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目的了解上海市松江区2005-2015年甲乙类传染病的发病趋势和流行特征。方法根据2005-2015年松江区乙类传染病疫情资料,对该期间乙类传染病的动态、发病顺位、主要传染病的三间分布情况进行描述性流行病学分析。结果 2005-2015年全区无甲类传染病报告,共报告乙类传染病16种22 794例,死亡48例,年均发病率156.33/10万,年均死亡率0.33/10万。11年间乙类传染病主要以血源及性传播传染病和呼吸道传染病为主,近年来肠道传染病有逐年减少的趋势,虫媒和自然疫源性疾病波动较小。发病数居前5位的乙类传染病依次为梅毒、肺结核、淋病、猩红热、病毒性肝炎,发病人群以青壮年为主,发病地区主要集中在人口基数大和流动人口多的街道和乡镇。结论2005-2015年松江区乙类传染病总体呈下降趋势,现阶段应根据梅毒、肺结核、猩红热、淋病、病毒性肝炎的不同流行特征采取监测和防控措施。
Objective To understand the prevalence and epidemiological characteristics of Class A and B infectious diseases in Songjiang District, Shanghai from 2005 to 2015. Methods According to the epidemic situation of B infectious diseases in Songjiang District from 2005 to 2015, the epidemiological analysis of the three kinds of distribution, such as the dynamic status of B infectious diseases, the disease incidence and the major infectious diseases during this period, was conducted. Results A total of 22 794 cases of type B infectious diseases were reported from 2005 to 2015 in the whole region without any reports of type A infectious diseases. 48 cases were reported dead, with an average annual incidence of 156.33 / 100,000 and an annual average mortality of 0.33 / 100,000. In the past 11 years, the main infectious diseases of type B were blood-borne and sexually transmitted diseases and respiratory infectious diseases. In recent years, the number of intestinal infectious diseases has been decreasing year by year. The fluctuation of insect-borne diseases and natural epidemic-origin diseases has been small. The top 5 infectious diseases were syphilis, tuberculosis, gonorrhea, scarlet fever and viral hepatitis, with the majority of young and middle-aged people. The incidence areas mainly concentrated in the streets and towns with large population base and large floating population. Conclusion The total number of B infectious diseases in Songjiang District decreased from 2005 to 2015. At this stage, monitoring and prevention and control measures should be taken according to the different epidemic characteristics of syphilis, tuberculosis, scarlet fever, gonorrhea and viral hepatitis.