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目的了解2006-2015年江苏省盐城市恙虫病流行病学特征,为科学有效的采取防控措施提供科学依据。方法选择“中国疾病预防控制信息系统”中的2006-2015年江苏省盐城市恙虫病临床诊断病例和实验室确诊病例为研究对象,采用描述流行病学方法对其地点、时间和人群分布情况进行描述分析。结果 2006-2015年盐城市共报告2540例恙虫病,年均发病率为3.11/10万,发病率由2006年的1.84/10万上升到2015年的8.92/10万;呈秋冬型单峰分布,10、11月份报告病例数占96.8%;60-79岁年龄组人群发病率最高,在9.72/10万-10.89/10万之间,男性发病高峰(75-79岁)较女性滞后(60-64岁);农民占87.1%;2006-2010年均发病率以滨海县最高,为3.56/10万,2011-2015年发病较高的县区有大丰市12.41/10万和东台市11.74/10万,沿海县区2006-2010年和2011-2015年年均发病率分别是1.57/10万和6.90/10万,内陆地区则分别是0.31/10万和3.08/10万。结论 2006-2015年发病率上升较快且呈典型秋冬型分布,高年龄段人群发病率较高,沿海地区发病总体高于内陆地区。建议加强灭鼠、灭螨等宿主动物与媒介控制工作,并对农民进行健康教育。
Objective To understand the epidemiological characteristics of scrub typhus in Yancheng City of Jiangsu Province from 2006 to 2015 and to provide a scientific basis for scientific and effective prevention and control measures. Methods The clinical diagnosis and laboratory confirmed cases of tsutsugamushi disease in Yancheng, Jiangsu Province from 2006 to 2015 in China Disease Prevention and Control Information System were selected as the research objects, and the epidemiological method was used to describe their location, time and population distribution Situation description analysis. Results A total of 2540 tsutsugamushi disease cases were reported in Yancheng City from 2006 to 2015, with an average annual incidence rate of 3.11 / lakh. The incidence increased from 1.84 / lakh in 2006 to 8.92 / lakh in 2015; , And the reported cases in October and November accounted for 96.8% of the total. The highest incidence among the population aged 60-79 was between 9.72 / lakh and 10.89 / lakh. The peak incidence of males (75-79 years) lagged behind that of females -64 years old); farmers accounted for 87.1%; the average incidence in 2006-2010 was 3.56 / 100000 in Binhai County; there were 12.41 / 100000 in Dafeng City and 11.74 in Dongtai City in 2011-2015 / 100,000. The average annual incidence of coastal counties in 2006-2010 and 2011-2015 is 1.57 / lakh and 6.90 / lakh respectively, while inland areas are 0.31 / lakh and 3.08 / lakh respectively. Conclusions The incidence increased rapidly from 2006 to 2015 with a typical autumn-winter type distribution. The incidence of high-aged population was higher, and the incidence in coastal areas was generally higher than inland areas. Proposed to strengthen the control of host animals and media such as rodent control and mite-killing, as well as health education for farmers.