胡停停, 赵鹤鹤, 段晓健, 黄晓霞, 王晓芳, 王英. 2013-2020年我国急性出血性结膜炎流行特征及暴发疫情分析[J]. 疾病监测, 2021, 36(5): 440-444. DOI: 10.3784/jbjc.202011130385
引用本文: 胡停停, 赵鹤鹤, 段晓健, 黄晓霞, 王晓芳, 王英. 2013-2020年我国急性出血性结膜炎流行特征及暴发疫情分析[J]. 疾病监测, 2021, 36(5): 440-444. DOI: 10.3784/jbjc.202011130385
Hu Tingting, Zhao Hehe, Duan Xiaojian, Huang Xiaoxia, Wang Xiaofang, Wang Ying. Epidemiological characteristics of acute hemorrhagic conjunctivitis in China, 2013–2019[J]. Disease Surveillance, 2021, 36(5): 440-444. DOI: 10.3784/jbjc.202011130385
Citation: Hu Tingting, Zhao Hehe, Duan Xiaojian, Huang Xiaoxia, Wang Xiaofang, Wang Ying. Epidemiological characteristics of acute hemorrhagic conjunctivitis in China, 2013–2019[J]. Disease Surveillance, 2021, 36(5): 440-444. DOI: 10.3784/jbjc.202011130385

2013-2020年我国急性出血性结膜炎流行特征及暴发疫情分析

Epidemiological characteristics of acute hemorrhagic conjunctivitis in China, 2013–2019

  • 摘要:
      目的  对于2013年以来我国急性出血性结膜炎(AHC)流行特征及暴发疫情情况进行汇总分析,为完善我国AHC监测和科学制定防控措施提供依据及建议。
      方法  疫情数据来自全国疾病监测和突发公共卫生事件信息报告管理系统。 利用SPSS、ArcGIS等统计分析方法对全国疫情进行回顾性流行病学分析及统计学检验,并对暴发疫情特征及原因进行汇总分析。
      结果  2013 — 2020年我国共报道AHC病例289 518例,年均发病率为2.63/10万。 2014年与2019年出现2次发病小高峰,2014年较2013年报告发病率上升19.11%,2019年较2018年报告发病率上升8.00%。 每年6—10月为高发季节,0~9岁年龄组为高发组,但50岁及以上年龄组的发病例数占比近年有所上升。 男女性别比为1.18∶1,发病数居前7位的是广西壮族自治区、广东省、安徽省、湖北省、云南省、河南省和河北省,7省报告病例数占全国总数66.13%。 2013年以来我国共报告AHC突发疫情38起,其中35起发生在学校,2起发生在村庄,1起发生在城镇社区,以云南省报告起数最多(13起)。
      结论  近年来我国AHC疫情稳中有降,仍呈现每隔3~5年一次发病高峰的态势,2014年与2019年出现2次发病小高峰,2020年因新型冠状病毒肺炎疫情防控措施,报告病例数显著大幅下降。 学校等人群高度聚集地易发生AHC暴发疫情,仍是今后防控工作的重点;而中老年人发病数占比呈上升的趋势,也提示AHC传播随社会发展呈现新特点,需持续重视农村、学校以及病原检测等疫情监控措施。

     

    Abstract:
      Objective  To master the epidemiological characteristics and outbreaks of acute hemorrhagic conjunctivitis (AHC) in China from 2013 to 2019, so as to provide scientific basis for improving disease surveillance system and making prevention and control measures.
      Methods  Retrospective epidemiological analysis and statistical tests were conducted on the surveillance data of AHC reported in China. The characteristics and causes of each outbreak were summarized.
      Results  From 2013 to 2020, a total of 289 518 AHC cases were reported. The annual incidence was 2.63/100 000. There are 2 incidence peaks occurred in 2014 and 2019. The reported incidence increased by 19.11% in 2014 compared with 2013, and 8% in 2019 compared with 2018. The annual incidence peak was in the 0–9 age group during June-September. The proportion of people over 50 years old was increased in recent years. The male to female ratio of the cases was 1.18: 1. The first 7 provinces (municipality) reporting high incidences were Guangxi, Guangdong, Anhui, Hubei, Yunnan, Henan, Hebei province. From 2013 to 2020, 38 outbreaks of AHC were reported in China, of which 35 occurred in schools, 2 in villages and 1 in community. The most outbreaks occurred in Yunnan.
      Conclusion  The AHC epidemic was confined in China from 2013 to 2020 despite 2 incidence peaks in 2014 and 2019. In 2020, the number of reported cases decreased significantly due to the epidemic control measures of COVID-19. Schools, villages and other population gathering places are still the focus of prevention and control of AHC. The increasing trend of proportion of middle-aged and elderly people also suggests that the spread of AHC presents new characteristics with the development of society. And continuous attention should be paid to pathogen analysis and other measures.

     

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