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目的分析大丰市恙虫病疫情流行病学特征,为制定防控措施提供依据。方法利用中国疾病预防控制信息管理系统,对大丰市2006—2012年恙虫病疫情资料进行描述流行病学分析。结果 2006—2012年大丰市共报告恙虫病218例,均为散发,无死亡病例。2006—2009年发病率在1.23/10万~1.65/10万之间,2010—2012年波动较大,最低0.28/10万(2010年),最高15.3/10万(2011年)。发病人群以40~69岁(占74.31%)、农民(占88.53%)为主,发病高峰期为10—11月,占94.5%,病例主要来自水稻产区或相邻乡镇。结论大丰市恙虫病流行强度近两年有所增强,应引起重视并加强防治工作。建议在水稻收割播晒季节,采取灭鼠、铲除杂草、改造环境、加强农民自我防护意识教育等综合措施。
Objective To analyze epidemiological characteristics of tsutsugamushi disease in Dafeng city and provide basis for prevention and control measures. Methods Epidemiological analysis of epidemic situation of tsutsugamushi disease in Dafeng City from 2006 to 2012 was conducted by using Chinese disease prevention and control information management system. Results A total of 218 cases of tsutsugamushi disease were reported in Dafeng City from 2006 to 2012, all of which were distributed without any deaths. The incidence in 2006-2009 ranged from 1.23 / 100,000 to 1.65 / 100,000. The fluctuation ranged from 0.28 / 100,000 in 2010 to 15.3 / 100,000 in 2011-2010. The incidence of the disease population was 40-69 years (accounting for 74.31%) and farmer (88.53%), and the peak incidence was from October to November, accounting for 94.5%. The cases mainly came from paddy-producing areas or neighboring villages and towns. Conclusion The epidemic intensity of scrub typhus in Dafeng City has been strengthened in recent two years, which should pay attention to and strengthen prevention and control work. It is suggested that in the season of harvesting and sowing rice, comprehensive measures should be taken such as rodent control, weed elimination, environmental improvement, and peasants self-protection awareness education.