李艳丽, 刘晓强, 杨海涛, 张丽芬, 杨双敏. 2005-2017年云南省狂犬病流行病学特征分析[J]. 疾病监测, 2018, 33(12): 1014-1017. DOI: 10.3784/j.issn.1003-9961.2018.12.011
引用本文: 李艳丽, 刘晓强, 杨海涛, 张丽芬, 杨双敏. 2005-2017年云南省狂犬病流行病学特征分析[J]. 疾病监测, 2018, 33(12): 1014-1017. DOI: 10.3784/j.issn.1003-9961.2018.12.011
Yanli Li, Xiaoqiang Liu, Haitao Yang, Lifen Zhang, Shuangmin Yang. Analysis on rabies epidemiology in Yunnan province, 2005−2017[J]. Disease Surveillance, 2018, 33(12): 1014-1017. DOI: 10.3784/j.issn.1003-9961.2018.12.011
Citation: Yanli Li, Xiaoqiang Liu, Haitao Yang, Lifen Zhang, Shuangmin Yang. Analysis on rabies epidemiology in Yunnan province, 2005−2017[J]. Disease Surveillance, 2018, 33(12): 1014-1017. DOI: 10.3784/j.issn.1003-9961.2018.12.011

2005-2017年云南省狂犬病流行病学特征分析

Analysis on rabies epidemiology in Yunnan province, 2005−2017

  • 摘要:
    目的 分析云南省2005 — 2017年狂犬病的流行病学特征,为制定狂犬病预防控制策略和措施提供参考依据。
    方法 收集云南省2005 — 2017年狂犬病的发病资料,用Excel 2013软件建立数据库,SPSS 17.0和MapInfo 11.0软件对数据进行整理和计算,绘制相关统计图表。
    结果 2005 — 2017年云南省共报告狂犬病病例930例,死亡883例,年均报告死亡数68例。 全省年均发病率高于全国年均发病率( χ2=21.390,P<0.001),2005 — 2008年呈现快速上升趋势,分别在2008年和2010年出现发病高峰,2011年开始,发病有逐年下降的趋势。 报告病例数占前5位的县(市、区)分别为广南、罗平、弥勒、砚山和景洪,占全省省内籍贯总报告病例数的20.64%。 全省发病年龄最小为1岁,最大为91岁,41 ~ 50岁发病例数最多,81 ~ 91岁发病例数最少,男女性别比为1∶0.39,男性病例是女性病例的2.55倍,男性病例发病年龄较女性年轻( z=−9.411,P<0.001);农民、学生和散居儿童发病居前3位,占全部病例的93.33%;6 — 8月为发病高峰,发病高峰在各年基本相同。
    结论 2005 — 2017年,云南省每年均有狂犬病病例上报,年均发病率较高,狂犬病的防治仍然是云南省公共卫生工作的重点,应加强狂犬病流行病学监测。

     

    Abstract:
    Objective To analyze the epidemiological characteristics of rabies in Yunnan province from 2005 to 2017 and provide the scientific evidence for the prevention and control of rabies.
    Methods The incidence data of rabies in Yunnan during this period were collected and analyzed with Excel 2013 and SPSS 17.0 to generate relevant statistical charts.
    Results A total of 930 rabies cases were reported in Yunnan from 2005 to 2017, 47 cases were loss to follow up, 883 cases died. Averagely, 68 cases of rabies death were reported in a year. The average annual incidence rate of rabies in Yunnan was higher than average national level (χ2=21.390, P< 0.001). The incidence of rabies showed a rapid upward trend from 2005 to 2008, two incidence peaks occurred in 2008 and 2010 respectively. Since 2011, the incidence of rabies had shown a downward trend year by year. The top five counties (district) with high incidence were Guangnan, Luoping, Mile, Yanshan and Jinghong, the cases reported in these areas accounted for 20.64% of provincial total. The youngest age of rabies case was 1 year old, the oldest age was 91 years old. The cases number was highest in age group 41 – 50 years and lowest in age group 81 – 91 years. The male to female ratio of the cases was 1∶0.39, the case number in males was 2.55 times higher than that in females, and the average age of male cases was younger than that of female cases. ( z=−9.411,P< 0.001); The cases in farmers, students and children outside child care settings accounted for 93.33% of the total. The annual incidence peak was usually during June – August.
    Conclusion From 2005 to 2017, rabies cases were reported every year in Yunnan. The average annual incidence rate was high. Therefore, the prevention and treatment of rabies is still the focus of public health in Yunnan. It is necessary to strengthen the epidemiological surveillance for rabies.

     

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