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对云南省华宁县1995～1997年5岁以下儿童急性呼吸道感染(ARI)的监测数据进行分析,结果显示,儿童ARI发生次数逐年增加,年人均发生次数为3.52次,肺炎发病率由1995年的61.49％上升至1997年的77.95％,这与基层医务人员对ARI、肺炎的诊断水平的提高,随着项目的开展,同时也与监测数据有关的上报收集系统的不断完善,漏报、错报减少有关;经过3年的监测,5岁以下儿童的肺炎死亡专率由1995年的3.72‰降至1997年的3.63‰,肺炎病死率由1995年的6.05‰降至1997年的4.65‰,5岁以下儿童总死亡率也由1995年的39.85‰下降至1997年的35.12‰,其中婴儿死亡率由1995年的36.05‰下降至1997年的24.79‰。
The surveillance data of acute respiratory infection (ARI) in children under 5 years of age from 1995 to 1997 in Huaning County of Yunnan Province were analyzed. The results showed that the incidence of ARI in children increased year by year with the average annual incidence of 3.52 times. The incidence of pneumonia increased from 1995 61.49% up to 77.95% in 1997, which is related to the improvement of diagnosis level of ARI and pneumonia among grassroots medical personnel. With the development of the project, the reporting collection system related to the monitoring data is continuously improved, omissions and misstatements After 3 years of monitoring, the mortality rate of pneumonia among children under 5 years dropped from 3.72 ‰ in 1995 to 3.63 ‰ in 1997, and the pneumococcal mortality rate dropped from 6.05 ‰ in 1995 to 4.65 ‰ in 1997; 5 The total child mortality rate dropped from 39.85 ‰ in 1995 to 35.12 ‰ in 1997, of which the infant mortality rate dropped from 36.05 ‰ in 1995 to 24.79 ‰ in 1997.