辛化雷, 张永杰, 胡建利, 孙军玲, 裴迎新, 祖荣强. 2006-2015年江苏省恙虫病流行病学特征分析[J]. 疾病监测, 2017, 32(3): 232-236. DOI: 10.3784/j.issn.1003-9961.2017.03.015
引用本文: 辛化雷, 张永杰, 胡建利, 孙军玲, 裴迎新, 祖荣强. 2006-2015年江苏省恙虫病流行病学特征分析[J]. 疾病监测, 2017, 32(3): 232-236. DOI: 10.3784/j.issn.1003-9961.2017.03.015
XIN Hua-lei, ZHANG Yong-jie, HU Jian-li, SUN Jun-ling, PEI Ying-xin, ZU Rong-qiang. Epidemiology of scrub typhus in Jiangsu province,2006-2015[J]. Disease Surveillance, 2017, 32(3): 232-236. DOI: 10.3784/j.issn.1003-9961.2017.03.015
Citation: XIN Hua-lei, ZHANG Yong-jie, HU Jian-li, SUN Jun-ling, PEI Ying-xin, ZU Rong-qiang. Epidemiology of scrub typhus in Jiangsu province,2006-2015[J]. Disease Surveillance, 2017, 32(3): 232-236. DOI: 10.3784/j.issn.1003-9961.2017.03.015

2006-2015年江苏省恙虫病流行病学特征分析

Epidemiology of scrub typhus in Jiangsu province,2006-2015

  • 摘要: 目的 了解江苏省恙虫病的流行特征,掌握疫情变化趋势,为江苏省恙虫病防控策略和措施提供科学依据。方法 采用描述性流行病学方法对2006-2015年江苏省恙虫病报告病例的流行特征进行分析。结果 2006-2015年江苏省共报告恙虫病病例5 531例,年平均发病率为0.70/10万,2006-2010年发病较平稳,2011-2015年发病呈上升趋势(2=4 264.225,P0.001);秋冬季为发病高峰期,10月和11月报告病例数占总病例数的95.91%(5 305/5 531)。女性年均发病率高于男性(2=22.482,P0.001),发病率随年龄增长不断上升,女性以65~岁年龄组最高,男性以75~岁年龄组最高;60~69岁年龄组、70~79岁年龄组和80~89岁年龄组人群发病构成比逐年升高(2=8.072,P=0.005;2=14.491,P0.001;2=12.356,P0.001)。盐城市年均发病率最高(3.50/10万),其次是泰州市(2.78/10万),2006-2010年各地区发病率较低且平稳,2011年起各地区发病率开始上升并且呈扩散趋势,江苏北部和中部地区发病率上升趋势较南部地区明显。结论 江苏省恙虫病发病水平较高,从2011年起上升趋势明显,疫区不断扩大,且发病呈现女性病例明显增加和高龄化,建议对重点地区和重点人群开展健康教育,以降低发病水平。

     

    Abstract: Objective To understand the epidemiological characteristics of scrub typhus in Jiangsu province,and provide evidence for the prevention and control of scrub typhus. Methods Descriptive epidemiological analysis was conducted by using the incidence data of scrub typhus in Jiangsu from 2006-2015. Results A total of 5 531 cases of scrub typhus were reported in Jiangsu during this period. The average annual incidence was 0.70/100 000. The incidence was stable during 2006-2010,but increased from 2011-2015(2=4 264.225,P0.001). The incidence peak was autumn and winter. The cases reported in October and November accounted for 95.91%(5 305/5 531) of the total cases. The incidence was higher in women(2=22.482,P0.001) and the incidence increased with age. In women,the incidence rate in age group 65-years was highest,and in men,the incidence was highest in age group 75-years. The cases in age groups 60-69 years,70-79 years and 80-89 years increased year by year(2=8.072,P=0.005;2=14.491,P0.001;2=12.356,P0.001). The average annual incidence was highest in Yancheng (3.50/100 000),followed by Taizhou (2.78/100 000).The incidence was stable in all areas during 2006-2010,and began to increase in 2011. The increase was more obvious in northern and middle areas in Jiangsu. Conclusion The incidence of scrub typhus was high in Jiangsu. The obvious increase began in 2011 and the epidemic area was in expanding. More women and the elderly were affected. It is necessary to conduct health education in population at high risk in areas with high incidence of scrub typhus in Jiangsu.

     

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