平顶山市湛河区2007年法定报告传染病疫情分析

目的掌握平顶山市湛河区传染病发生及变化规律，为制定有效防治措施提供科学依据。方法收集平项山市湛河区2007年疾病监测信息报告管理系统的传染病资料进行汇总分析。结果2007年全区无甲类传染病报告，共报告乙、丙类传染病17种1203例，年报告发病率476．56／10万，与上年同期相比下降18．55％。其中乙类传染病13种999例，与上年同期相比下降1．96％；丙类传染病4种204例，与上年同期相比下降55．46％。乙类传染病报告发病数位居前5位的是病毒性肝炎、肺结核、痢疾、麻疹、梅毒，占乙、丙类传染病报告病例总数的79．14％。报告死亡病例1例，报告病死率0．083％。与上年比增加的病种是布鲁菌病、狂犬病，减少的病种是流行性感冒。上升最明显的传染病是麻疹。男性发病是女性的1．63倍，20—49岁青壮年发病率最高，职业以农民、工人、散居儿童、学生为主。结论病毒性肝炎、肺结核、麻疹、梅毒及肠道传染病是防治的重点传染病；新增加的布鲁菌病、狂犬病是今后应重点关注的传染病；农民、工人、散居儿童、幼托儿童及学生是传染病防治的重点人群。减少传染病的发生与流行应采取综合性防治措施。

Analysis on Epidemic Situation of Notifiable Diseases in Shenhe District of Pingdingshan City in 2007

Objective] To understand the occurrence and changes of infectious disease, and provide scientific evidence for develo- ping effective control measures. Methods] Infectious disease data collected from disease surveillance and information report system in Zhanhe district of Pingdingshan city in 2007 were analyzed. Results ] No category A infectious disease was reported in 2007. 1203 cases of 17 kinds of category B and C infectious disease were reported with the incidence of 476.56/100 000, 18.55% in decline compared with the same period last year. 999 cases of 17 kinds of category B infectious disease were reported with the decline of 1.96% compared with last year. 204 cases of 4 kinds of category C were reported with the declineiof 55.46%. The first 5 reported category B infectious diseases were： viral hepatitis, tuberculosis, dysentery, measles, and syphilis, occupied 79.14% of total reported cases. ldeath case （0. 083% ） was reported. Compared with last year, the incidences of brucellosis and rabies increased, that of influenza decreased. The most obvious increase in infectious diseases is measles. The incidence of male was 1.63 times that of female, the highest incidence appeared in young adults of 20 to 49-year-old, main professionals were peasants, workers, scattered children and students. Conclusion] Viral hepatitis, tuberculosis, measles, syphilis and gastro-intestinal diseases are the major infectious diseases need to be well controlled. The new emerging diseases brucellosis and rabies are the major infectious diseases need more attention. Peasants, workers, scattered children, kindergarten children and students are the high-risk groups of infectious disease need well prevention. Comprehensive control measures should be taken to reduce the incidence and prevalence of infectious diseases.