江蘇省2011-2016年腎綜合征出血熱流行特征及時空聚類分析
本文選題:腎綜合征出血熱 切入點(diǎn):人口統(tǒng)計學(xué) 出處:《中華疾病控制雜志》2017年10期
【摘要】:目的探討2011-2016年江蘇省腎綜合征出血熱流行特征。方法對國家疾病監(jiān)測信息報告管理系統(tǒng)中2011-2016年江蘇省腎綜合征出血熱疫情資料進(jìn)行描述性流行病學(xué)以及時空重排掃描統(tǒng)計方法分析。結(jié)果2011-2016年江蘇省累計報告腎綜合征出血熱1 733例。年均發(fā)病率為0.36/10萬,男女性別比為1∶0.30;40~歲和50~歲年齡組發(fā)病較多;職業(yè)分布以農(nóng)民為主(78.71%),家務(wù)及待業(yè)構(gòu)成比逐年上升(χ~2趨勢=4.446,P=0.035);全年疫情呈現(xiàn)雙峰分布,最高峰出現(xiàn)在每年的10月至翌年1月,次高峰出現(xiàn)在每年的4~6月。時空掃描發(fā)現(xiàn)在區(qū)縣尺度上有時空聚集性,根據(jù)總病例分布探測到5個時空聚類區(qū)域。結(jié)論 21世紀(jì)以來,江蘇省腎綜合征出血熱疫情時有抬頭,全省各地區(qū)地區(qū)流行強(qiáng)度不同,發(fā)病存在時空聚集性,在高發(fā)地區(qū)應(yīng)持續(xù)做好控制工作,預(yù)防出現(xiàn)聚集性疫情。
[Abstract]:Objective to investigate the epidemic characteristics of hemorrhagic fever with renal syndrome (HFRS) in Jiangsu Province from 2011 to 2016. Methods the epidemic data of hemorrhagic fever with renal syndrome (HFRS) from 2011 to 2016 in Jiangsu Province were studied by descriptive epidemiology and temporal and spatial rearrangement in the National Disease Surveillance Information report Management system. Results 1733 cases of hemorrhagic fever with renal syndrome were reported in Jiangsu Province from 2011 to 2016. The average annual incidence rate was 0.36 / 100, 000. The male / female sex ratio was 1: 0.30, 40 ~ and 50 ~ years old, the occupational distribution was mainly farmer 78.71, and the ratio of household and unemployed composition was increasing year by year (蠂 ~ 2 trend: 4.446P ~ (0. 035)). The epidemic situation in the whole year showed a double peak distribution, and the peak appeared from October to January of each year. The second peak occurred from April to June of each year. Spatio-temporal scanning showed that there was spatio-temporal aggregation at the district and county scale, and five spatio-temporal clustering regions were detected according to the total case distribution. Conclusion since the 21st century, the epidemic situation of hemorrhagic fever with renal syndrome in Jiangsu Province has been on the rise. The epidemic intensity is different in different regions of the province, and there is spatio-temporal aggregation of the disease. In the high incidence area, we should continue to do a good job to control the disease and prevent the occurrence of the aggregated epidemic situation.
【作者單位】: 江蘇省疾病預(yù)防控制中心急性傳染病防制所;南京醫(yī)科大學(xué)第一附屬醫(yī)院感染科;南京軍區(qū)軍事醫(yī)學(xué)研究所流行病學(xué)室;
【分類號】:R181.3;R512.8
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