高尚, 赵小冬, 任娅如, 姜晓林, 常彩云. 2013-2018年山东省济南市发热伴血小板减少综合征流行特征及时空聚集性分析[J]. 疾病监测, 2019, 34(10): 895-898. DOI: 10.3784/j.issn.1003-9961.2019.10.008
引用本文: 高尚, 赵小冬, 任娅如, 姜晓林, 常彩云. 2013-2018年山东省济南市发热伴血小板减少综合征流行特征及时空聚集性分析[J]. 疾病监测, 2019, 34(10): 895-898. DOI: 10.3784/j.issn.1003-9961.2019.10.008
Shang Gao, Xiaodong Zhao, Yaru Ren, Xiaolin Jiang, Caiyun Chang. Epidemiological characteristics and temporal-spatial clustering analysis on severe fever with thrombocytopenia syndrome in Jinan, 2013–2018[J]. Disease Surveillance, 2019, 34(10): 895-898. DOI: 10.3784/j.issn.1003-9961.2019.10.008
Citation: Shang Gao, Xiaodong Zhao, Yaru Ren, Xiaolin Jiang, Caiyun Chang. Epidemiological characteristics and temporal-spatial clustering analysis on severe fever with thrombocytopenia syndrome in Jinan, 2013–2018[J]. Disease Surveillance, 2019, 34(10): 895-898. DOI: 10.3784/j.issn.1003-9961.2019.10.008

2013-2018年山东省济南市发热伴血小板减少综合征流行特征及时空聚集性分析

Epidemiological characteristics and temporal-spatial clustering analysis on severe fever with thrombocytopenia syndrome in Jinan, 2013–2018

  • 摘要:
    目的对山东省济南市发热伴血小板减少综合征(SFTS)的流行病学和时空聚集性进行分析,为SFTS的防控工作提供依据。
    方法从国家疾病监测信息报告管理系统中获取2013 — 2018年济南市SFTS疫情资料,采用描述性流行病学方法及时空重排扫描统计方法分析SFTS病例的流行特征和时空分布特征。
    结果2013 — 2018年济南市累计报告SFTS 385例,死亡49例,平均病死率12.73%。 病例集中在4 — 10月,8月为发病高峰。 90.13%的病例集中在50岁以上中老年人,职业以农民为主,占90.91%。 男女性别比为1.07∶1。 章丘、历城和长清区是主要高发地区,占病例总数的83.12%。 时空聚集性分析共探测到3个时空聚集区(1个一类聚集区和2个二类聚集区),具有显著时空聚集性。
    结论济南市SFTS存在时空聚集性,根据时空分布及流行病学特征,应着重在高发疫区重点人群中开展宣传教育、监测及培训等防控措施。

     

    Abstract:
    ObjectiveTo analyze the epidemiological characteristics and temporal-spatial clustering of severe fever with thrombocytopenia syndrome (SFTS) in Jinan of Shandong province, and provide scientific evidence for SFTS prevention and control.
    MethodsThe data of SFTS cases in Jinan during 2013–2018 were downloaded from National Notifiable Infectious Disease Reporting System of China, and comprehensive analysis on the epidemiological characteristics of SFTS was conducted by using descriptive epidemiological methods and spatial-temporal scan statistics method.
    ResultsA total of 385 SFTS cases, including 49 deaths, were reported in Jinan from 2013 to 2018. The average case fatality rate was 12.73%. The cases mainly occurred between April and October with the incidence peak in August. The cases over 50 years old accounted for 90.13% and farmers accounted for 90.91% of the total cases, respectively. The male-female ratio of the cases was 1.07∶1.The top three high-incidence areas were Zhangqiu, Licheng and Changqing, the cases in these areas accounted for 83.12% of the total. Spatial-temporal clustering analysis detected three clusters (one first-class cluster, two second-class clusters) and one suspected cluster with the characteristics of significant spatial-temporal clustering.
    ConclusionThe incidence of SFTS had spatial-temporal clustering in Jinan during 2013–2018. According to the spatial and temporal distribution and epidemiological characteristics of SFTS, prevention and control measures, such as health education, surveillance and staff training, should be carried out in key populations in areas with high incidences.

     

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