2011年浙江省宁海县居民法定传染病漏报调查分析

目的 为进一步了解浙江省宁海县传染病的发病动态,掌握居民中传染病的漏报情况,推算出比较接近实际的发病水平, 为制订控制和消灭传染病的规划及防制措施提供依据。 方法 将全县划分为东、南、西、北、中5片,按分层随机整群抽样的原则进行回顾性入户调查。 结果 共对7个乡镇(街道)3120户10 276名居民进行法定传染病漏报入户回顾性调查,共调查到法定传染病9种149例,漏报38例,总漏报率为25.50%;甲乙类传染病无漏报,2010年甲乙类传染病报告发病率为241.35/10万,校正发病率为241.35/10万;丙类传染病漏报率为29.01%,2010年丙类传染病报告发病率为1066.57/10万,校正发病率为1502.42/10万。到医疗机构就诊的131例, 漏报20例, 漏报率15.27％;未就诊18例,漏报18例,漏报率100％。 结论 居民中法定传染病存在漏报现象,丙类传染病漏报率高,流动人口漏报率高于本地居民。

Underreporting of notifiable communicable diseases in residents in Ninghai county in Zhejiang province,2011

Objective To further understand the incidence trend of communicable diseases in Ninghai county,learn about the underreporting of the communicable diseases in residents,estimate the more accurate incidence level and provide evidence for developing prevention and control measures and eradication programme of communicable disease.Methods The retrospective interview was conducted in the households by stratified random sampling in the county,which was divided into eastern,southern,western,northern and central parts.Results A total of 10 276 residents in 3120 households in 7 townships(street) were surveyed and 149 cases of 9 communicable diseases previously occurring were recorded,of which 38 cases were underreported(25.50%).No underreporting of class A and B communicable disease was found.The reporting rate of class A and B communicable diseases was 241.35/lakh in 2010,the standard rate was 241.35/lakh.The underreporting rate of class C communicable disease was 29.01%.The reporting rate of class C communicable disease was 1066.57/lakh in 2010,the standard rate was 1502.42/lakh.Among 131 cases seeking medical care,20 were underreported(15.27%),18 cases received no medical care,and all were underreported(100%).Conclusion Underreporting of communicable diseases was found in the residents in Ninghai and the underreporting rate of class C communicable disease was high.The underreporting rate was higher in floating population than in local population.