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[目的]分析五通桥区近20年来猩红热发病流行特征,探讨高发原因并提出相应的对策。[方法]收集1988～2007年五通桥区猩红热疫情报告、个案调查及实验室检测资料进行分析。[结果]近20年来五通桥区共计报告猩红热3581例,年均发病率55.29/10万,1989～1990年有一个发病高峰;全年均有病例发生,春夏之交(4～6月)发病最高;5～14岁组的学生发病最多,占85.09%。地处交通要道的竹根镇、牛华镇、金山镇发病最多,占47.56%,与偏远镇乡发病差异有统计学意义。[结论]猩红热防制工作以中小学校及交通要道的镇乡为重点,采取早发现、早隔离、早消毒等综合防治措施,可有效遏制其传播与流行。
[Objective] To analyze the epidemic characteristics of scarlet fever in Wutongqiao district in recent 20 years, discuss the causes of high incidence and propose corresponding countermeasures. [Method] The epidemic situation of scarlet fever in Wutongqiao district from 1988 to 2007, case investigation and laboratory test data were collected for analysis. [Results] A total of 3581 cases of scarlet fever were reported in Wutongqiao District in the recent 20 years, with an average annual incidence of 55.29 / 100 000 and a peak incidence from 1989 to 1990. Cases occurred in the whole year, with onset in spring and summer (April to June) The highest; 5 to 14-year-old group of students the most incidence, accounting for 85.09%. Zhugang town, Niuhua town and Jinshan town, which are located in traffic routes, have the most incidence, accounting for 47.56%. There is significant difference with the incidence of rural town in remote areas. [Conclusion] The prevention and control work of scarlet fever mainly focuses on townships and towns of primary and secondary schools and main traffic routes. Comprehensive prevention and control measures such as early detection, early isolation and early disinfection can effectively curb the spread and prevalence of scarlet fever.