苏文斌, 高连, 高志媛, 莫将明. 2004-2011年广西阳朔县流行性腮腺炎流行病学特征与控制策略分析[J]. 疾病监测, 2012, 27(9): 709-711. DOI: 10.3784/j.issn.1003-9961.2012.9.012
引用本文: 苏文斌, 高连, 高志媛, 莫将明. 2004-2011年广西阳朔县流行性腮腺炎流行病学特征与控制策略分析[J]. 疾病监测, 2012, 27(9): 709-711. DOI: 10.3784/j.issn.1003-9961.2012.9.012
SU Wen-bin, GAO Lian, GAO Zhi-yuan, MO Jiang-ming. Epidemiology of mumps and control strategy in Yangshuo, Guangxi, 2004-2011[J]. Disease Surveillance, 2012, 27(9): 709-711. DOI: 10.3784/j.issn.1003-9961.2012.9.012
Citation: SU Wen-bin, GAO Lian, GAO Zhi-yuan, MO Jiang-ming. Epidemiology of mumps and control strategy in Yangshuo, Guangxi, 2004-2011[J]. Disease Surveillance, 2012, 27(9): 709-711. DOI: 10.3784/j.issn.1003-9961.2012.9.012

2004-2011年广西阳朔县流行性腮腺炎流行病学特征与控制策略分析

Epidemiology of mumps and control strategy in Yangshuo, Guangxi, 2004-2011

  • 摘要: 目的 通过分析流行性腮腺炎(流腮)流行特征,掌握流行规律,制定控制策略。 方法 采用平均增长速度、动态数列、样本率比较的2检验、相对危险度、圆形分布法进行分析。 结果 2004-2011年阳朔县共发生流腮659例,平均发病率为29.26/10万,2004-2008年发病率呈上升趋势,至 2008年达高峰,发病率为92.25/10万。该病的发病特征为流行有周期性;季节分布全年均有发病,有明显的季节性,每年夏季和冬季为发病高峰,夏季发病高峰日6月24日,流行高峰期4月3日至9月14日,冬季发病高峰日11月12日,流行高峰期9月11日至次年1月11日;人群分布4~14岁儿童为高危人群;农村发病高于城区,农村小学时有多发、暴发疫情;随着疫苗使用量的上升,流腮发病率呈下降趋势。 结论 按照目前的国家免疫策略不能达到控制或大幅度降低流腮发病的目标,应调整流腮免疫程序,同时通过严格预防接种证查验制度,以提高儿童疫苗免疫接种率。

     

    Abstract: Objective understand the epidemiological characteristics of mumps in Yangshuo and provide evidence for the development of control strategy. Methods The average annual increase rate calculation, incidence tendency analysis, 2 test for sample rate comparison, relative risk calculation and central tendency analysis of the disease were conducted. Results A total of 659 mumps cases occurred in Yangshuo from 2004 to 2011 with the average incidence of 29.26/lakh. The incidence increased since 2004 and peaked in 2008 (92.25/lakh). The epidemic of mumps occurred periodically. The disease occurred all the year round but with obvious seasonality. The incidence of the disease peaked on 24 June during summer (3 April-14 September) or on 12 November during winter (11 September-11 January). The cases were mainly distributed in children aged 4-14 years. The incidence in rural area was higher than in urban area. Outbreak of the disease occurred occasionally in primary schools in rural area. The incidence of mumps declined as the mumps vaccination coverage increased. Conclusion The goal to control or reduce the incidence substantially could not be reached by the current mumps immunization strategy, it is necessary to revise the mumps vaccination schedule and strengthen the check of vaccination certificate to increase the mumps vaccination coverage in children.

     

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