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目的探讨伤寒副伤寒流行因素及流行规律。方法对南通市通州区2004—2013年伤寒副伤寒疫情及流行病学调查情况进行分析。结果伤寒副伤寒全年各月均有发病,以夏秋季为主,占69.03%;十总镇发病率最高,年均发病率为8.55/10万;职业分布以农民和学生为主,分别占51.61%和10.32%;流行因素配对调查显示,发病与生食海产品水虾有关(P<0.01)。结论该区应加强饮用水和食品安全管理,规范治疗患者,开展健康教育等综合性防治措施是控制伤寒副伤寒的关键。
Objective To investigate the epidemic factors and epidemic patterns of typhoid and paratyphoid fever. Methods The epidemic situation of typhoid and paratyphoid fever in Tongzhou District of Nantong City from 2004 to 2013 were analyzed. Results Typhoid and paratyphoid had incidence in all months of the year, mainly in summer and autumn, accounting for 69.03%. The highest incidence was in ShiZhou town, with an average annual incidence rate of 8.55 / 100000. The occupational distribution was dominated by peasants and students, accounting for 51.61% and 10.32%, respectively. The epidemiological survey showed that the incidence was related to raw seafood and shrimp (P <0.01). Conclusion The district should strengthen drinking water and food safety management, standardized treatment of patients, to carry out comprehensive prevention and control measures such as health education is the key to control typhoid and paratyphoid fever.