目的 了解余杭州市杭区流行性腮腺炎(流腮)的流行特征,为制定有效的防控策略提供科学依据。 方法 利用余杭区疾病预防控制中心疫情档案资料及国家疾病预防控制系统传染病报告系统资料,采用描述性流行病学方法,对2004-2010年流腮疫情及暴发情况进行分析。 结果 杭州市余杭区2004-2010年共发生流腮病例2582例,平均年发病率为43.86/10万,其中男性发病数为1612例,女性发病数970例,性别比为1.66:1,两者年平均发病率之间差异有统计学意义(2=25.23,P0.05)。发病有明显的季节性,发病人群主要为15岁以下儿童和青少年,暴发疫情主要集中在中小学校和幼托机构。 结论 杭州市余杭区流腮的发病率仍然较高,建议借鉴国内外经验,除18~24月龄接种麻腮风三联疫苗外,应在6岁组即学龄前儿童接种麻腮风三联疫苗,以加强免疫效果,有效控制流腮的流行和暴发。
Objective To understand the epidemiological characteristics of mumps in Yuhang district, provide scientific evidence for the development of effective prevention and control strategies. Methods Descriptive epidemiological analysis was conducted on the incidence data of mumps in Yuhang from 2004 to 2010 collected from Yuhang district CDC and national disease reporting information system. Results A total of 2582 mumps cases were reporterd during this period with the average annual incidence of 43.86/lakh. Totally 1612 cases occurred in males, and 970 cases occurred in females with the sex ratio of 1.66:1. The difference on the average annual incidence betrween males and females had statistically significace (2 = 25.23, P 0.05). The seasonality of mumps was obvious. The diseae mainly affected children and adolescents aged 15 years and the outbreaks mainly occurred in middle/primary schools and child care settings. Conclusion The incidence of mumps is still high in Yuhang. It is recommonded to conducts measles immunization using measles rubella mumps containing vaccine in preschool aged children besides the children aged 18-24 months to effectively control the spread and outbtrak of mumps.