2008-2017年云南省边境地区传染病突发公共卫生事件流行病学特征分析
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摘要
目的分析近年来云南省边境地区传染病类突发公共卫生事件流行特征,以指导边境地区传染病防控工作。方法对2008-2017年云南省边境地区传染病类突发公共卫生事件资料描述分析,数据来源于《中国疾病预防控制信息系统》。结果云南省25个边境县(市)共报告传染病突发公共卫生事件224起,占全省暴发疫情的18.90%。主要为一般事件(Ⅳ级),占82.59%;发病17 033例,死亡27例;疫情波及1 886 372例,罹患率为0.9%。甲类传染病事件6起,占2.68%;乙类67起,占29.91%;丙类92起,占41.07%;其他59起,占26.34%。事件主要发生于每年3-6月和10-12月份,以水痘等呼吸道传染病为主,主要发生在学校。境外输入传染病事件19起,15起为缅甸输入。结论云南省边境地区传染病防控形势严峻,传染病突发事件以呼吸道传染病为主,同时加强学校卫生管理是有效控制疫情发生的主要措施。
Objective To understand the epidemiologic characteristics of public health emergencies in communicable diseases in cross border area of Yunnan,so as to guide the prevention and control of communicable diseases.Methods The data of public health emergencies of communicable diseases in cross border area of Yunnan Province from 2008 to 2017,which were collected from the China Disease Prevention and Control Information System,were analyzed by descriptive epidemiology.Results A total of 224 public health emergencies of communicable diseases were reported in 25 border counties/cities,accounting for 18.90% of all the events in Yunnan.82.59% of the emergencies were general events(grade Ⅳ).There were 17 033 patients and 27 death cases,1 886 372 people were involved,and the attack rate was 0.9%.There were 6 events of class A communicable disease,67 events of class B,92 events of class C and 59 events of other communicable diseases,accounting for 2.68%,29.91%,41.07% and 26.34%,respectively.The peak seasons appeared from March to June and from October to December,most of cases were respiratory infectious diseases,for instance chickenpox.And the events mainly occurred in schools.There were 19 foreign imported incidents,and 15 from Burma.Conclusion The control and prevention of infectious diseases in cross border area of Yunnan is grim.The major public health emergencies of infectious diseases are respiratory infectious diseases events.The prevention and control for public health in school health management should be strengthened for an effective control of the epidemic situations.
Objective To understand the epidemiologic characteristics of public health emergencies in communicable diseases in cross border area of Yunnan,so as to guide the prevention and control of communicable diseases.Methods The data of public health emergencies of communicable diseases in cross border area of Yunnan Province from 2008 to 2017,which were collected from the China Disease Prevention and Control Information System,were analyzed by descriptive epidemiology.Results A total of 224 public health emergencies of communicable diseases were reported in 25 border counties/cities,accounting for 18.90% of all the events in Yunnan.82.59% of the emergencies were general events(grade Ⅳ).There were 17 033 patients and 27 death cases,1 886 372 people were involved,and the attack rate was 0.9%.There were 6 events of class A communicable disease,67 events of class B,92 events of class C and 59 events of other communicable diseases,accounting for 2.68%,29.91%,41.07% and 26.34%,respectively.The peak seasons appeared from March to June and from October to December,most of cases were respiratory infectious diseases,for instance chickenpox.And the events mainly occurred in schools.There were 19 foreign imported incidents,and 15 from Burma.Conclusion The control and prevention of infectious diseases in cross border area of Yunnan is grim.The major public health emergencies of infectious diseases are respiratory infectious diseases events.The prevention and control for public health in school health management should be strengthened for an effective control of the epidemic situations.
引文
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[8] 付正强,黎尔平.云南边境缅籍务工人员管理问题研究[J].云南民族大学学报(哲学社会科学版)[J].2015,32(5):21-27.
[9] 吴晨,吴昊澄,曾蓓蓓,等.浙江省突发公共卫生事件网络报告质量评价[J].中国预防医学杂志,2016,17(3):165-169.
[10] World Health Organization.Global Health Observatory(GHO)data[EB/OL].[2019-05-06].https://www.who.int/gho/about/en/.
[11] International Society for Infectious Diseases.ProMED report map(April-June 2018)[EB/OL].[2019-05-06].https://www.isid.org/promed-report-map-q2/.
[12] Phuong L,Hanh T,Nam V.Climate variability and dengue hemorrhagic fever in Ba Tri district,Ben Tre province,Vietnam during 2004-2014[J].AIMS Public Health,2016,3(4):769-780.
[13] Bhoomiboonchoo P,Nisalak A,Chansatiporn N,et al.Sequential dengue virus infections detected in active and passive surveillance programs in Thailand,1994-2010[J].BMC Public Health,2015,15(1):250.
[2] 国家卫生计生委关于推进“一带一路”卫生交流合作三年实施方案(2015-2017)[EB/OL].[2019-05-06].http://www.nhfpc.gov.cn/zwgk/zxgzjh/201510/ce634f7fed834992849e9611099bd7cc.shtml
[3] 赵世文,陆林,刘晓强.简析云南省边境地区疾病监测及突发事件处置模式[J].现代预防医学,2008,35(6):1026,1033.
[4] 尹授钦,夏尚,周兴武,等.云南省边境地区疟疾传播风险评估[J].中国寄生虫学与寄生虫病杂志,2016,34(3):255-260.
[5] 卢冉,尹洁,林燕,等.2013-2017年云南省边境地区输入性传染病流行病学特征分析[J].现代预防医学,2018,45(14):2505-2509.
[6] 熊益权,陈清.1978-2014年我国登革热的流行病学分析[J].南方医科大学学报,2014,39(12):1822-1825.
[7] 龚华东,李志家.2005-2015年番禺区登革热流行趋势分析及预防措施[J].现代预防医学,2017,44(1):20-24.
[8] 付正强,黎尔平.云南边境缅籍务工人员管理问题研究[J].云南民族大学学报(哲学社会科学版)[J].2015,32(5):21-27.
[9] 吴晨,吴昊澄,曾蓓蓓,等.浙江省突发公共卫生事件网络报告质量评价[J].中国预防医学杂志,2016,17(3):165-169.
[10] World Health Organization.Global Health Observatory(GHO)data[EB/OL].[2019-05-06].https://www.who.int/gho/about/en/.
[11] International Society for Infectious Diseases.ProMED report map(April-June 2018)[EB/OL].[2019-05-06].https://www.isid.org/promed-report-map-q2/.
[12] Phuong L,Hanh T,Nam V.Climate variability and dengue hemorrhagic fever in Ba Tri district,Ben Tre province,Vietnam during 2004-2014[J].AIMS Public Health,2016,3(4):769-780.
[13] Bhoomiboonchoo P,Nisalak A,Chansatiporn N,et al.Sequential dengue virus infections detected in active and passive surveillance programs in Thailand,1994-2010[J].BMC Public Health,2015,15(1):250.
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