Title:

Analysis of legal infectious diseases epidemic situation from 2009 to 2015 in Guangdong province

作者：

赖辉兵, 罗立旷

赖辉兵，罗立旷

Author(s):

LAI Hui-bing, LUO Li-kuang

LAI Hui-bing, LUO Li-kuang

单位:

云浮市疾病预防控制中心 广东 云浮 527300

Unit:

Yunfu Center for Disease Control and Prevention, Guangdong 527300, China

关键词:

法定传染病; 发病率; 死亡率; 流行病学

法定传染病；发病率；死亡率；流行病学

Keywords:

Legal infectious diseases; Morbidity; Mortality; Epidemiology

分类号:

R181.2+2

文献标识码:

A

摘要:

目的 分析广东省2009 - 2015年法定传染病的发生、发展及其变化规律。方法 对广东省2009 - 2015年法定传染病报告疫情资料进行整理和统计分析。结果 广东省7年法定传染病累计发病5 472 673例，32种，年均发病率（759.26/10万）总体呈上升趋势（P＜0.001） ，死亡率（1.08/10万）和病死率（0.14%）均呈下降趋势（P均＜0.001）。甲类传染病报告1种14例；乙类22种2 050 297例，发病率284.45／10万；丙类9种共3 422 362例，发病率为474.80／10万。主要高发病种为手足口病（289.24/10万）、其他感染性腹泻病（119.70/10万）、病毒性肝炎（115.24/10 万）、肺结核（84.36／10万）等。肠道传染病发病率最高（435.58/10万）且呈上升趋势（P＜0.001）。艾滋病年均发病率为2.42/10万，呈稳步上升趋势（P＜0.001）;登革热年均发病率7.00/10万，呈稳步上升趋势（P＜0.001）；人感染H7N9禽流感病死率达37.91%。结论　 广东省法定传染病防控重点在手足口病、其他感染性腹泻病、病毒性肝炎（乙肝）、肺结核、艾滋病、人感染H7N9禽流感和登革热等新老传染病上，应加强疫情监测和媒介监测，提早采取防控措施。

Abstract:

Objective To analyze the occurrence,development,change dynamics of legal infectious diseases during 2009 ~ 2015 in Guangdong province,and to provide a scientific basis for the development of more effective policies,strategies and measures for disease prevention and control. Methods Communicable diseases registration data of Guangdong province from 2009 to 2015 were collected and analyzed. Results There were a total of 5472673 cases oflegal infectious diseases overthe 7 years.Theincidence showed a rising trend, with an average annual incidence of 759.26/100000. The mortality and fatality of legal infectious diseases were 1.08/100 000 and 0. 14%, respectively, presenting a declined tendency(P<0.001). Over the seven years,14 cases of one kind category A infectious disease were reported cumulatively. There were 2050297 cases of 22 category C notifiable diseases and 3422362 cases of 9 category B notifiable diseases, respectively,with an annual average incidence of 284.45/100000 and 474.80/100 000, respectively. Category C notifiable diseases had the highest morbidity,while category B notifiable diseases had the highest mortality. The main infectious diseases were hand-foot-and-mouthdisease(289.24/100000), other infectious diarrheal diseases(119.70/100000),viral hepatitis(hepatitis B)115.24/100000）,）,and tuberculosis（84.36/100000）. Incidence of intestinal infectious diseases was 435.58/100 000, whichincreased rapidly(P<0.001).Incidence of AIDS was 2.42/100000 and increased rapidly (P<0.001). Incidence of Dengue fever was 7.00/100000, which also increased rapidly (P<0.001). Fatality of Human infection with H7N9 avian influenza was 37.91%. Conclusion We should focus on the prevention and control of hand-foot and mouth disease, other infectious diarrheal diseases, viral hepatitis (especially hepatitis B), tuberculosis, AIDS, Dengue fever, and human infection with H7N9 avian influenza among other new and old infectious diseases. It is recommended to strengthen epidemic surveillance and vectors monitor, take early prevention and control measures.

参考文献
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备注/Memo:

作者简介：赖辉兵(1983 - )，男，主管医师，研究方向:传染病预防控制和卫生应急