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目的分析平顶山市2004-2013年细菌性痢疾流行特征,为制定防控策略提供依据。方法对平顶山市2004-2013年疾病监测报告信息系统报告的细菌性痢疾病例信息进行描述性流行病学分析。结果 2004-2013年平顶山市共报告细菌性痢疾病例16 789例,年均发病率为33.92/10万。市区发病率高于郊县,差异有统计学意义(χ2=614.07,P<0.001)。发病集中在夏秋季,发病高峰期为5-10月。男性发病率明显高于女性,差异有统计学意义(χ2=1 042.43,P<0.001)。各年龄组均有发病,0~4岁儿童发病率最高,其次为85岁以上人群。发病数最高的职业为农民。结论平顶山市菌痢防控形势依然严峻,应依据流行特点,针对重点人群开展针对性的防控措施,有效降低发病水平。
Objective To analyze the epidemic characteristics of bacterial dysentery in Pingdingshan City from 2004 to 2013 and provide basis for the prevention and control strategies. Methods Descriptive epidemiological analysis of case history of bacillary dysentery reported in the information system of disease monitoring report of Pingdingshan from 2004 to 2013 was conducted. Results A total of 16 789 cases of bacterial dysentery were reported in Pingdingshan from 2004 to 2013, with an average annual incidence of 33.92 / 100 000. The incidence of urban area was higher than that of suburban counties (χ2 = 614.07, P <0.001). The incidence concentrated in summer and autumn, the peak incidence of May-October. The incidence of males was significantly higher than that of females, the difference was statistically significant (χ2 = 1 042.43, P <0.001). The incidence of all age groups, 0 to 4-year-old children the highest incidence, followed by people over the age of 85. The highest number of occupations for the farmers. Conclusion The situation of prevention and control of bacillary dysentery in Pingdingshan City is still severe. According to the epidemic characteristics, the prevention and control of bacillary dysentery in Pingdingshan should be targeted prevention and control measures aimed at key populations to effectively reduce the incidence.