甲型H1N1流感大流行期间广州市居民流感样疾病发病情况及就诊行为电话调查

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目的快速评估2009年10月1日至12月31日广州市居民流感样病例与普通感冒病例的发病、就诊的情况。方法采用计算机辅助电话调查系统(CATI)及统一调查表,对广州市居民在2009年10月1日至12月31日期间流感样疾病的发病、诊疗情况进行调查,用描述性流行病学方法对数据进行分析。结果该次调查共计拨出电话6 325个,拨通有效电话1 030个,成功调查505户居民(共调查1 197人),成功应答率为49.03%。流感样病例、普通感冒病例的罹患率分别为6.02%(72/1 197)和8.77%(105/1 197),高发人群均为低年龄组,尤其是10岁以下人群(流感样病例、普通感冒病例的罹患率分别为20.99%和9.88%);流感样病例男女性罹患率分别是6.19%(37/598)和5.84%(35/599);11月份流感样病例罹患率(2.92%)高于10、12月(分别为1.84%、1.25%)(P<0.05)。采用直接标化法估计2009年第4季度广州市居民流感样病例发病率为7.37%(733 194/9 942 022)。流感样病例和普通感冒病例选择到省、市级医院就诊的比例最高,分别为41.67%和46.67%。结论 2009年第4季度广州市居民流感样疾病罹患率高于往年同期水平,低年龄组尤其是10岁以下人群是流感样疾病的高发人群,应加强对这部分人群呼吸道传染病的预防。 Objective To quickly assess the incidence and treatment of influenza-like cases and common cold cases in Guangzhou residents from October 1 to December 31, 2009. Methods A computer-assisted telephone survey system (CATI) and a unified questionnaire were used to investigate the incidence and diagnosis of influenza-like illness in Guangzhou residents between October 1, 2009 and December 31, 2009. Descriptive epidemiological methods Analyze the data. Results A total of 6 325 telephone calls were made and 1,030 valid telephone numbers were dialed. A total of 505 households (1 197 were investigated) were successfully investigated. The response rate was 49.03%. The prevalence rates of influenza-like cases and common cold cases were 6.02% (72/1 197) and 8.77% (105/1 197) respectively. The high-risk groups were all in the low-age group, especially those under 10 years of age The prevalence rates of influenza-like illness were 6.19% (37/598) and 5.44% (35/599) respectively. The incidence of influenza-like illness in November was 2.92% Higher than that in October and December (1.84% and 1.25%, respectively) (P <0.05). The direct standardization method was used to estimate the incidence of influenza-like illness in Guangzhou residents in the fourth quarter of 2009 was 7.37% (733 194/9 942 022). Influenza-like cases and common cold cases to the provincial and municipal hospitals the highest proportion of visits, respectively 41.67% and 46.67%. Conclusion In the fourth quarter of 2009, the prevalence of influenza-like illness in Guangzhou residents was higher than that of the same period in previous years. The low-age group, especially those under 10 years of age, were among the high incidence of influenza-like illness. Prevention of respiratory infectious diseases in this population should be strengthened.
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