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目的掌握攀枝花市恙虫病的流行病学特征,为提出有针对性的预防控制措施提供依据。方法对攀枝花市2006-2008年通过中国疾病预防控制信息系统报告的255例恙虫病病例采用描述流行病学的方法分析其三间分布特征。结果 255例病例中以2008年报告数最多,占58.4%,发病以6-10月为主,占全部病例数的89.4%;地区分布以农村为主,占全市报告病例数的96.9%,其中米易县占59.6%;人群分布各年龄组均有发病,但以19岁以上的成年人为主,占68.6%,职业分布以农民为主,占67.5%,其次为学生和幼儿,分别占14.5%和13.7%;报告病例类型以疑似病例最多,占52.2%,其次为临床诊断病例,占45.5%,实验室诊断病例仅6例;病例报告医疗机构以县级为主,占62.4%,其次为市级占23.5%,乡镇级占14.1%。结论攀枝花市恙虫病发病有明显的季节性和地区性,人群分布以农民为主,防制的重点应是夏秋季的农村地区。
Objective To grasp the epidemiological characteristics of scrub typhus in Panzhihua City and provide the basis for proposing targeted prevention and control measures. Methods A total of 255 tsutsugamushi cases reported by Chinese CDC in 2006-2008 were analyzed by epidemiological method. Results Of the 255 cases, the most reported were in 2008, accounting for 58.4%. The incidence was mainly in June-October, accounting for 89.4% of the total cases. The regional distribution was mainly in rural areas, accounting for 96.9% of the reported cases in the city, of which, Miyi County accounted for 59.6%; Population distribution in all age groups have morbidity, but the majority of adults over the age of 19 accounted for 68.6%, occupational distribution mainly farmers, accounting for 67.5%, followed by students and young children, accounting for 14.5 % And 13.7% respectively. The number of reported cases was the highest, accounting for 52.2%, followed by clinical diagnoses, accounting for 45.5% and only 6 cases were laboratory diagnosed. The cases reported mainly county-level, accounting for 62.4% Accounting for 23.5% for the municipal level and 14.1% for the township level. Conclusions The incidence of scrub typhus in Panzhihua City is obviously seasonal and regional. The distribution of population is dominated by peasants. The prevention and control should focus on the rural areas in summer and autumn.