摘要
目的 了解北京市2023年猴痘疫情的流行情况,为猴痘的后续防控提供依据.方法 采用描述性流行病学的分析的方法,对2023年北京市报告猴痘病例的流行病学特征进行分析.结果 2023年北京市报告猴痘病例266例,年平均发病率为12.18/10万,首例报告于2023年5月31日.报告病例以散发为主,发病高峰在7～8月,共报告146例病例(54.89％).病例主要为男性(99.25％),平均年龄为(32.71±6.70)岁,114例(42.86％)为HIV感染者,241 例(90.6％)为男男性行为人群.男性20～39岁年龄组病例人数最多(217例,81.58％).病例的职业以无业/待业(63例,23.68％)为主.北京本土猴痘病例主要分布在近郊区(161例,65.71％).152例(58.24％)病例在首次就诊即确诊,122例(46.74％)病例在发病3 d内就诊.118例(45.21％)病例在首次就诊中选择传染病专科医院;就诊科室主要是皮肤科(50例,39.68％)和发热门诊(33.例,26.19％).结论 2023年底,北京市猴痘病例呈现散发传播的特点.病例多有较强的就诊意识和自我信息保护意识,疾病的传播较为隐匿.建议继续在高风险人群和入境人群中加强宣传教育,在高发病区的医院的皮肤科和发热门诊进行培训,提升患者的首诊确诊率.
Abstract
Objective To understand the mpox epidemic status in Beijing 2023,so as to provide evidence for subsequent prevention and control measures.Methods The descriptive epidemiological methods were used to analyze the epidemiological characteristics of mpox cases reported in Beijing in 2023.Results In 2023,266 mpox cases were reported in Beijing.The annual incidence was 12.18/100 000 and the first cases was reported on 31 May 2023.The cases were mainly sporadic.There was a peak of case reports from July to August with 146 cases(54.89％)reported.The majority of cases were male(99.25％)and the mean age was(32.71±6.70)years old.One hundred and fourteen cases(42.86％)were HIV-infected patients and 241 cases(90.6％)were MSM.The largest age group was 20-40 year-old males(217,81.58％).The main occupations of the cases were unemployed(63,23.68％).The local mpox cases in Beijing were mainly distributed in the suburbs(161,65.71％).One hundred and fifty-two cases(58.24％)were diagnosed at the first medical visit and 122(46.74％)cases visited hospitals within three days after disease onset.There were 118 cases(45.21％)who chose specialized hospitals of infectious disease in the first visit to hospital.The visited departments were mainly dermatology(50,39.68％)and fever clinic(33,26.19％).Conclusions By the end of 2023,mpox cases were characterized by sporadic in Beijing.Most cases have a strong sense of seeking medical treatment and privacy protection,thus the spread of the disease was rather secretive.It is recommended to continue strengthened publicity and education among high-risk groups and entry personnels,and to provide training in dermatology departments and fever clinics in hospitals in high-incidence areas to improve the first diagnosis rate of patients.
基金项目
高层次公共卫生技术人才建设项目培养计划(学科骨干-02-17)
国家重点研发计划(2023YFC2308705)
NETL
NSTL
万方数据