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2010-2019年青海省水痘发病趋势特征分析
引用本文:赵金华1,龙江2,马永成1,石燕1,马斌忠1,徐莉立1,曹海兰1,李永红1. 2010-2019年青海省水痘发病趋势特征分析[J]. 现代预防医学, 2020, 0(19): 3468-3470
作者姓名:赵金华1  龙江2  马永成1  石燕1  马斌忠1  徐莉立1  曹海兰1  李永红1
作者单位:1.青海省疾病预防控制中心传染病预防控制所,青海 西宁 810007;2.重庆市疾病预防控制中心,重庆 400042
摘    要:目的 通过对青海省水痘报告病例和突发疫情事件进行趋势分析,为今后水痘疫情防控提供依据。方法 采用描述性流行病学方法对中国疾病控制信息系统中青海省2010-2019年的水痘报告病例个案和突发事件信息进行分析,采用ArcGIS 10.20绘制水痘发病县区分布图。结果 2010-2019年青海省水痘发病率在20.78/10万~72.00/10万间波动、年均报告发病率为37.95/10万;总体发病年龄中位数为7岁,其中2010-2014 年水痘发病年龄中位数8岁,2015-2019年水痘发病年龄中位数9岁。主要报告年龄为19岁以下人群,其报告发病数占报告病例总数的84.66%,报告人群主体为学生、幼托和散居儿童,其报告发病数占总病例89.23%。发病率居前五位的年龄依次为7岁、6岁、8岁、9岁和10岁;男女性别比为1.18[DK]∶1;11月报告发病最多,其次为 6月和12月。水痘年均发病率居前五位的县区依次为门源县(84.07/10万)、乌兰县(83.76/10万)、同仁县(76.34/10万)、格尔木(68.99/10万)和化隆县(68.72/10万)。水痘聚集性疫情以小学为主、占疫情事件总发病数的84.26%,水痘疫情事件报告中位数为12天、持续时间的中位数为44天。结论 青海省水痘发病率呈现逐年上升趋势,发病年龄无后移现象,高发地区和场所为青海省西北地区、海东市的小学校,强化上述区域疫情监测敏感性,及早发现疫情苗头有利于控制疫情;建议将水痘纳入法定传染病,提倡水痘免疫策略。 

关 键 词:水痘  疫情  突发  发病趋势

Incidence trend analysis of varicella in Qinghai, 2010-2019
ZHAO Jin-hua,LONG Jiang,MA Yong-cheng,SHI Yan,MA Bin-zhong,XU Li-li,CAO Hai-lan,LI Yong-hong. Incidence trend analysis of varicella in Qinghai, 2010-2019[J]. Modern Preventive Medicine, 2020, 0(19): 3468-3470
Authors:ZHAO Jin-hua  LONG Jiang  MA Yong-cheng  SHI Yan  MA Bin-zhong  XU Li-li  CAO Hai-lan  LI Yong-hong
Affiliation:*Institute of Infectious Disease Control and Prevention, Center for Disease Control and Prevention of Qinghai Provincial, Xining, Qinghai 810007,China
Abstract:To analyze the cases reported and emergencies about varicella in Qinghai Province,and to provide thebasis for prevention and control of varicella in future.Methods Descriptive epidemiological analysis was conducted on thecases reported and emergencies.Results A total of 22416 varicella cases were reported in Qinghai Province during the past 10years.The annual average incidence rate was 37.95/100,000.The main reported age was under 19 years old,and the numberof reported cases accounted for 84.66%of the total number of reported cases.The top five age groups were 7,6,8,9 and 10.The ratio of male to female was 1.18∶1.The highest number of cases was reported in November,followed by June andDecember,with 89.23%cases reported in children care and children living in the family.MenyuanCounty,Wulan County,Tongren County,Golmud,and Hualong County were the top five counties in terms of varicella incidence.Primary schoolsaccounted for 84.26%of the total incidence of chickenpox,and the median reported duration of chickenpox was 12 days andthe median duration was 44 days.Conclusion Since 2013 the incidence of varicella in Qinghai Province has been increasingyear by year.The main bodies of the disease are primary school students.The high incidence areas and places are Haidong Cityand primary schools in the northwest region of Qinghai Province.The sensitivity of health education and school surveillanceshould be strengthened in the north-western country,Haidong City and schools in Qinghai Province
Keywords:Varicella  Monitoring  Emergency  Incidence trend
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