王鲁茜, 王靓洁, 王秀云, 王焕新, 马琳. 2005-2017年北京市昌平区法定报告传染病流行特征分析[J]. 疾病监测, 2019, 34(7): 645-650. DOI: 10.3784/j.issn.1003-9961.2019.07.015
引用本文: 王鲁茜, 王靓洁, 王秀云, 王焕新, 马琳. 2005-2017年北京市昌平区法定报告传染病流行特征分析[J]. 疾病监测, 2019, 34(7): 645-650. DOI: 10.3784/j.issn.1003-9961.2019.07.015
Luxi Wang, Liangjie Wang, Xiuyun Wang, Huanxin Wang, Lin Ma. Epidemiological characteristics of notifiable communicable diseases in Changping district of Beijing, 2005–2017[J]. Disease Surveillance, 2019, 34(7): 645-650. DOI: 10.3784/j.issn.1003-9961.2019.07.015
Citation: Luxi Wang, Liangjie Wang, Xiuyun Wang, Huanxin Wang, Lin Ma. Epidemiological characteristics of notifiable communicable diseases in Changping district of Beijing, 2005–2017[J]. Disease Surveillance, 2019, 34(7): 645-650. DOI: 10.3784/j.issn.1003-9961.2019.07.015

2005-2017年北京市昌平区法定报告传染病流行特征分析

Epidemiological characteristics of notifiable communicable diseases in Changping district of Beijing, 2005–2017

  • 摘要:
    目的分析北京市昌平区2005 — 2017年法定报告传染病的发病趋势和流行特征,为制定防控策略提供依据。
    方法收集2005 — 2017年中国疾病预防控制系统中昌平区法定报告传染病监测数据,进行趋势χ2检验统计分析。
    结果2005 — 2017年北京市昌平区共报告法定传染病131 041例,年发病率为506.32/10万~1 678.80/10万,呈总体下降趋势(趋势χ2=6.739,P<0.05)。 肠道传染病占法定报告传染病的72.67%,其次为呼吸道传染病(18.14%)、经血与性传播传染病(10.04%)和动物源性及虫媒传染病(0.12%)。 肠道传染病和经血与性传播传染病均呈下降趋势(趋势χ2=5.657,P<0.05;趋势χ2 =9.282,P<0.05)。男性报告发病率高于女性;<7岁学龄前儿童发病率高于其他年龄组,占报告病例总数的51.80%;散居儿童为高发人群,占报告病例总数的35.23%。 发病率居前5位的病种分别为其他感染性腹泻病、手足口病、痢疾、肺结核和肝炎。 法定报告传染病冬、夏两季高发;发病率较高的街镇(北七家镇、东小口镇、回龙观镇、沙河镇等)集中于昌平南部地区。
    结论2005 — 2017年北京市昌平区法定报告传染病年报告发病率总体呈下降趋势。 手足口病纳入法定报告传染病后、与其他感染性腹泻病和流行性感冒成为昌平区重点防控的法定报告传染病,同时学龄前儿童是传染病防控的重点人群,与朝阳、海淀两区毗邻的城乡结合部是昌平区传染病防控重点区域。

     

    Abstract:
    ObjectiveTo analyze the incidence trends and epidemiological characteristics of notifiable infectious diseases in Changping district of Beijing from 2005 to 2017 and provide evidence for the development of prevention and control strategies.
    MethodsThe incidence data of notifiable communicable diseases in Changping from 2005 to 2017 were collected through China Information System for Disease Control and Prevention for epidemiological and statistical analyses.
    ResultsA total of 131 041 cases of notifiable communicable diseases were reported in Changping during 2005–2017. The annual incidence rates ranged from 506.32/100 000 to 1 678.80/100 000, showing a gradual decline (trend χ2=6.739, P<0.05). Intestinal infectious diseases accounted for 72.67% of the total reported cases, followed by respiratory diseases (18.14%), blood-borne and sexually transmitted diseases (10.04%) and animal-borne and vector-borne diseases (0.12%). The incidence of intestinal infectious diseases and blood-borne and sexually transmitted diseases showed decrease trends. (trend χ2= 5.657, P <0.05; trend χ2= 9.282, P <0.05). The reported incidence rate in males was higher than that in females. The incidence rate in preschool children (<7 years) was higher than those in other age groups, with cases accounting for 51.80% of the total. The incidence rate in children outside child care setting was high, with cases accounting for 35.23% of the total. Diseases with the higher incidence rates were other infectious diarrhea, hand foot and mouth disease (HFMD), dysentery, tuberculosis and hepatitis. Summer and winter were seasons with annual high incidences of notifiable communicable diseases, and the townships with high incidence rates (Beiqijia, Dongxiaokou, Huilongguan and Shahe) are in the southern area of Changping, near the urban area of Beijing.
    ConclusionHFMD, other infectious diarrhea and influenza are major communicable diseases with high incidences in Changping. Preschool children are the key population and the urban-rural fringe adjacent to Chaoyang and Haidian districts is the key area for the prevention and control of communicable diseases in Changping.

     

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