2010-2014年广东省深圳市输入性血吸虫病流行病学特征
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摘要
目的了解深圳市输入性血吸虫病的流行病学特征,为制订防制策略提供科学依据。方法收集2010-2014年深圳市输入性血吸虫病的疫情资料,采用描述流行病学方法进行统计分析。结果 2010-2014年全市共报告输入性血吸虫病病例324例,均为慢性血吸虫病,无急性病例报告。所有病例由国内血吸虫病疫区输入,其中湖北149例(占46. 0%)、湖南91例(占26. 6%)、江西31例(占9. 1%)、四川22例(占6. 9%)、安徽16例(占4. 7%),其他省份共计15例(占4. 4%)。全年12个月均有血吸虫病报告,5～11月报告病例数较多,占病例总数的73. 1%(237/324)。病例男女性别比为2. 3∶1,集中在30～70岁组,病例构成比为77. 5%(251/324)。2010-2014年75. 3%(244/342)的输入性病例由市级医院诊断和报告,其余由区级及街道综合性医院报告。结论深圳市输入性血吸虫病的防制应重点加强往返疫区流动人口血吸虫病的监测和管理,同时提高基层医疗机构临床医生对于血吸虫病的诊治能力和水平。
Objective To understand the epidemiological characteristics of imported schistosomiasis in Shenzhen,and to provide scientific basis for developing control strategies. Methods The datum on surveillance of imported schistosomiasis during2010-2014 were collected and analyzed using descriptive epidemiological methods. Results Totally 324 imported cases with chronic schistosomiasis were reported during 2010-2014. Among them,149 cases( 46. 0%) were imported from Hubei,91 cases( 26. 6%) from Hunan,31 cases( 9. 1%) from Jiangxi,22 cases( 6. 9%) from Sichuan,16 cases( 4. 7%) from Anhui and15 cases( 4. 4%) from other endemic provinces. No obvious seasonal incidence peak was observed. About 73. 1%( 237/324) of cases was reported from May to November of years. The majority of schistosomiasis cases were male. The ratio of male to female was 2. 3 ∶1,and about 77. 5%( 251/324) of the total cases were concentrated in 30 ～ 70 age groups. In 2010-2014 years,75. 3%( 244/342) of imported schistosomiasis cases were diagnosed and reported by municipal hospitals,and only 80 cases were reported in district level and street comprehensive hospitals,accounting for 24. 7%. Conclusion The prevention and control of imported schistosomiasis in Shenzhen should focus on the monitoring and management of schistosomiasis in mobile population,and improve the ability of diagnosis and treatment for schistosomiasis in primary medical institutions.
Objective To understand the epidemiological characteristics of imported schistosomiasis in Shenzhen,and to provide scientific basis for developing control strategies. Methods The datum on surveillance of imported schistosomiasis during2010-2014 were collected and analyzed using descriptive epidemiological methods. Results Totally 324 imported cases with chronic schistosomiasis were reported during 2010-2014. Among them,149 cases( 46. 0%) were imported from Hubei,91 cases( 26. 6%) from Hunan,31 cases( 9. 1%) from Jiangxi,22 cases( 6. 9%) from Sichuan,16 cases( 4. 7%) from Anhui and15 cases( 4. 4%) from other endemic provinces. No obvious seasonal incidence peak was observed. About 73. 1%( 237/324) of cases was reported from May to November of years. The majority of schistosomiasis cases were male. The ratio of male to female was 2. 3 ∶1,and about 77. 5%( 251/324) of the total cases were concentrated in 30 ～ 70 age groups. In 2010-2014 years,75. 3%( 244/342) of imported schistosomiasis cases were diagnosed and reported by municipal hospitals,and only 80 cases were reported in district level and street comprehensive hospitals,accounting for 24. 7%. Conclusion The prevention and control of imported schistosomiasis in Shenzhen should focus on the monitoring and management of schistosomiasis in mobile population,and improve the ability of diagnosis and treatment for schistosomiasis in primary medical institutions.
引文
[1]朱蓉,徐静.我国境外输入性血吸虫病的疫情现状与防控思考[J].中国血吸虫病防治杂志,2014,26(2):111-114.
[2]郑江.我国血吸虫病防治的成就及面临的问题[J].中国寄生虫学与寄生虫病杂志,2009,27(5):398-401.
[3]党辉,金嘉宁,许静,等. 2015年全国血吸虫病监测分析[J].中国血吸虫病防治杂志,2017,29(3):273-280.
[4]黄少玉,邓卓晖,张启明,等. 2004-2009年广东省血吸虫病疫情分析[J].中国血吸虫病防治杂志,2011,23(2):197-201.
[5]曹淳力,郭家钢.流动人口血吸虫感染与防控[J].中国血吸虫病防治杂志,2010,22(4):388-390.
[6]杨亚,周艺彪,潘翔,等.中国与非洲血吸虫病流行特征及防治策略对比分析[J].中国血吸虫病防治杂志,2015,27(3):328-331.
[7]闻礼永,蔡黎,张仁利,等.城市输入性血吸虫病37例分析[J].中华流行病学杂志,2004,25(7):577-579.
[8]张玉斌,蒋宝婕,朱志华,等.城市血吸虫病防控经验探析—以武汉市武昌区为例[J].公共卫生与预防医学,2014,25(3):83-85.
[9]高世同,张仁利,黄达娜,等.深圳市门诊患者寄生虫感染状况调查[J].中国热带医学,2008,8(11):1973-1974.
[10]雷正龙,张利娟,徐志敏,等. 2014年全国血吸虫病疫情通报[J].中国血吸虫病防治杂志,2015,27(6):563-569.
[11]何家昶,高风华,张世清,等. 2008-2014年安徽省血吸虫病疫情分析[J].热带病与寄生虫学,2015,13(3):135-138.
[12]单晓伟,蔡顺祥,周晓蓉,等. 2009-2014年湖北省血吸虫病监测点人群病情分析[J].中华疾病控制杂志,2016,20(11):1124-1126.
[13]李理,张剑锋,严晓岚,等.浙江省192例输入性血吸虫病患者流行病学特征分析[J].国际流行病学传染病学杂志,2012,39(2):114-116.
[14]潘翔,周艺彪,杨亚,等.非洲血吸虫病的流行特征及其对赴非人员的安全启示[J].中国血吸虫病防治杂志,2015,27(4):436-439.
[15]高世同,李晓恒,黄少玉,等.深圳市大沙河、观澜河藁杆双脐螺分布及其生态环境调查[J].中国热带医学,2013,13(3):313-314.
[16]梁幼生,汪伟,洪青标,等.非洲输入性血吸虫病在中国的传播风险及其应对措施[J].中国血吸虫病防治杂志,2013,25(3):221-225.
[2]郑江.我国血吸虫病防治的成就及面临的问题[J].中国寄生虫学与寄生虫病杂志,2009,27(5):398-401.
[3]党辉,金嘉宁,许静,等. 2015年全国血吸虫病监测分析[J].中国血吸虫病防治杂志,2017,29(3):273-280.
[4]黄少玉,邓卓晖,张启明,等. 2004-2009年广东省血吸虫病疫情分析[J].中国血吸虫病防治杂志,2011,23(2):197-201.
[5]曹淳力,郭家钢.流动人口血吸虫感染与防控[J].中国血吸虫病防治杂志,2010,22(4):388-390.
[6]杨亚,周艺彪,潘翔,等.中国与非洲血吸虫病流行特征及防治策略对比分析[J].中国血吸虫病防治杂志,2015,27(3):328-331.
[7]闻礼永,蔡黎,张仁利,等.城市输入性血吸虫病37例分析[J].中华流行病学杂志,2004,25(7):577-579.
[8]张玉斌,蒋宝婕,朱志华,等.城市血吸虫病防控经验探析—以武汉市武昌区为例[J].公共卫生与预防医学,2014,25(3):83-85.
[9]高世同,张仁利,黄达娜,等.深圳市门诊患者寄生虫感染状况调查[J].中国热带医学,2008,8(11):1973-1974.
[10]雷正龙,张利娟,徐志敏,等. 2014年全国血吸虫病疫情通报[J].中国血吸虫病防治杂志,2015,27(6):563-569.
[11]何家昶,高风华,张世清,等. 2008-2014年安徽省血吸虫病疫情分析[J].热带病与寄生虫学,2015,13(3):135-138.
[12]单晓伟,蔡顺祥,周晓蓉,等. 2009-2014年湖北省血吸虫病监测点人群病情分析[J].中华疾病控制杂志,2016,20(11):1124-1126.
[13]李理,张剑锋,严晓岚,等.浙江省192例输入性血吸虫病患者流行病学特征分析[J].国际流行病学传染病学杂志,2012,39(2):114-116.
[14]潘翔,周艺彪,杨亚,等.非洲血吸虫病的流行特征及其对赴非人员的安全启示[J].中国血吸虫病防治杂志,2015,27(4):436-439.
[15]高世同,李晓恒,黄少玉,等.深圳市大沙河、观澜河藁杆双脐螺分布及其生态环境调查[J].中国热带医学,2013,13(3):313-314.
[16]梁幼生,汪伟,洪青标,等.非洲输入性血吸虫病在中国的传播风险及其应对措施[J].中国血吸虫病防治杂志,2013,25(3):221-225.
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