County has been on the decline. The number of reported cases of blood-borne and sexually transmitted infections is on the rise. The main reason is the high incidence of hepatitis B reported . The number of respiratory infectious diseases remained at a relatively high level, mainly due to an increase in the number of pulmonary tuberculosis reported cases. Syphilis, malaria and other epidemics that had been controlled or eliminated had a faster recovery. [Conclusion] The incidence of Category B infectious diseases in Yun County generally shows an upward trend in 14 years. Hepatitis B and tuberculosis are the major infectious diseases that affect the reported incidence in Yun County, followed by gonorrhea and syphilis. In the future, the focus of infectious disease prevention and control should be placed on rural areas. The key prevention and control targets are peasants and students. At the same time, efforts should be made to intensify the prevention and control of communicable diseases among floating population.