首页|2017-2023年深圳市龙华区登革热流行特征及新冠疫情对其影响分析

2017-2023年深圳市龙华区登革热流行特征及新冠疫情对其影响分析

Epidemiological characteristics and the impact of COVID-19 of dengue fever in Longhua District,Shenzhen from 2017 to 2023

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目的 对深圳市龙华区登革热流行特征及新冠疫情对其影响进行分析,为新冠后疫情时代登革热防控提供参考.方法 收集深圳市龙华区 2017-2023 年登革热病例流行病学调查资料并进行描述性流行病学分析,数据差异分析采用χ2、Kruskal-Wallis和Mann-Whitney检验.结果 2017-2023 年深圳市龙华区累计报告登革热病例 130 例,其中本地病例 11 例(占 8.46%),输入病例 119 例(占 91.54%),输入病例与本地病例的比为 10.82∶1,发病率为 0.71/10 万;境外输入、境内输入和本地病例分别集中在 6-8月、6-11 月和 9-10 月报告;境外输入病例主要来源于东南亚,境内输入病例以广东省内输入为主;从发病到确诊及从初诊至确诊的时间间隔,本地病例所需时间大于境外输入病例及境内输入病例,差异有统计学意义(H=10.447,P=0.005;H=13.175,P=0.001);境外输入病例男女性别比(7.11∶1)高于境内输入病例(1.71∶1)和本地病例(4.50∶1),差异有统计学意义(χ2=10.208,P=0.006);病例年龄中位数为 33 岁(28,42),主要集中在 20~49岁(84.62%);病例职业以商业服务、家务及待业、工人为主(78.46%),境外输入病例、境内输入病例、本地病例的职业分布差异有统计学意义(χ2=39.109,P=0.003);新冠疫情后登革热个案中有较多患者在首次就诊时已出现肌肉酸痛或关节痛症状且差异有统计学意义(χ2=5.134,P=0.023),发病到就诊的时间间隔长于新冠疫情之前且差异有统计学意义(Z=-2.227,P=0.026),新冠疫情后配合隔离的比例(48.00%)较新冠疫情之前(94.29%)大幅下降,差异有统计学意义(χ2=27.540,P<0.001).结论 深圳市龙华区登革热以输入病例为主,本地病例由输入性病例引起,具有显著季节性特征.新冠疫情乙类乙管后病例快速反弹,相较于新冠疫情之前,需对相关防控措施做适度调整以适应新的防控形势.
Objective To analyze the epidemiological characteristics and the impact of COVID-19 of dengue fever in Longhua District,Shenzhen City,so as to provide reference for the prevention and control of dengue fever in the post-COVID-19 era.Methods The epidemiological data of dengue fever cases from 2017 to 2023 in Longhua District of Shenzhen City were collected and analyzed by descriptive epidemiology.Chi-square,Kruskal-Wallis and Mann-Whitney tests were used to analyze the data differences.Results A total of 130 cases of dengue fever were reported in Longhua District of Shenzhen from 2017 to 2023,including 11 local cases(8.46%)and 119 imported cases(91.54%).The ratio of imported cases to local cases was10.82∶1,and the incidence was0.71/100 000.Imported cases from overseas,imported cases from domestic and local cases were mainly reported from June to August,June to November and September to October,respectively.Overseas imported cases were mainly from Southeast Asia,and domestic imported cases were mainly imported from Guangdong Province.The time interval from onset to diagnosis and from initial visit to diagnosis was longer for local cases than for imported cases,and the difference was statistically significant(H=10.447,P=0.005;H=13.175,P=0.001).The sex ratio of overseas imported cases(7.11∶1)was higher than domestic imported cases(1.71∶1)and local cases(4.50∶1),and the difference was statistically significant(χ2=10.208,P=0.006).The median age of cases was 33 years old(28,42),and the majority of cases were 20-49 years old(84.62%).The occupations of the cases were mainly business service,housework and unemployed,and workers(78.46%).There was significant difference in the occupational distribution of imported cases from overseas,imported cases from domestic and local cases(χ2=39.109,P=0.003).After COVID-19 pandemic,a greater proportion of dengue fever patients had symptoms of muscle soreness or joint pain at the first visit,and the difference was statistically significant(χ2=5.134,P=0.023),the time interval between onset and treatment was longer than that before COVID-19,and the difference was statistically significant(Z=-2.227,P=0.026),the proportion of willing to isolation after COVID-19(48.00%)was significantly lower than that before COVID-19(94.29%),with statistical significance(χ2=27.540,P<0.001).Conclusion In Longhua District of Shenzhen,imported dengue fever cases were predominant,and local cases were caused by imported cases,which showed significant seasonal characteristics.After COVID-19 pandemic,the dengue has rebounded quickly,appropriate adjustments should be made to relevant prevention and control measures to adapt to the new prevention and control situation.

dengue feverepidemiological characteristicsCOVID-19 impact

彭伟军、陈宏标、张蔚、黄庆鑫、周小峰

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深圳市龙华区疾病预防控制中心,广东 深圳 518109

登革热 流行特征 新冠影响

深圳市龙华区医疗卫生机构科研项目

2023069

2024

中华卫生杀虫药械
南京军区疾病预防控制中心

中华卫生杀虫药械

CSTPCD
影响因子:0.566
ISSN:1671-2781
年,卷(期):2024.30(4)