2014-2023年北京市登革热输入性病例流行病学特征分析

Epidemiological characteristics of imported dengue fever cases in Beijing, 2014–2023

  • 摘要:
    目的 分析2014-2023年北京市登革热输入性病例的流行病学特征,为北京市登革热疫情防控提供科学依据。
    方法 数据来源于全国疾病监测信息报告系统和个案流行病学调查报告。 采用集中度法和圆形分布法分析季节性特征,R 4.4.2绘制玫瑰图、圆形分布图和Sankey图。
    结果 2014-2023年北京市累计报告登革热确诊病例240例,均为来自境外或国内其他省份的输入病例。 从人群分布来看,男性143例、女性97例,男女性别比为1.47∶1,31~<40岁为高发年龄组(35.83%),职业以干部职员(32.50%)为主。 从时间分布来看,发病时间具有很强的季节性(5-11月占78.8%),发病高峰时间段为6月8日至11月28日。 从地区分布来看,报告病例数排名前3位的是朝阳区、海淀区、丰台区。 境外输入病例主要来自东南亚国家(占69.80%),境内输入病例主要来自云南省(70.59%)。 发病到就诊时间中位数(P25P75)为6(4,9)d,病例主要由传染病专科医院、三级综合医院和外资/国际医院报告。
    结论 北京市登革热病例均为输入性病例,发病呈现明显的季节性特征,其流行高峰与北京市白纹伊蚊密度高峰期高度一致,因此需进一步加强输入性病例的早期发现与病例管理等措施降低本地传播风险。

     

    Abstract:
    Objective  To analyze the epidemiological characteristics of imported dengue fever cases in Beijing from 2014 to 2023, and provide evidence for the prevention and control of the disease.
    Methods The incidence data of imported dengue fever in Beijing during this period were collected from China Information System for Disease Control and Prevention and epidemiological investigation of reported cases. Seasonal patterns of the incidence were analyzed by using the concentration index and circular distribution method. Rose diagrams, circular distribution plots, and Sankey diagrams were generated by using R 4.4.2.
    Results A total of 240 confirmed dengue fever cases were reported in Beijing during 2014—2023, all were imported from other countries or other provinces in China. Demographic analysis showed that 143 cases were men and 97 cases were women (1.47∶1), and the highest incidence was observed in age group 31~<40 years (35.83%). Most cases were office workers (32.50%). In terms of time distribution, the incidence showed obvious seasonality with 78.8% of the cases occurring between May and November and incidence peak during June 8th - November 28th. The high counts of the cases were reported in Chaoyang, Haidian, and Fengtai districts. In the imported dengue fever cases from other countries, 69.80% were from Southeast Asia, and in the imported dengue fever cases from other provinces in China, 70.59% were from Yunnan. The median (P25, P75) time from onset to medical care seeking was 6 (4, 9) days, The cases were mainly reported by specialized infectious disease hospitals, grade III general hospitals, and foreign-funded/international hospitals.
    Conclusion All the dengue fever cases in Beijing were imported, showing distinct seasonal patterns closely associated with the density of Aedes albopictus. Strengthened early detection of imported cases and case management are essential to low local transmission risk.

     

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