摘要
目的了解蒲江县乙类传染病的流行特征。方法采用描述流行病学方法,对2013-2017年蒲江县网络报告的乙类传染病数据进行统计分析。结果 2013-2017年蒲江县报告乙类传染病14种1 697例,死亡52例(51例艾滋病),年均发病率139. 51/10万、病死率3. 06%;发病率2013年最高(154. 78/10万),2017年最低(117. 51/10万);前5位传染病肺结核(505例)、梅毒(407例)、乙肝(258例)、艾滋病(224例)、淋病(165例)占总数91. 87%;男女比为1. 65∶1;农民占62. 76%; 0~岁、10~岁、20~岁、30~岁、40~岁、50~岁和60~岁组构成分别为2. 24%、3. 89%、16. 85%、14. 14%、18. 15%、14. 50%和30. 23%; 60岁以上老年人肺结核、艾滋病分别占所在病例42. 38%和52. 68%。结论 2013-2017年蒲江县乙类传染病发病平稳略有下降,病例以农民为主,肺结核发病居高不下,艾滋病对人群健康构成严重威胁,60岁及以上组发病居首位,呈逐年上升趋势。今后蒲江县乙类传染病防治应加强以农村60岁及以上老年人为重点人群,以肺结核、艾滋病为重点传染病的防控,防止结核菌/艾滋病病毒双重感染病例的发生。
Objective To understand the epidemic characteristics of class B infectious diseases in Pujiang county.Methods Using descriptive epidemiological methods,the data of network-reported class B infectious diseases from 2013 to 2017 in Pujiang county were analyzed. Results During 2013-2017,a total of 1 697 cases of class B infectious diseases in 14 categories were reported in Pujiang Country,including 52 deaths( 51 deaths due to AIDS); the average annual incidence rate was 139. 51/105,and the fatality rate was 3. 06%. The incidence was the highest in 2013( 154. 78/105) and the lowest in 2017( 117. 51/105); the top five infectious disease s were pulmonary tuberculosis( 505 cases),syphilis( 407 cases),hepatitis B( 258 cases),AIDS( 224 cases)and gonorrhea( 165 cases),accounting for 91. 87% of the total; the male-to-female ratio was 1. 65 ∶1;peasants accounted for 62. 76% of the total; patients aged 0-years,10-years,20-years,30-years,40-years,50-years and 60-years accounted for 2. 24%,3. 89%,16. 85% 14. 14%,18. 15%,14. 50% and30. 23%,respectively; aged people above 60 years accounted for 42. 38% and 52. 68% of pulmonary tuberculosis and AIDS cases,respectively. Conclusion During the 2013-2017 period,the incidence of class B infectious diseases in Pujiang county declined slightly,the patients were mainly peasants, and the incidence of tuberculosis was high. AIDS was a serious threat to the health of the population. The incidence in people aged more than 60 years was the highest and increased year by year. In the future,the prevention and control of class B infectious diseases in Pujiang county should be strengthened in people more than 60 years of age in rural areas,and the prevention and control should focus on tuberculosis and AIDS to prevent the occurrence of TB/AIDS virus dual-infection cases.
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