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目的分析云南省元江县伤寒副伤寒流行特征和趋势,为制定有效防控措施提供科学依据。方法利用元江县2009-2014年伤寒副伤寒疫情资料,采用SPSS17.0软件统计分析伤寒副伤寒在元江县的发病和流行情况。结果 2009-2014年元江县报告伤寒和副伤寒病例共760例,其中伤寒107例、副伤寒653例,无死亡病例报告,年均发病率为58.46/10万,报告病例数及发病率均呈逐年下降趋势,但仍高于全国、全省平均水平(1.93/10万)。元江县伤寒副伤寒发病在2010年暴发后呈下降趋势,发病无明显的季节性;病例集中在与县城所在地澧江镇、甘庄街道和曼来镇;发病人数最多的职业是农民(60.26%),其次为学生和工人。结论元江县2009-2014年伤寒副伤寒发病虽然总体呈下降趋势,但仍高于全国平均水平。对重点乡镇和重点人群要加以有效策略控制和分类指导,改善卫生条件,必要时采取阶段性禁/限食用等综合防制模式。
Objective To analyze the epidemiological characteristics and trend of typhoid and paratyphoid fever in Yuanjiang County, Yunnan Province, and provide a scientific basis for effective prevention and control measures. Methods The epidemic situation of typhoid and paratyphoid fever in Yuanjiang County was analyzed by SPSS17.0 software using the data of typhoid and paratyphoid fever in Yuanjiang County from 2009 to 2014. Results A total of 760 cases of typhoid fever and paratyphoid fever were reported in Yuanjiang County from 2009 to 2014, including 107 cases of typhoid fever and 653 cases of paratyphoid fever. No deaths were reported, with an average annual incidence rate of 58.46 / 100000. The number of reported cases and their morbidity were However, it is still higher than the national average of the whole province (1.93 / 100,000). The morbidity of typhoid and paratyphoid fever in Yuanjiang County showed a decreasing trend after the outbreak in 2010, with no obvious seasonal occurrence. The cases were concentrated in Qijiang Town, Ganzhuang Street and Manlai Town where the county seat was located; the occupations with the largest number of incidence were peasants (60.26% ), Followed by students and workers. Conclusion Although the incidence of typhoid and paratyphoid fever in Yuanjiang County decreased from 2009 to 2014 generally, it was still above the national average. The key townships and key populations should be effectively controlled by strategies and classified guidance to improve health conditions, if necessary, to take a comprehensive ban on / limited consumption and other integrated control mode.