首页|2019-2023年宁夏皮肤炭疽流行病学特征分析

2019-2023年宁夏皮肤炭疽流行病学特征分析

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目的 分析2019-2023年宁夏皮肤炭疽流行病学特征,为持续开展疫情防控和策略措施制定提供依据。方法 数据来源于中国传染病监测报告管理系统,个案流调报告来源于各市、县(区)疾控中心上报,将上述资料整理建立数据库,运用SPSS 26。00进行统计分析。结果 2019-2023年累计报告皮肤炭疽132例,年平均报告发病率为0。37/10万,2020年以来报告发病率呈逐年上升(x2趋势=29。954,P<0。05),在乙类传染病中发病顺位呈上升趋势,在自然疫源及虫媒传染病中构成占比及发病顺位逐年上升(x2趋势=42。336,P<0。05)。报告病例范围涉及全区72。73%的县(区),其中永宁县、贺兰县、西夏区、利通区、原州区、灵武市和海原县报告发病率超过全区平均报告发病水平;银川市病例占全区67。42%,永宁县病例占银川市46。07%。7-9月份报告病例占65。91%,男性报告发病高于女性,主要集中35~59岁(62。12%),农民占82。57%。三级和传染病医院报告占77。27%。报告病例中所有临床标本任一项检出阳性121份(91。67%),其中核酸检测阳性率最高(88。80%)。结论 近年来宁夏皮肤炭疽疫情处于广泛持续高发水平,流行病学特征及暴露方式与全国无异,建议开展自然疫源地调查研究,丰富标本采集类型,提升人畜间疫情判定能力,为今后应对可能的暴发流行和干预策略措施制定及评价提供科学依据。
Epidemiological characteristics of cutaneous anthrax in Ningxia from 2019 to 2023
This study was aimed at analyzing the epidemiological characteristics of cutaneous anthrax in Ningxia from 2019 to 2023,to provide a basis for continued epidemic prevention and control,and the formulation of strategic measures.Data from the China Infectious Disease Surveillance and Reporting Management system were analyzed.The case flow reports came from data reported by city and county(district)CDCs.The above information was collated to establish a database.SPSS 26.0 soft-ware was used for statistical analysis.Counting data by rate were assessed with the chi-square test(P<0.05 indicated a statisti-cally significant difference).A total of 132 cases of cutaneous anthrax were reported from 2019 to 2023.The average annual re-ported incidence was 0.37 per 100 000 people.The reported incidence increased each year since 2020(x2ternd=29.954,P<0.05).The incidence of category B infectious diseases increased.The proportion and incidence sequence of natural and insect-borne in-fectious diseases increased each year(x2trend=42.336,P<0.05).The reported cases covered 72.73%of the counties.Seven counties reported more cases than the regional average.The top five highest reported incidences were in Yongning County,He-lan County,Xixia District,Litong District,and Yuanzhou District.Yinchuan accounted for 67.42%of the cases,and Yongning county accounted for 46.07%of the cases in Yinchuan.A total of 65.91%of cases were reported between July and September.Males had higher incidence rates than females,primarily in the 35-59 year age group(62.12%).Farmers accounted for 82.57%,and tertiary and infectious disease hospitals accounted for 77.27%of the reports.A total of 121 samples(91.67%)were positive for any one of the samples,among which the positivity rate of nucleic acid tests was highest(84.09%).In recent years,the epidemic of cutaneous anthrax in Ningxia has been widespread and sustained at a high level.The epidemiological characteristics and exposure patterns were similar to those of the entire country.Recommendations include investigation of natural foci,inclusion of diverse specimen collection types,and improve-ment in the ability to identify outbreaks among humans and ani-mals.This study may provide a scientific basis for future responses to outbreaks,and the formulation and evaluation of intervention strategies.

Ningxiacutaneous anthraxepidemic characteristics

李涛、李文玉、王秀琴、张文霞、龚瑞、杨聪

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宁夏回族自治区疾病预防控制中心,银川 750002

宁夏 皮肤炭疽 流行特征

2024

中国人兽共患病学报
中国微生物学会

中国人兽共患病学报

CSTPCD北大核心
影响因子:0.814
ISSN:1002-2694
年,卷(期):2024.40(11)