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目的 探索茂名市传染病的发病趋势。方法 采用描述流行病学方法分析茂名市１９５０～１９９９年法定报告传染病的流行及发病趋势。结果 除鼠疫、黑热病外，其余法定传染病都有发生，年均发病率由５０年代的１９９６．０９／十万降低至９０年代的９４．５６／十万，死亡率由５０年代的８．１７／十万降至９０年代的０．６０／十万；５０年代以虫媒传染病（１３１９．９１／十万）为优势病种，６０～８０年代以呼吸道传染病（８６４．００／十万～４４２７．８８／十万）为优势病种，９０年代以肠道传染病（３５．２７／十万）为优势病种；居各年代首位的传染病为：５０年代疟疾，６０年代麻疹，７０～８０年代流感，９０年代肝炎；计免相关病种发病率下降明显，如麻疹由５０年代的４０９．９９／十万降至９０年代的５．１３／十万，脊灰从１９９４年起无病例报告，疟疾由５０年代的１３１９．７１／十万降至９０年代的４．３５／十万，肝炎发病率下降幅度不大；９０年代，肺结核、淋病和梅毒的发病率逐年上升，同时出现艾滋病新病种。结论 茂名市传染病发病总趋势是下降的。在继续抓好计划免疫的同时，应把肠道传染病、血源及性传播传染病作为今后防治重点。
Objective To explore the trend of infectious diseases in Maoming. Methods Descriptive epidemiological methods were used to analyze the prevalence and incidence of notifiable infectious diseases in Maoming from 1950 to 1999. Results In addition to the plague and kala-azar, the other notifiable infectious diseases occurred. The average annual incidence rate dropped from 1996.09 / 100,000 in the 1950s to 94.56 / 100,000 in the 1990s. The mortality rate increased from 8.17 in the 1950s / 100,000 to 0.60 / 100,000 in the 90s. In the 1950s, the predominant disease was insect-borne diseases (1319.91 / 100,000). In the 1960s and 1980s, respiratory infections (864.00 / ~ 4427.88 per 100,000) were the predominant diseases, and the predominant diseases were intestinal infectious diseases (35.27 / 100,000) in the 1990s. The first infectious diseases of all ages were malaria in the 1950s, measles in the 60s, Influenza in the 1970s and 1980s, Hepatitis in the 90s, and the incidence of disease-related diseases decreased significantly from 409.99 per 100,000 in the 1950s to 5.13 per 100,000 in the 1990s. Poliomyelitis began in 1994 No case report showed malaria dropped from 1319.71 / 100,000 in the 1950s to 4.35 / 100,000 in the 1990s, and the incidence of hepatitis decreased In the 1990s, the incidence of tuberculosis, gonorrhea and syphilis increased year by year with the emergence of new AIDS-related diseases. Conclusion The general trend of infectious diseases in Maoming is declining. While continuing to carry out planned immunization, gut infectious diseases, blood and sexually transmitted diseases should be the focus of future prevention and treatment.