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目的分析石家庄市2004～2010年猩红热流行病学特征,为做好预防控制工作提供依据。方法资料来源于“全国传染病疫情信息报告系统”的2004～2010年猩红热疫情数据,分析猩红热的人群、地区、时间分布特征。结果 (1)2004～2010年石家庄市猩红热平均发病率为2.28/10万,以5～9岁组发病率最高为27.04/10万,其次是0～4岁组发病率为10.28/10万,10岁～组发病率为2.43/10万,15岁～以上组发病率最低为0.07/10万;男性多于女性:职业分布特征以学生最多,平均占38.57%,其次是托幼儿童平均占30.42%和散居儿童平均占29.70%。(2)城区发病率均明显高于县乡。(3)猩红热全年均有发病,存在明显的季节性,2004～2007年有春季和冬季双高峰,即4～6月份有一明显的春节高峰,11月～次年1月有一明显的冬季高峰;2008年仅有一个春季高峰,2010年仅有一个冬季高峰,而2009年全年发病均维持在较低水平。结论石家庄市城区5～9岁男性儿童是猩红热发病的高危人群,应在每年的发病高峰前针对高危人群提前做好预防和控制工作。
Objective To analyze the epidemiological characteristics of scarlet fever in Shijiazhuang City from 2004 to 2010 and provide basis for prevention and control work. Methods The data were from the epidemic data of Scarlet Fever from 2004 to 2010 of “National Infectious Disease Epidemic Reporting Information System”, and the population, region and time distribution of scarlet fever were analyzed. Results (1) The average incidence of scarlet fever in Shijiazhuang City from 2004 to 2010 was 2.28 / 100 000, with the highest incidence of 27.04 / 100000 in the age group of 5 to 9 years old, followed by the incidence of 10.28 / The incidence of 10-year-old group was 2.43 per 100 000. The lowest incidence of over-15-year-old group was 0.07 per 100 000. There were more males than females. Occupational distribution characteristics were the most with the average number of students being 38.57%, followed by the average number of children 30.42% and scattered children average 29.70%. (2) The incidence of urban areas were significantly higher than the county township. (3) The incidence of scarlet fever all year round, there is a clear seasonal, spring and winter in 2004 and 2007 double the peak, that is, from April to June there is a clear peak of the Spring Festival, November to January the following January a clear winter peak There was only one spring peak in 2008 and only one winter peak in 2010, while the incidence in 2009 remained at a relatively low level. Conclusions Male children aged 5 ~ 9 years old in urban area of Shijiazhuang City are the high risk groups for the onset of scarlet fever. Prevention and control work should be done in advance for the high risk groups before the peak incidence of each year.