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目的了解分析辽宁省开原市1988—2015年猩红热发病情况和规律,为探讨制定猩红热流行的防治措施提供参考依据。方法对开原市1988年以来的猩红热疫情数据进行统计,分析发病的时间、人群、地区分布。结果开原市1988—2015年共发生猩红热1 039例,平均发病率为6.26/10万;1993年发病率最高达24.93/10万。1995年以后发病以散发为主,1995—2008年发病率在5/10万以下波动;2009年以后发病率出现上升趋势,波动在2.73~8.41/10万之间。全年各月均有病例发生,但以春末夏初和秋末冬初为主;发病以学生最多,其次为幼托儿童和散居儿童。城市发病高于农村,4~14岁为开原市猩红热高发年龄。结论开原市近10年来猩红热流行呈上升的趋势,只有采取以加强传染源管理为主导措施的综合防制措施,才能切实有效地降低猩红热的发病率。
Objective To understand and analyze the incidence and patterns of scarlet fever in Kaiyuan City, Liaoning Province from 1988 to 2015, and to provide a reference for the development of preventive measures against scarlet fever. Methods Statistical data of the epidemic situation of scarlet fever in Kaiyuan City since 1988 were analyzed to analyze the time, population and regional distribution of the disease. Results A total of 1 039 cases of scarlet fever were observed in Kaiyuan City from 1988 to 2015, with an average incidence of 6.26 / 100,000. The highest incidence in 1993 was 24.93 / 100,000. The incidence was mainly distributed after 1995, with the incidence fluctuating below 5 / 100,000 in 1995-2008. After 2009, the incidence showed an upward trend with fluctuation ranging from 2.73 to 8.41 / 100,000. Cases occurred throughout the year, but the late spring and early autumn and late autumn and winter mainly; incidence of the largest number of students, followed by kindergarten children and diaspora. City incidence higher than rural areas, 4 to 14 years old Kaiyuan scarlet fever high age. Conclusion The epidemic trend of scarlet fever in Kaiyuan City has been on the rise in recent 10 years. Only by taking comprehensive prevention and control measures, which are the leading measures to strengthen the management of infection sources, can the incidence of scarlet fever be reduced effectively and effectively.