本文選題：水痘　切入點：流行病學特征　出處：《現(xiàn)代預防醫(yī)學》2017年17期

【摘要】：目的分析2010-2016年福州市水痘流行病學特征,為制定水痘防控和免疫規(guī)劃策略提供參考。方法對中國疾病監(jiān)測信息報告管理系統(tǒng)報告的2010-2016年福州市水痘發(fā)病資料,進行描述流行病學分析。結(jié)果 2010-2016年福州市共報告4 560例水痘病例,無死亡病例,年均報告發(fā)病率為9.15/10萬。2010-2016年水痘報告發(fā)病率呈現(xiàn)較平穩(wěn)下降趨勢(X_(趨勢)~2=104.9,P0.001);水痘發(fā)病呈現(xiàn)雙峰分布,每年5-7月出現(xiàn)一個小高峰,到10月份病例又開始迅速上升,到12月達到高峰,較上一峰值明顯增高,持續(xù)到次年1月后開始下降;各縣(市)、區(qū)均有水痘病例報告,平均年報告發(fā)病率居前5位的是閩清縣(205.04/10萬)、連江縣(127.80/10萬)、鼓樓區(qū)(126.38/10萬)、羅源縣(122.01/10萬)和永泰縣(121.03/10萬);病例主要以散發(fā)和局部暴發(fā)為主。2010-2016年水痘發(fā)病主要集中在5~14歲,以學生發(fā)病比例最高(49.50%)。男性平均發(fā)病率為11.05/10萬,女性平均發(fā)病率為8.47/10萬,男性平均發(fā)病率高于女性;暴發(fā)疫情主要發(fā)生在小學。結(jié)論 2010-2016年福州市水痘報告發(fā)病總體呈下降趨勢,特別是推薦2劑次接種程序后,適齡兒童發(fā)病逐年下降,但仍存在薄弱地區(qū)和人群。所以要加強健康宣傳,提高兒童家長帶兒童進行水痘疫苗接種的主動性和及時性;同時通過培訓提高臨床醫(yī)生的識別診斷,及時發(fā)現(xiàn)病例、早報告、早隔離和早治療,減少傳播機會,降低水痘發(fā)病。
[Abstract]:Objective to analyze the epidemiological characteristics of chickenpox in Fuzhou from 2010 to 2016, and to provide a reference for the strategy of chicken pox prevention and control and immunization planning. Methods the data of chickenpox incidence in Fuzhou from 2010 to 2016 were reported by China Disease Surveillance Information report Management system. Results A total of 4,560 cases of chickenpox were reported in Fuzhou from 2010 to 2016. The annual reported incidence of chickenpox is 9.15 / 100,000.The reported incidence of chickenpox in 2010-2016 shows a relatively steady downward trend. (the trend is 2104.9m P0.001; the incidence of chickenpox shows a bimodal distribution, with a small peak in May-July each year. By October, the incidence of chickenpox began to rise rapidly again, and reached its peak in December. It was significantly higher than the previous peak and continued to decline after January of the following year. Cases of chickenpox were reported in all counties (cities and districts). The average annual reported incidence in Minqing County is 205.04 / 100,000, in Lianjiang County 127.80 / 100 million, in Gulou District 126.38 / 100 000, in Luoyuan County 12201 / 100 000), and in Yongtai County 121.033 / 10 脳 10 000.The main cases are sporadic and local outbreaks. In 2010-2016, the incidence of chickenpox was mainly concentrated at 5 to 14 years of age. The highest incidence rate was 49.50% among students. The average incidence of male was 11.05 / 100 000, and that of female was 8.47% / 100 000. The average incidence of male was higher than that of female. Conclusion the reported incidence of chickenpox in Fuzhou City from 2010 to 2016 showed a downward trend, especially after the recommended 2 doses of vaccination procedure, the incidence of chickenpox in children of right age decreased year by year. But there are still weak areas and people. Therefore, it is necessary to step up health publicity to increase the initiative and timeliness of children's parents taking their children to vaccinate their children with varicella vaccine; at the same time, through training to improve the identification and diagnosis of clinicians, timely detection of cases, and early reporting, Early isolation and early treatment to reduce transmission opportunities and reduce the incidence of chickenpox.
【作者單位】： 福州市疾病預防控制中心免疫規(guī)劃科;
【分類號】：R181.3;R511.5
，

本文編號：1700384