姚梦雷, 刘天, 黄继贵, 聂晓培, 李天艳, 吴杨. 2005-2017年湖北省荆州市肾综合征出血热时空特征分析[J]. 疾病监测, 2019, 34(8): 704-709. DOI: 10.3784/j.issn.1003-9961.2019.08.007
引用本文: 姚梦雷, 刘天, 黄继贵, 聂晓培, 李天艳, 吴杨. 2005-2017年湖北省荆州市肾综合征出血热时空特征分析[J]. 疾病监测, 2019, 34(8): 704-709. DOI: 10.3784/j.issn.1003-9961.2019.08.007
Menglei Yao, Tian Liu, Jigui Huang, Xiaopei Nie, Tianyan Li, yang Wu. Spatial-temporal distribution characteristics of hemorrhagic fever with renal syndrome in Jingzhou, Hubei, 2005–2017[J]. Disease Surveillance, 2019, 34(8): 704-709. DOI: 10.3784/j.issn.1003-9961.2019.08.007
Citation: Menglei Yao, Tian Liu, Jigui Huang, Xiaopei Nie, Tianyan Li, yang Wu. Spatial-temporal distribution characteristics of hemorrhagic fever with renal syndrome in Jingzhou, Hubei, 2005–2017[J]. Disease Surveillance, 2019, 34(8): 704-709. DOI: 10.3784/j.issn.1003-9961.2019.08.007

2005-2017年湖北省荆州市肾综合征出血热时空特征分析

Spatial-temporal distribution characteristics of hemorrhagic fever with renal syndrome in Jingzhou, Hubei, 2005–2017

  • 摘要:
    目的了解2005 — 2017年湖北省荆州市肾综合征出血热(HFRS)时空分布特征,为制定防控措施提供参考。
    方法数据来源于中国疾病预防信息系统,以当年3月至次年2月为1个流行年统计发病情况,应用空间自相关分析和时空扫描的方法对2005年3月至2018年2月HFRS的发病情况进行分析,描述其时空聚集特征。
    结果2005 — 2017年荆州市报告HFRS发病551例。 年发病率呈上升趋势(rs=0.901,P<0.05),其中2016 — 2017年呈快速上升;有春季、秋冬季2个发病高峰,为HFRS混合型疫区;时空扫描(15%人口上限)结果显示高发聚集区在长江以北的沙市区、江陵县、监利县,共29个街道和乡镇,聚集时间在2011年11月至2018年2月,2016年12月以后聚集区增加洪湖市的12个乡镇。
    结论2005 — 2017年荆州市HFRS处于新一轮流行周期的上升阶段,重点防控地区在江陵县、沙市区、监利县和洪湖市。

     

    Abstract:
    ObjectiveTo analyze the spatial and temporal distribution characteristics of hemorrhagic fever with renal syndrome (HFRS) in Jingzhou, Hubei province from 2005 to 2017 and provide reference for the development of HFRS prevention and control strategies.
    MethodsThe incidence data of HFRS were collected from Infectious Disease Reporting Information System in China, and the annual statistical analysis was conducted by using the data from March to next February. Spatial autocorrelation analysis and space-time scan statistics were applied to analyze the incidence of HFRS in Jingzhou from March 2005 to February 2018 to describe the spatial and temporal clustering characteristics.
    ResultsFrom 2005 to 2017, a total of 551 cases of HFRS were reported in Jingzhou. The annual incidence rate showed an increasing trend (rs =0.901, P<0.05). The incidence rate increased rapidly from 2016 to 2017. Spring and autumn-winter were the incidence peak seasons, and more than one subtypes of HFRS were detected in Jingzhou. The results of spatial and temporal scanning (upper limit of 15% population) showed that high incidence clustering areas were in the north of the Yangtze river from November 2011 to February 2018, including urban area of Shashi city, Jiangling and Jianli counties (29 streets and townships were involved). And 12 townships in Honghu city were added in the high risk clustering area list after December 2016.
    ConclusionFrom 2005 to 2017, a new round of HFRS epidemic with increasing incidence occurred in Jingzhou, the key prevention and control areas were Jiangling, Shashi, Jianli and Honghu.

     

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