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2011-2021年南宁市丙类传染病时空趋势分析

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目的 对2011-2021年南宁市各医疗机构报告的丙类传染病进行时空趋势分析,了解南宁市丙类传染病流行特征,为科学制定防控政策提供依据.方法 采用描述流行病学方法和地理信息系统(geographic information system,GIS)空间分析法,掌握2011-2021年南宁市丙类传染病及几种主要传染病的流行特点.结果 2011-2021年南宁市共报告丙类传染病10种714 533例,占同期全市法定传染病报告数的73.29%,年均发病率873.57/10万;报告死亡66例,年均死亡率0.0807/10万;历年发病趋势呈"横向"波动(P<0.05),4-7月和9-10月是发病高峰,城市发病率高于乡镇,差异有统计学意义(P<0.05).主要发病年龄是0~<5岁,占81.64%;职业以散居儿童为主,占62.31%,其次是幼托儿童,占24.45%.发病的主要病种依次为手足口病、其他感染性腹泻、流行性腮腺炎和流行性感冒,年均发病率分别为642.83/10万、123.74/10万、49.52/10万和44.67/10万.结论 南宁市丙类传染病需要重点防控手足口病,其次是其他感染性腹泻病,0~3岁儿童是防控的重点对象,幼托机构、中小学校是防控的重点场所.
Analysis on spatio-temporal trend of category C infectious diseases in Nanning City from 2011-2021
Objective To analyze the spatio-temporal trend of category C infectious diseases reported by medical institutions in Nanning City from 2011-2021,understand the epidemiological characteristics of category C infectious diseases in Nanning City,provide a basis for scientifically formulating prevention and control policies.Methods The descriptive epidemiological methods and geographic information system(GIS)mapping approaches were used to analyze the characteristics of category C infectious diseases and several major infectious diseases in Nanning City from 2011-2021.Results A total of 714 533 cases of 10 kinds of category C infectious diseases were reported in Nanning City from 2011-2021,accounting for 73.29%of the total cases of notifiable infectious diseases in the city during the same period,with an average annual incidence of 873.57/100 000.There were 66 deaths,and the average annual mortality rate was 0.0807/100 000.The incidence trend showed a"horizontal"fluctuation in the years(P<0.05),and the peaks appeared April to July and September to October.The incidence in urban areas was significantly higher than that in rural areas(P<0.05).The high-incidence population were children aged 0-<5 years old,accounting for 81.64%.The main occupation was scattered children,accounting for 62.31%,followed by the preschool care children,accounting for 24.45%.The high-incidence diseases were hand-foot-mouth disease,other infectious diarrhea,mumps and influenza,with an average annual incidence of 642.83/100 000,123.74/100 000,49.52/100 000 and 44.67/100 000,respectively.Conclusion The priority to prevent and control category C infectious diseases in Nanning City should be given to hand-foot-mouth disease,followed by other infectious diarrhea,the children under 3 years old are the major population for prevention and control,and kindergarten institutions,primary and secondary schools are the key fields for prevention and control.

Category C infectious diseasesEpidemiological characteristicsIncidence

刘昊晖、农皓、唐咸艳、张洁

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广西医科大学公共卫生学院流行病与卫生统计学教研室,广西南宁 530021

南宁市疾病预防控制中心应急办公室,广西南宁 530011

南宁市疾病预防控制中心微生物检验科,广西南宁 530011

丙类传染病 流行特征 发病率

广西壮族自治区卫生健康委立项项目广西壮族自治区卫生健康委立项项目

Z20200045Z20191016

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(3)
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