2005—2017年武汉市武昌区细菌性痢疾流行状况分析
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摘要
目的通过分析2005—2017年武汉市武昌区细菌性痢疾流行状况,为防控提供参考依据。方法收集2005—2017年武汉市武昌区报告细菌性痢疾病例,结合人口学资料,采用描述性流行病学方法进行分析。结果 2005—2017年武汉市武昌区共报告细菌性痢疾9 816例,无死亡病例,男女性别比为1.26∶1。发病率总体呈下降趋势,变动在120.14/10万至19.10/10万之间,年均发病率为62.22/10万。细菌性痢疾全年均有发病,主要集中在5～10月。病例中居前3位的人群依次为散居儿童、学生、离退人员,占总病例的56.08%(5 505例)。发病年龄中位数为24岁,0～4岁年龄组发病率最高(395.00/10万),占总病例的24.16%(2 372例)。年均发病率居前4位的街道依次为南湖、杨园、粮道街和徐家棚,发病率均超过100.00/10万。结论武汉市武昌区应加强细菌性痢疾的防控,尤其重点街道的防控,时间重点在5～10月。除保持对散居儿童及学生等低年龄组人群的监测防控工作外,需对武昌区老年人加强细菌性痢疾宣传防控工作。
Objective Through analyzing the epidemic status of bacillary dysentery in Wuchang District from 2005 to 2017,the study try to provide theoretical basis for prevention and control of bacillary dysentery. Methods The study collected reported bacillary dysentery cases from 2005 to 2017 in Wuchang District combined with demographic data,and used descriptive epidemiological methods for analysis. Results A total of 9816 cases of bacillary dysentery were reported,without dead case,and the gender ratio of male to female was 1. 26∶ 1 in Wuchang District from 2005-2017. The incidence rate of bacillary dysentery showed a declining trend,which ranged between 120. 14/100 000 to 19. 10/100 000,and the average incidence rate was 62. 22/100 000. Bacillary dysentery can occur throughout the year,but mainly focus on May to October. Among the cases,the most three occupations were scattered children,students,and retired staff,accounting for 56. 08%( 5 505 cases) of the total. The median age of cases was 24 years old. The cases were mainly concentrated in 0-4 years old,accounting for 24. 16%( 2 372 cases),the 0-4 years old age group also had the highest incidence rate( 395. 00/100 000). The average incidence rate of the top four streets were Nanhu,Yangyuan,Liangdao and Xujiapeng,with each incidence rate exceeding 100. 00/100 000. Conclusion Wuchang District should strengthen the prevention and control of bacterial dysentery from May to October,especially in the key streets. In addition to maintaining the monitor,prevention and control work among the scattered children and students which in low age groups,it is important to strengthen the propaganda work of prevention and control of bacterial dysentery in the elderly of Wuchang District.
Objective Through analyzing the epidemic status of bacillary dysentery in Wuchang District from 2005 to 2017,the study try to provide theoretical basis for prevention and control of bacillary dysentery. Methods The study collected reported bacillary dysentery cases from 2005 to 2017 in Wuchang District combined with demographic data,and used descriptive epidemiological methods for analysis. Results A total of 9816 cases of bacillary dysentery were reported,without dead case,and the gender ratio of male to female was 1. 26∶ 1 in Wuchang District from 2005-2017. The incidence rate of bacillary dysentery showed a declining trend,which ranged between 120. 14/100 000 to 19. 10/100 000,and the average incidence rate was 62. 22/100 000. Bacillary dysentery can occur throughout the year,but mainly focus on May to October. Among the cases,the most three occupations were scattered children,students,and retired staff,accounting for 56. 08%( 5 505 cases) of the total. The median age of cases was 24 years old. The cases were mainly concentrated in 0-4 years old,accounting for 24. 16%( 2 372 cases),the 0-4 years old age group also had the highest incidence rate( 395. 00/100 000). The average incidence rate of the top four streets were Nanhu,Yangyuan,Liangdao and Xujiapeng,with each incidence rate exceeding 100. 00/100 000. Conclusion Wuchang District should strengthen the prevention and control of bacterial dysentery from May to October,especially in the key streets. In addition to maintaining the monitor,prevention and control work among the scattered children and students which in low age groups,it is important to strengthen the propaganda work of prevention and control of bacterial dysentery in the elderly of Wuchang District.
引文
[1] 李兰娟, 任红. 传染病学[M].8版.北京:人民卫生出版,2013:178-183.
[2] XIAO G, XU C, WANG J, et al. Spatial-temporal pattern and risk factor analysis of bacillary dysentery in the Beijing-Tianjin-Tangshan urban region of China[J]. BMC public health,2014, 14(1): 998.
[3] ZHANG H, SI Y, WANG X, et al. Patterns of bacillary dysentery in China, 2005–2010[J]. International journal of environmental research and public health, 2016, 13(2): 164.
[4] 王立芹, 刘殿武, 唐龙妹, 等. 有序R×2表资料线性趋势卡方检验与秩相关分析的比较[J]. 临床荟萃, 2009, 24(4): 276.
[5] 杨春梅, 卢娟, 宫占威, 等. 某部2004—2013年传染病发病规律分析及重点传染病预测[J]. 西北国防医学杂志, 2015, 36(7): 455-458.
[6] 修丽华. 2008—2012年龙城区细菌性痢疾和其他感染性腹泻病流行特征对比分析[J]. 中国实用医药, 2016, 11(5): 288-289.
[7] 邝志光, 郭予洪, 李美霞, 等. 广州市2010—2014年细菌性痢疾流行特征与防制策略[J]. 医学动物防制, 2016, 32(2): 187-189.
[8] 黄丹, 范雪松, 徐小冬, 等. 大连市农村饮用水卫生状况与细菌性痢疾流行状况分析[J]. 中国卫生统计, 2016, 33(2): 274-277.
[9] CHANG Z, ZHANG J, RAN L, et al. The changing epidemiology of bacillary dysentery and characteristics of antimicrobial resistance of Shigella isolated in China from 2004-2014[J].BMC infectious diseases,2016, 16(1):685.
[10] ZHAO Y, ZHU Y, ZHU Z, et al. Association between meteorological factors and bacillary dysentery incidence in Chaoyang city,China:an ecological study[J]. BMJ open, 2016, 6(12):13376.
[11] 常彩云, 许华茹, 徐淑慧, 等. 2004—2013年济南市细菌性痢疾流行特征及菌型变迁[J]. 中国病原生物学杂志, 2015,10(2):176-179.
[12] 孙长喜, 刘兴宝, 郭海荣, 等.2005—2016年湖北竹山县细菌性痢疾流行特征及防控效果[J]. 公共卫生与预防医学, 2017,28(3):65-67.
[13] 蔡群, 卞丽娜. 2005—2014年无锡市惠山区细菌性痢疾流行特征分析[J]. 社区医学杂志, 2015,13(22):14-16.
[14] 张庆惠. 2004—2012年沈阳市和平区细菌性痢疾流行特征分析[J]. 职业与健康, 2014, 30(4):529-531.
[15] 王跃会, 燕虹, 阮娇, 等. 2005—2016年武汉市武昌区乙型肝炎流行状况[J]. 职业与健康, 2018, 34(4):509-511,516.
[16] 郭林, 熊波. 人口老龄化背景下城市老年人生活保障机制研究——基于武汉市的经验分析[J]. 武汉大学学报(哲学社会科学版), 2014, 67(6):121-127.
[17] 彭建东, 徐小丽, 姜磊. 武汉市人口老龄化的规划应对初探[J]. 中外建筑, 2012(5):99-100.
[18] 王越英. 人口老龄化的现状、影响及对策建议——以武汉市为例[J]. 党政干部论坛, 2011(8):36-38.
[19] NIE C,LI H,YANG L,et al. Socio-economic factors of bacillary dysentery based on spatial correlation analysis in Guangxi Province, China[J].PloS One,2014, 9(7):102020.
[2] XIAO G, XU C, WANG J, et al. Spatial-temporal pattern and risk factor analysis of bacillary dysentery in the Beijing-Tianjin-Tangshan urban region of China[J]. BMC public health,2014, 14(1): 998.
[3] ZHANG H, SI Y, WANG X, et al. Patterns of bacillary dysentery in China, 2005–2010[J]. International journal of environmental research and public health, 2016, 13(2): 164.
[4] 王立芹, 刘殿武, 唐龙妹, 等. 有序R×2表资料线性趋势卡方检验与秩相关分析的比较[J]. 临床荟萃, 2009, 24(4): 276.
[5] 杨春梅, 卢娟, 宫占威, 等. 某部2004—2013年传染病发病规律分析及重点传染病预测[J]. 西北国防医学杂志, 2015, 36(7): 455-458.
[6] 修丽华. 2008—2012年龙城区细菌性痢疾和其他感染性腹泻病流行特征对比分析[J]. 中国实用医药, 2016, 11(5): 288-289.
[7] 邝志光, 郭予洪, 李美霞, 等. 广州市2010—2014年细菌性痢疾流行特征与防制策略[J]. 医学动物防制, 2016, 32(2): 187-189.
[8] 黄丹, 范雪松, 徐小冬, 等. 大连市农村饮用水卫生状况与细菌性痢疾流行状况分析[J]. 中国卫生统计, 2016, 33(2): 274-277.
[9] CHANG Z, ZHANG J, RAN L, et al. The changing epidemiology of bacillary dysentery and characteristics of antimicrobial resistance of Shigella isolated in China from 2004-2014[J].BMC infectious diseases,2016, 16(1):685.
[10] ZHAO Y, ZHU Y, ZHU Z, et al. Association between meteorological factors and bacillary dysentery incidence in Chaoyang city,China:an ecological study[J]. BMJ open, 2016, 6(12):13376.
[11] 常彩云, 许华茹, 徐淑慧, 等. 2004—2013年济南市细菌性痢疾流行特征及菌型变迁[J]. 中国病原生物学杂志, 2015,10(2):176-179.
[12] 孙长喜, 刘兴宝, 郭海荣, 等.2005—2016年湖北竹山县细菌性痢疾流行特征及防控效果[J]. 公共卫生与预防医学, 2017,28(3):65-67.
[13] 蔡群, 卞丽娜. 2005—2014年无锡市惠山区细菌性痢疾流行特征分析[J]. 社区医学杂志, 2015,13(22):14-16.
[14] 张庆惠. 2004—2012年沈阳市和平区细菌性痢疾流行特征分析[J]. 职业与健康, 2014, 30(4):529-531.
[15] 王跃会, 燕虹, 阮娇, 等. 2005—2016年武汉市武昌区乙型肝炎流行状况[J]. 职业与健康, 2018, 34(4):509-511,516.
[16] 郭林, 熊波. 人口老龄化背景下城市老年人生活保障机制研究——基于武汉市的经验分析[J]. 武汉大学学报(哲学社会科学版), 2014, 67(6):121-127.
[17] 彭建东, 徐小丽, 姜磊. 武汉市人口老龄化的规划应对初探[J]. 中外建筑, 2012(5):99-100.
[18] 王越英. 人口老龄化的现状、影响及对策建议——以武汉市为例[J]. 党政干部论坛, 2011(8):36-38.
[19] NIE C,LI H,YANG L,et al. Socio-economic factors of bacillary dysentery based on spatial correlation analysis in Guangxi Province, China[J].PloS One,2014, 9(7):102020.