首页|莱州市2010-2022年发热伴血小板减少综合征流行特征分析

莱州市2010-2022年发热伴血小板减少综合征流行特征分析

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目的 探讨发热伴血小板减少综合征的流行规律,为防控工作提供科学依据.方法 收集莱州市2010-2022年发热伴血小板减少综合征疫情数据,采用描述流行病学方法对发热伴血小板减少综合征疫情概况、流行特点、气象特征进行分析,采用集中度对季节性分布进行分析.结果 2010-2022年莱州市累计报告350例,年均发病率为3.17/10万;死亡46例,病死率为13.14%;5~10月为高发季节,占发病总数的98.29%.全市17处镇街均有病例报告,发病以位于莱州市东南山区、丘陵一带的驿道镇、程郭镇、郭家店镇和柞村镇为主,4处镇街累计报告病例占报告总数的65.00%.男女性别比为1:1.03;病例以≥40岁为主,占97.14%,职业以农民为主,占90.29%.当地5~10月平均气温为22.86 ℃,平均降水91.63 mm.气温对发病呈线性相关,降水对发病呈线性相关.结论 莱州市发热伴血小板减少综合征发病呈现高度散发,但有一定的区域性,5~10月的高发季节与当地气温、降水自然条件适宜蜱虫生长繁殖密切相关,建议家养动物圈养,开展环境治理、防蜱灭蜱、健康教育等,强化医务人员业务培训和健康风险告知,降低病死率.
Epidemiological characteristics analysis of fever with thrombocytopenia syndrome in Laizhou city from 2010 to 2022
Objective To understand the epidemiological patterns of severe fever with thrombocytopenia syndrome(SFTS)and provide scientific basis for prevention and control efforts.Methods Data on FTS outbreaks in Laizhou city from 2010 to 2022 were collected.Descriptive epidemiological methods were used to analyze the epidemic situation,spatial distribu-tion,and meteorological characteristics of SFTS.Seasonal distribution was analyzed using concentration analysis.Results From 2010 to 2022,Laizhou city reported a total of 350 cases of SFTS,with an annual incidence rate of 3.17 per 100 000 population.There were 46 deaths,with a case fatality rate of 13.14%.The high incidence season was from May to October,accounting for 98.29%of the total cases.SFTS cases were reported in 17 towns and streets in Laizhou city,with the majority of cases in the southeastern mountainous areas,such as Yidao town,Chengguo town,Guojiadian town,and Zacun town,which accounted for 65.00%of the total reported cases.The male-to-female ratio was 1:1.03,97.14%of the cases were over 40 years old.The primary occupation of cases was farmers,accounting for 90.29%.The average temperature from May to October was 22.86 ℃,with an average precipitation of 91.63 mm.Both temperature and precipitation were linearly correlated with the incidence of SFTS.Conclusions SFTS in Laizhou city exhibited highly scattered outbreaks with regional variation.The high-incidence season from May to October was closely related to the lo-cal temperature and precipitation,which are favorable conditions for tick growth and reproduction.It is recommended to raise domestic animals,conduct environmental management,tick control,health education,strengthen healthcare person-nel training,and health risk communication to reduce the case fatality rate.

fever with thrombocytopenia syndromeepidemiologyonset of diseasedeathpopular trends

徐雪华、高鹰、李金萍、李佳辉

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莱州市疾病预防控制中心传染病防制科,山东莱州 261400

莱州市人民医院疾控科,山东 莱州 261400

发热伴血小板减少综合征 流行病学 发病 死亡 流行趋势

2024

社区医学杂志
中华预防医学会

社区医学杂志

影响因子:0.588
ISSN:1672-4208
年,卷(期):2024.22(16)