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1. 杞县疾病预防控制中心
2. 开封市疾病预防控制中心
纸质出版日期:2021,
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曹向华, 杨雯, 王喜, 等. 2015-2019年杞县肠道传染病流行趋势及疾病负担研究[J]. 保健医学研究与实践, 2021,18(5):25-29.
Cao Xianghua, Yang Wen, Wang Xi, et al. Study on epidemic trend and disease burden of intestinal infectious diseases in Qi County from 2015 to 2019[J]. Health Medicine Research and Practice, 2021,18(5):25-29.
目的了解开封市杞县肠道传染病流行趋势及其造成的疾病负担
为制定肠道传染病防控策略提供科学依据。方法从中国疾病预防控制信息系统导出2015-2019年杞县肠道传染病资料
采用发病率、年龄别发病率、伤残寿命损失年(YLDs)、YLDs率等指标对其流行状况及疾病负担进行描述
采用Excel 2007及SPSS 21.0进行数据整理和分析。结果2015-2019年杞县共报告5种肠道传染病7 422例
年均发病率为158.59/10万
5种肠道传染病年均发病率从高到低依次为其他感染性腹泻(107.39/10万)、手足口病(45.90/10万)、细菌性痢疾(3.87/10万)、甲肝(0.73/10万)、戊肝(0.71/10万)。总体发病率男性高于女性(P<0.05)。不同年龄组人群的其他感染性腹泻发病率均位居5种肠道传染病的首位
手足口病和细菌性痢疾在0岁~组发病率最高
发病率分别为474.76/10万、18.65/10万
其他感染性腹泻在0岁~组和30岁~组高发
发病率分别为478.13/10万、106.38/10万。甲肝在15岁~组发病率最高(1.06/10万)
戊肝在60岁~组发病率最高(1.15/10万)。手足口病和其他感染性腹泻发病呈上升趋势
细菌性痢疾呈下降趋势。除甲肝和戊肝外
其他3种疾病发病多集中在5-7月。5种肠道传染病总YLDs和YLDs率分别为47.96人年、1.20人年/10万
男性YLDs和YLDs率分别为29.58人年、1.22人年/10万
女性YLDs和YLDs率分别为18.38人年、0.82人年/10万
不同疾病YLDs从高到低依次为其他感染性腹泻(23.75人年)、手足口病、甲肝、戊肝、细菌性痢疾。0岁~组YLDs和YLDs率最高
分别为27.42人年、7.10人年/10万。结论 2015-2019年杞县肠道传染病中其他感染性腹泻和手足口病发病率较高
多集中在夏季
儿童和老年人是肠道传染病高危人群
应有针对性地采取预防控制措施。
Objective To understand the epidemic trend and disease burden of intestinal infectious diseases in Qi County
so as to provide scientific basis for formulating prevention and control strategies of intestinal infectious diseases. Methods The data of intestinal infectious diseases in Qi County was derived from the disease preven-tion and control information system from 2015 to 2019. The incidence rate
age-specific incidence rate
years lived with disability(YLDs) and YLDs rate were used to describe the epidemic status and disease burden. Excel 2007 and SPSS 21.0 were used to prepare and analyze the data. Results A total of 7 422 cases of 5 kinds of in-testinal infectious diseases were reported in Qi County from 2015 to 2019
with an average annual incidence of 158.59/100 000. The average annual incidence of five intestinal infectious diseases from high to low was other in-fectious diarrhea(107.39/100 000)
hand
foot and mouth disease(45.90/100 000)
bacillary dysentery(3.87/100 000)
hepatitis A(0.73/100 000) and hepatitis E(0.71/100 000). The overall incidence in males was higher than that in females(P<0.05). The incidence of other infectious diarrhea in different age groups ranked first a-mong the five intestinal infectious diseases. Hand-foot-mouth disease and bacillary dysentery had the highest inci-dence in the 0-year-old group
with the incidence of 474.76/100
000 and 18.65/100 000 respectively. The inci-dence of other infectious diarrhea was high in 0-year-old group and 30-year-old group
and the incidence was 478.13/100 000 and 106.38/100 000
respectively. The incidence of hepatitis A was the highest in the 15-year-old group(1.06/100 000)
and that of hepatitis E was the highest in the 60-year-old group(1.15/100 000). The incidence of hand-foot-mouth disease and other infectious diarrhea showed an upward trend
while bacillary dys-entery showed a downward trend. Except for hepatitis A and E
the incidence of the other three diseases was mostly concentrated from May to July. The total YLDs and YLDs rates of the five intestinal infectious diseases were 47.96 man-year and 1.20 man-year/100 000 respectively. The YLDs and YLDs rates of males were 29.58 man-year
and 1.22 man-year/100 000 respectively. The YLDs and YLDs rates of females were 18.38 man-year and 0.82 man-year/100 000 respectively. The YLDs of different diseases from high to low were infectious diar-rhea(23.75 man-year)
hand-foot-mouth disease
hepatitis A
hepatitis E and bacillary dysentery. The YLDs and YLDs rate in 0-year-old group were the highest
which were 27.42 man-year and 7.10 man-year/100 000
respectively. Conclusion From 2015 to 2019
the incidence of other infectious diarrhea and hand-foot-mouth dis-ease in Qi County is higher
which is mostly concentrated in summer. Children and the elderly are high-risk groups of intestinal infectious diseases
so prevention and control measures should be taken.
肠道传染病伤残生命年发病率
Intestinal infectious diseasesYears lived with disabilityMorbidity
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