中国媒介生物学及控制杂志 ›› 2013, Vol. 24 ›› Issue (3): 275-277.

• 调查研究 • 上一篇    下一篇

河南省周口市2004-2011年流行性乙型脑炎流行特征分析

罗宏伟   

  1. 周口市疾病预防控制中心, 河南 周口 466002
  • 收稿日期:2012-11-27 出版日期:2013-06-20 发布日期:2013-06-20
  • 作者简介:罗宏伟(1965- ),男,副主任医师,主要从事传染病预防控制工作。Email: zkcdcyq@hncdc.com.cn

Epidemiological characteristics of Japanese encephalitis in Zhoukou city, Henan province, China in 2004-2011

LUO Hong-wei   

  1. Zhoukou Center for Disease Control and Prevention, Zhoukou 466002, Henan Province, China
  • Received:2012-11-27 Online:2013-06-20 Published:2013-06-20

摘要:

目的 了解河南省周口市2004-2011年流行性乙型脑炎(乙脑)的流行病学特征及影响因素,为制定乙脑防控对策提供科学依据。方法 用描述流行病学方法对周口市2004-2011年乙脑病例数据和监测数据进行分析。结果 周口市2004-2011年共报告乙脑291例,年平均发病率为0.36/10万,各年发病率分别为0.41/10万、0.42/10万、0.78/10万、0.52/10万、0.17/10万、0.35/10万、0.25/10万、0.03/10万;太康县最高(0.63/10万),西华县最低(0.15/10万);7-9月为高发季节,发病数占病例总数的96.22%;<15岁的儿童青少年占97.25%;幼托儿童占17.18%,散居儿童占48.80%,学生占33.33%;家中未采用蚊帐或药物等防蚊措施者占调查病例数的82.02%(219/267);患者未接种过乙脑疫苗者占调查病例数的86.89%(232/267)。结论 周口市乙脑疫情呈现波动性下降趋势。加强乙脑病例监测,落实高发地区15岁以下儿童青少年的免疫接种、防蚊灭蚊为主的综合防控措施是降低乙脑发病的关键。

关键词: 流行性乙型脑炎, 流行特征, 影响因素, 分析

Abstract:

Objective To investigate the epidemiological characteristics of Japanese encephalitis (JE) and its risk factors in Zhoukou city, Henan province, China from 2004 to 2011, and to provide a scientific basis for JE control. Methods The JE case data and surveillance data in Zhoukou during 2004-2011 were analyzed by descriptive epidemiological method. Results A total of 291 JE cases were reported in Zhoukou during 2004-2011, with an average annual incidence of 0.36/105; from 2004 to 2011, the annual incidence rates were 0.41/105, 0.42/105, 0.78/105, 0.52/105, 0.17/105, 0.35/105, 0.25/105, and 0.03/105, respectively. The incidence rate was the highest in Taikang county (0.63/105) and the lowest in Xihua county (0.15/105). The peak season of JE was from July to September, when 96.22% of all cases occurred. Among the 291 JE cases, 97.25% were aged under 15 years, 17.18% were preschool children, 48.80% were scattered children, and 33.33% were students. Of the 267 surveyed cases, 219 (82.02%) had no anti-mosquito measures, such as mosquito nets and drugs, used at home, and 232 (86.89%) had not been immunized with JE vaccine. Conclusion The incidence of JE fluctuated but decreased in Zhoukou from 2004 to 2011. Enhancing monitoring of JE cases, ensuring vaccinization among children under 15 years of age in high-prevalence area, and taking comprehensive anti-mosquito measures are key to reducing the incidence of JE.

Key words: Japanese encephalitis, Epidemiological characteristics, Risk factor, Analysis

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