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目的分析漳州市流行性感冒的流行特征,预测2014年流行趋势,为防控提供依据。方法对2011—2013年信息系统流感个案信息和哨点医院流感样病例监测结果进行分析。结果 2013年共报告病例1 803例,报告发病率37.04/10万,较2012年的34.51/10万上升了6.84%,前5位的县区是:云霄(109.83/10万),诏安(76.29/10万),龙海(59.78/10万),东山(23.35/10万)和(南靖20.08/10万)。高发期为冬春季;男性发病率高于女性;高发年龄段为15岁以下儿童及60岁以上老年人;高发人群主要为农民、散居儿童和学生;暴发疫情主要在学校及托幼机构。哨点医院监测流行株以甲型H1N1占绝对优势(80.32%),但8~12月主要为H3N2型,12月为甲型H1N1、H3N2型和B型等,且B型流感占阳性毒株的比例最高。结论流感暴发疫情具有明显的季节性,优势株变化频繁,应重视儿童及60岁以上老年人等重点人群预防,控制疫情的暴发。
Objective To analyze the epidemiological characteristics of influenza in Zhangzhou City, forecast the epidemic trend in 2014 and provide the basis for prevention and control. Methods The information system influenza case information from 2011 to 2013 and the surveillance results of influenza-like cases in sentinel hospitals were analyzed. Results A total of 1 803 cases were reported in 2013, with a reported incidence of 37.04 / 100 000, an increase of 6.84% over 34.51 / 100 000 in 2012. The top 5 counties are: Yunxiao (109.83 / 100,000), Zhaoan 76.29 / 100,000), Longhai (59.78 / 100,000), Dongshan (23.35 / 100,000) and (Nanjing 20.08 / 100,000). High incidence of winter and spring; incidence of men than women; high incidence of children under 15 years of age and 60 years of age or older; high incidence of mainly farmers, scattered children and students; outbreak mainly in schools and nurseries. The epidemic strains of sentinel hospitals accounted for the absolute superiority of A (H1N1) (80.32%), but mainly H3N2 from December to December, H1N1, H3N2 and B in December, and positive strains of B The highest proportion. Conclusions Influenza outbreaks are obviously seasonal and the predominant strains are changing frequently. The prevention and control of epidemic outbreaks should be emphasized in key populations such as children and the elderly over 60 years old.