1999-2017年北京市朝阳区流行性出血热流行特征分析
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摘要
目的了解1999-2017年北京市朝阳区流行性出血热流行病学特征。方法采用描述流行病学方法对1999-2017年报告的255例现住北京市朝阳区流行性出血热病例的发病时间、空间及人群等特征进行分析,用MapInfo软件对发病空间分布进行可视化展示。结果 1999年至2017年朝阳区流行性出血热报告发病率波动于1.90/10万到0.03/10万之间,85.49%的病例集中在2006年以前,2007年病例数开始下降,且发病率持续维持在0.2/10万以下。每年3-5月份为朝阳区流行性出血热高发时期,发病人群以18～44岁的青壮年为主,占所有发病人数的77.65%。病例男女性别比为4.3∶1,商业服务、民工、家务待业及退休人员的发病数排在前3。来广营、崔各庄和东风地区是流行性出血热的高发地区。结论 1999-2017年朝阳区流行性出血热呈散发流行,应持续开展病例与宿主动物监测。
Objective To understand the epidemiological characteristics of epidemic hemorrhagic fever in Chaoyang district of Beijing from 1999 to 2017.Methods The descriptive epidemiology method was used to analyze temporal,pace and population distribution of 255 cases of epidemic hemorrhagic fever reported from 1999 to 2017 in Chaoyang district in Beijing,and MapInfo software was used to visualize the spatial distribution of the disease.Results From 1999 to 2017,the reported incidence of epidemic hemorrhagic fever in Chaoyang district fluctuated between 1.90/100 000 and 0.03/100 000,and 85.49% of the cases were concentrated before 2006.The number of cases had decreased significantly since 2007,and the incidence of the disease remained below 0.2/100 000.The incidence of hemorrhagic fever was high from March to May every year,mainly in the young adults aged 18-44 years,accounting for 77.65% of all cases.The ratio of male to female cases was 4.31∶1.Business services,migrant workers,house workers and retirees were in the top three.Laiguangying,Cuigezhuan and Dongfeng areas were the high incidence areas of epidemic hemorrhagic fever in Chaoyang district.Conclusion Epidemic hemorrhagic fever is sporadic in Chaoyang district,and cases monitoring and host animal infection monitoring should continue.
Objective To understand the epidemiological characteristics of epidemic hemorrhagic fever in Chaoyang district of Beijing from 1999 to 2017.Methods The descriptive epidemiology method was used to analyze temporal,pace and population distribution of 255 cases of epidemic hemorrhagic fever reported from 1999 to 2017 in Chaoyang district in Beijing,and MapInfo software was used to visualize the spatial distribution of the disease.Results From 1999 to 2017,the reported incidence of epidemic hemorrhagic fever in Chaoyang district fluctuated between 1.90/100 000 and 0.03/100 000,and 85.49% of the cases were concentrated before 2006.The number of cases had decreased significantly since 2007,and the incidence of the disease remained below 0.2/100 000.The incidence of hemorrhagic fever was high from March to May every year,mainly in the young adults aged 18-44 years,accounting for 77.65% of all cases.The ratio of male to female cases was 4.31∶1.Business services,migrant workers,house workers and retirees were in the top three.Laiguangying,Cuigezhuan and Dongfeng areas were the high incidence areas of epidemic hemorrhagic fever in Chaoyang district.Conclusion Epidemic hemorrhagic fever is sporadic in Chaoyang district,and cases monitoring and host animal infection monitoring should continue.
引文
[1] 中华人民共和国卫生部.WS 278-2008 流行性出血热诊断标准[S].北京:中国标准出版社,2008.
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[8] 黄立勇,周航,殷文武,等.2010年中国肾综合征出血热监测及疫情分析[J].中华流行病学杂志,2012,33(7):685-691.
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[10] 吕厚明,金浏石.肾综合征出血热鼠带毒率检测需要注意的几点问题[J].医药前沿,2013,16(20):317-318.
[11] 杜虹,李璟,于海涛,等.连续性肾脏替代治疗与间断性血液透析在重症肾综合征出血热治疗中的应用[J].传染病信息,2014,27(1):18-21.
[12] 石健.我国肾综合征出血热流行病学研究进展[J].中国人兽共患病学报,2007,23(3):296-298.
[13] 高丽芬,吴学林,胡海梅,等.2005-2015年楚雄州肾综合征出血热流行特征分析[J].现代预防医学,2017,44(4):588-592.
[14] 明明,赵爱华,马德珍,等.泰安市2007-2011年鼠密度监测结果分析[J].中国媒介生物学及控制杂志,2013,24(2):170-171.
[15] 谭毅,闭福银,莫兆军,等.1990-2006年广西肾综合征出血热流行特征与趋势[J].应用预防医学,2007,13(3):136-138.
[2] 中华人民共和国国家卫生健康委员会.《全国肾综合征出血热监测方案(试行)》印发[EB/OL].[2018-12-24].http://www.moh.gov.cn/zwgk/jdjd/201304/f0ec588ed89e43739e507b9573851060.shtml.
[3] Li SJ,Ren HY,Hu WS,et al.Spatiotemporal heterogeneity analysis of hemorrhagic fever with renal syndrome in China using geographically weighted regression models[J].International Journal of Environmental Research and Public Health,2014,11(12):12129-12147.
[4] 陈化新,罗成旺.中国肾综合征出血热监测[J].中华流行病学杂志,2002,23(1):63-66.
[5] 颜迎春,李悦,吕东霞.肾综合征出血热流行病学研究与防治现状[J].中国热带医学,2008,8(3):465-467.
[6] Bi ZQ,Formenty PB,Roth CE.Hantavirus infection:a review and global update[J].Journal of Infection in Developing Countries,2008,2(1):3-23.
[7] 张秀春,胡经畲,唐耀武,等.北京地区肾综合征出血热监测与防制策略研究[J].医学研究通讯,2003,32(3):22-23.
[8] 黄立勇,周航,殷文武,等.2010年中国肾综合征出血热监测及疫情分析[J].中华流行病学杂志,2012,33(7):685-691.
[9] 王磊,刘起勇.地理信息系统及其在肾综合征出血热中的应用[J].中国自然医学杂志,2006,8(2):158-160.
[10] 吕厚明,金浏石.肾综合征出血热鼠带毒率检测需要注意的几点问题[J].医药前沿,2013,16(20):317-318.
[11] 杜虹,李璟,于海涛,等.连续性肾脏替代治疗与间断性血液透析在重症肾综合征出血热治疗中的应用[J].传染病信息,2014,27(1):18-21.
[12] 石健.我国肾综合征出血热流行病学研究进展[J].中国人兽共患病学报,2007,23(3):296-298.
[13] 高丽芬,吴学林,胡海梅,等.2005-2015年楚雄州肾综合征出血热流行特征分析[J].现代预防医学,2017,44(4):588-592.
[14] 明明,赵爱华,马德珍,等.泰安市2007-2011年鼠密度监测结果分析[J].中国媒介生物学及控制杂志,2013,24(2):170-171.
[15] 谭毅,闭福银,莫兆军,等.1990-2006年广西肾综合征出血热流行特征与趋势[J].应用预防医学,2007,13(3):136-138.