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目的了解楚雄州乙类传染病流行规律和变化趋势,为制定传染病预防控制策略提供科学依据。方法应用描述性流行病学方法对楚雄州2006—2010年各县(市)报告的乙类传染病疫情资料进行统计、分析。结果楚雄州2006—2010年无甲类传染病报告,共报告乙类传染病17种20 156例,死亡137例,年平均发病率为151.22/10万,年平均死亡率为1.03/10万。呼吸道传染病发病率在54.91/10万～76.95/10万之间,年均发病率为66.37/10万,居传染病发病之首;血源及性传播传染病发病率在44.65/10万～79.40/10万之间,年均发病率为53.30/10万,居传染病发病第2位;肠道传染病发病率23.97/10万～43.52/10万之间,年均发病率为29.52/10万;自然疫源及虫媒传染病发病率在1.36/10万～3.43/10万之间,年均发病率为2.02/10万;艾滋病和肺结核病死亡人数最多,分别占死亡总数的52.55%和35.77%;发病数居前6位的传染病依次是肺结核、病毒性肝炎、痢疾、伤寒及副伤寒、梅毒、淋病,合计占传染病发病总数的95.96%。结论近几年来,楚雄州对呼吸道和肠道传染病的综合防治措施已经初见成效,但血源及性传播疾病的增长趋势不容忽视,艾滋病、梅毒、丙肝疫情形势依然十分严峻,应根据传染病流行状况,适时调整传染病防控策略,针对性地制定并采取有效的控制措施。
Objective To understand the epidemic rules and trends of infectious diseases in Chuxiong Prefecture and provide a scientific basis for the prevention and control of infectious diseases. Methods Descriptive epidemiological methods were used to analyze and analyze the epidemic data of Category B infectious diseases reported by counties (cities) in Chuxiong Prefecture from 2006 to 2010. Results There were 20 156 cases of Class B infectious diseases in Chuxiong Prefecture from 2006 to 2010, 137 of them were reported with 137 deaths. The annual average incidence was 151.22 / lakh and the annual average death rate was 1.03 / lakh. The incidence of respiratory infectious diseases was between 54.91 / 100000 and 76.95 / 100000 with an average annual incidence of 66.37 / 100000, ranking first in the incidence of infectious diseases; the incidence of blood-borne and sexually transmitted infections was 44.65 / 10 ~ 79.40 / 100,000, with an average annual incidence of 53.30 / 100,000, ranking second in infectious diseases; the incidence of intestinal infectious diseases 23.97 / 100,000 to 43.52 / 100,000, the average annual incidence was 29.52 / The incidence of natural foci and insect-borne diseases was between 1.36 / 100,000 and 3.43 / 100,000, with an average annual incidence of 2.02 / 10 million. AIDS and tuberculosis accounted for the largest number of deaths, accounting for 52.55% % And 35.77% respectively. The top 6 infectious diseases were tuberculosis, viral hepatitis, dysentery, typhoid and paratyphoid, syphilis and gonorrhea, accounting for 95.96% of the total number of infectious diseases. Conclusion In recent years, Chuxiong Prefecture has achieved some initial success in the prevention and treatment of respiratory and intestinal infectious diseases. However, the increasing trend of blood and sexually transmitted diseases can not be ignored. The situation of AIDS, syphilis and hepatitis C is still very serious. Epidemic situation, timely adjustment of prevention and control of infectious diseases, targeted to develop and take effective control measures.