高瞻, 杨华富, 周伟忠, 李孝凤. 江苏省伤寒监测及控制研究[J]. 疾病监测, 1997, 12(10): 365-368. DOI: 10.3784/j.issn.1003-9961.1997.10.365
引用本文: 高瞻, 杨华富, 周伟忠, 李孝凤. 江苏省伤寒监测及控制研究[J]. 疾病监测, 1997, 12(10): 365-368. DOI: 10.3784/j.issn.1003-9961.1997.10.365
Gao Zhan et al, . A Study on the Surveillance and Control of Typhoidal Fever in Jiangsu Province[J]. Disease Surveillance, 1997, 12(10): 365-368. DOI: 10.3784/j.issn.1003-9961.1997.10.365
Citation: Gao Zhan et al, . A Study on the Surveillance and Control of Typhoidal Fever in Jiangsu Province[J]. Disease Surveillance, 1997, 12(10): 365-368. DOI: 10.3784/j.issn.1003-9961.1997.10.365

江苏省伤寒监测及控制研究

A Study on the Surveillance and Control of Typhoidal Fever in Jiangsu Province

  • 摘要: 作者报告了江苏省如东、吴县和宝应三县(市)伤寒监测点伤寒流行特征及监测的研究。结果显示:该三县(市)是我省伤寒的高发地区,1996年伤寒总病例数为701例,占全省总数的8.87%,年均发病率为23.05/10万,显著高于全省平均发病率(11.46/10万)。发病率以5~9岁年龄组最高,发病数以青壮年的农民为最多。通过对144例伤寒病人的流行因素调查,病例组的不洁食物史的暴露率明显高于对照组(分别为71.53%和34.03%),OR为7.75,说明我省伤寒的传播途径有从原来的水型传播为主向食物型传播转变的趋势。沿海地区的如东县发病高峰为5月份,早于其它二县(市)3个月,对100例病人配对调查结果分析,可能与生吃海产品有关。因此,抓好食品卫生,广泛宣传不生吃海产品,推扩伤寒Vi菌苗接种是控制伤寒发病的有效手段。

     

    Abstract: A study on the epidemiological characterisics and surveillance of typhoid fever in the surveillance points of typhoid in Ludong, Wuxian and Baoying county (city)of Jiangsu province was carried out. The data showed that the above three counties (cities) were the risk area of typhoid in Jiangsu province, the total number of cases of typhoid were 701, it was 8.87% of the total cases in whole province.The year average morbidity was 23.05/100000,it was significantly more than the province average morbidity (11.4/100000).The highest morbidyty was in the 5 - 9 age group. The cases was concentrated in the young peasants. Through the survey of epidemiological factors in 144 cases of typhoid, it was believed that expose rate of the history of contaminated food in cases group was significantly more than in the control group (71.54% and 34.03% respectively, OR=7.75).It was suggested that there was a trend is the origineral water borne mode has changed into food borne mode. The case peak was in May in Ludong which was two months earlier than that in the other two counties. The adta of 100 cases survey by case - control study indicated that it might be related to the factor that the people in Ludong were much like to eat raw sea food. The authors then suggested that the health education especially to educate people do not eat the raw sea food and popularizing the typhoid Vi vaccine were the two effect measures to control typhoid fever.

     

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