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目的探讨秦皇岛市传染病流行规律,为准确判断传染病发病趋势和制定有效的传染病预防控制策略提供依据。方法利用国家疾病监测系统中的监测数据,用描述性流行病学方法对秦皇岛市2004—2010年的法定传染病三间分布资料进行描述和分析。结果 2004—2010年中,秦皇岛市无甲类传染病报告。法定传染病总的年均发病率2009年最高(352.06/10万),2005年最低(195.53/10万)。乙类传染病走势平稳,丙类传染病2008、2009年显著上升,法定传染病发病趋势基本随丙类传染病的变化而变化。发病上升的主要病种是急性呼吸道传染病和新增法定传染病,急性呼吸道传染病以儿童和青少年发病为主,农民、成年男性是传染病的高发人群,丙型肝炎(丙肝)在青龙县、狂犬病在抚宁县处于流行态势,梅毒以城市区为主。结论该市应当对狂犬病、丙型肝炎、性病、急性呼吸道传染病的预防控制高度重视,防止疫情扩散,甚至导致突发公共卫生事例的发生。
Objective To investigate the epidemic law of infectious diseases in Qinhuangdao and provide the basis for accurately judging the trend of infectious diseases and formulating effective prevention and control strategies for infectious diseases. Methods Using the monitoring data from the national disease surveillance system, descriptive epidemiological methods were used to describe and analyze the three distributions of legal infectious diseases in Qinhuangdao from 2004 to 2010. Results In 2004-2010, there was no report of class A infectious disease in Qinhuangdao City. The annual average incidence of legal notifiable diseases is the highest in 2009 (352.06 / 100,000) and the lowest in 2005 (195.53 / 100,000). Category B infectious diseases showed a steady trend. Category C infectious diseases increased significantly in 2008 and 2009, and the trend of legal notifiable diseases basically changed with the change of Type C infectious diseases. The main diseases are the rising incidence of acute respiratory diseases and the addition of legal infectious diseases, acute respiratory infectious diseases mainly in children and adolescents, peasants, adult men is a high incidence of infectious diseases, hepatitis C (hepatitis C) in Qinglong County , Rabies prevalence in Funing County, syphilis mainly urban areas. Conclusion The city should attach great importance to the prevention and control of rabies, hepatitis C, sexually transmitted diseases and acute respiratory diseases to prevent the epidemic from spreading and even lead to the occurrence of public health emergencies.