高金霞, 张静. 2004-2007年中国大陆地区伤寒、副伤寒暴发疫情流行特征及危险因素分析[J]. 疾病监测, 2008, 23(11): 698-701. DOI: 10.3784/j.issn.1003-9961.2008.11.698
引用本文: 高金霞, 张静. 2004-2007年中国大陆地区伤寒、副伤寒暴发疫情流行特征及危险因素分析[J]. 疾病监测, 2008, 23(11): 698-701. DOI: 10.3784/j.issn.1003-9961.2008.11.698
GAO Jin-xia, ZHANG Jing. Analysis of the epidemiological characteristics and risk factors of typhoid and paratyphoid outbreak in China, 2004 to 2007[J]. Disease Surveillance, 2008, 23(11): 698-701. DOI: 10.3784/j.issn.1003-9961.2008.11.698
Citation: GAO Jin-xia, ZHANG Jing. Analysis of the epidemiological characteristics and risk factors of typhoid and paratyphoid outbreak in China, 2004 to 2007[J]. Disease Surveillance, 2008, 23(11): 698-701. DOI: 10.3784/j.issn.1003-9961.2008.11.698

2004-2007年中国大陆地区伤寒、副伤寒暴发疫情流行特征及危险因素分析

Analysis of the epidemiological characteristics and risk factors of typhoid and paratyphoid outbreak in China, 2004 to 2007

  • 摘要: 目的 了解中国大陆地区伤寒、副伤寒暴发疫情的流行特征及暴发危险原因,为提高暴发调查能力和制定有针对性的预防控制措施提供科学依据。 方法 用描述流行病学方法对2004-2007年伤寒、副伤寒暴发疫情调查报告资料进行分析。 结果 2004-2007年全国共报告31起伤寒和46起副伤寒暴发疫情,暴发时间主要集中在5-9月(62.20%);伤寒暴发疫情病原学确诊比例达29.03%,副伤寒达43.47%。暴发地点以农村村寨(44.16%)和学校(33.77%)为主,尤以乡镇中学(53.84%)多发;以甲型副伤寒暴发为主(57.14%);全国伤寒、副伤寒暴发疫情以饮用水污染引起为主(54.55%),其次为食源性(23.38%)。结论 应加强农村地区饮用水卫生监测和管理力度,加强对学生等重点人群的发热症状监测,及早发现和控制传染源。暴发危险因素信息应作为法律法规的修订依据。

     

    Abstract: Objective The study was conducted to determine the epidemiological characteristics and risk factors of the outbreaks of typhoid and paratyphoid, provide the evidence for the improvement of predictive capacity and development of specific prevention and control strategies. Methods Descriptive epidemiological analysis was conducted based on the report data of outbreaks of typhoid and paratyphoid from 2004 to 2007. Results A total of 31 outbreaks of typhoid and 46 outbreaks of paratyphoid were reported from 2004 to 2007 in China, most of which occurred from May to September in a year (62.20%). The laboratory diagnosis proportion for typhoid outbreak was 29.03% and that for paratyphoid outbreak was 43.47%. Most outbreaks occurred in schools (33.77%) and in rural areas (44.16%), especially in township middle schools (53.84%). Bacillus paratyphosus A was the predominant causal agent(57.14%). Drinking water contamination was the primary cause of the most outbreaks (54.55%), followed by food-borne factors (23.38%). Conclusion It is necessary to strengthen the hygienic surveillance and management of drinking water in rural areas and the monitoring of fever-like symptom among risk groups including the students in order to effectively detect and control the infectious source. The information on risk factors associated with the outbreaks could be used as the evidence of the revision of relevant laws and regulations.

     

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