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目的了解来宾市2010-2014年丙类传染病流行特征及趋势,为丙类传染病防控策略和措施调整提供科学依据。方法采用描述流行病学方法对来宾市2010-2014年丙类传染病患者发病、年龄、性别、地区及职业分布等资料,应用Excel 2003进行统计分析。结果来宾市2010-2014年共报告丙类传染病8种67 594例,年均发病率为623.87/10万,其中2011年发病率最低为484.21/10万,2014年发病率最高为822.48/10万,各年间发病率呈上升趋势。发病居前4位的是手足口病、其它感染性腹泻、急性出血性结膜炎和流行性腮腺炎,分别占报告病例总数的75.18%、10.72%、6.94%和6.17%。5月为发病高峰。6个县(市、区)均有病例报告。病例主要集中在0~9岁组,占88.60%。男性40 812例,女性26 782例,男女性别比为1.52∶1,男性发病率高于女性,其差异有统计学意义(χ2=959.3,P<0.01)。职业以散居儿童为主,占73.19%;其次为幼托儿童和学生,分别占11.72%和8.26%。结论手足口病、其它感染性腹泻、急性出血性结膜炎和流行性腮腺炎是来宾市丙类传染病重点监测及防控病种,应进一步加强对儿童、学生丙类传染病监测和防控,减少儿童手足口病死亡病例和丙类传染病的暴发流行。
Objective To understand the epidemiological characteristics and trends of C-type infectious diseases in Laibin from 2010 to 2014 and provide a scientific basis for the prevention and control of C-type infectious diseases and the adjustment of measures. Methods Descriptive epidemiological methods were used to analyze the incidence, age, sex, region and occupational distribution of C-type infectious diseases in Laibin from 2010 to 2014, and the data were analyzed by Excel 2003. Results From 2010 to 2014, Laibin reported a total of 67 594 cases of 8 types of infectious diseases of Class C, with an average annual incidence of 623.87 / lakh, of which the lowest was 484.21 / lakh in 2011 and the highest in 2014 was 822.48 / 10 Million, the incidence of each year is on the rise. The top four were HFMD, and other infectious diarrhea, acute hemorrhagic conjunctivitis and mumps accounted for 75.18%, 10.72%, 6.94% and 6.17% of the total reported cases respectively. May the peak incidence. Six counties (cities, districts) have case reports. The cases mainly concentrated in 0 to 9 years old group, accounting for 88.60%. 40 812 males and 26 782 females, with a sex ratio of 1.52:1. The incidence of males was higher than that of females (χ2 = 959.3, P <0.01). Occupation was dominated by scattered children, accounting for 73.19%; followed by preschool children and students, accounting for 11.72% and 8.26% respectively. Conclusions Hand-foot-mouth disease, other infectious diarrhea, acute hemorrhagic conjunctivitis and mumps are the key surveillance and prevention and control of C-type infectious diseases in Laibin. Monitoring, prevention and control of class C infectious diseases of children and students should be further strengthened , To reduce the deaths of hand, foot and mouth disease in children and c outbreaks.