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目的分析沈阳市东陵区近年来细菌性痢疾发病水平和流行特征,探讨控制对策,为制定细菌性痢疾防制规划提供科学依据。方法利用描述流行病学方法对沈阳市东陵区2006—2010年细菌性痢疾疫情报告资料进行分析。结果 2006—2010年沈阳市东陵区细菌性痢疾年均报告发病率为52.341 0万,各年度发病率差异有统计学意义(P<0.01);6—9月报告发病数占全年报告发病数的71.02%,男女性别比为1.48∶1,男性年均报告发病率为61.76/10万,女性年均报告发病率为42.67/10万,男女细菌性痢疾年均报告发病率差异有统计学意义(P<0.01)。0～2岁年龄组报告发病占31.00%,散居儿童、家务及待业、学生职业报告发病数占全部报告发病数的66.62%。结论该区细菌性痢疾发病率总体呈逐年下降趋势,呈典型的夏秋季发病高峰及典型的婴幼儿发病高峰,该区应加强食品安全和饮水卫生监管力度,有效切断传播途径;加强城乡环境卫生综合治理工作,加强卫生宣传和健康教育,规范诊治细菌性痢疾,提高诊断准确率和报告及时率;做好疫点疫区应急处理,有效控制疫情蔓延。
Objective To analyze the incidence and epidemic characteristics of bacterial dysentery in Dongling district of Shenyang City in recent years and to explore the control strategies to provide a scientific basis for formulating the control plan of bacterial dysentery. Methods Descriptive epidemiological methods were used to analyze the data of bacterial dysentery outbreaks in Dongling District of Shenyang City from 2006 to 2010. Results The average annual incidence of bacterial dysentery in Dongling district of Shenyang from 2006 to 2010 was 52.341 million, with significant difference between the years (P <0.01). The number of reported cases from June to September accounted for the annual report The number of 71.02%, male to female ratio was 1.48:1, the average annual reported incidence of men was 61.76 / 100000, the average annual reported incidence of women was 42.67 / 100000, male and female bacterial dysentery annual average reported incidence of statistically significant Significance (P <0.01). The reported incidence of 0 ~ 2 age group accounted for 31.00%, scattered children, housework and unemployed, the occupational record number of students accounted for 66.62% of the total reported incidence. Conclusions The incidence of bacillary dysentery in this area shows an overall declining trend year by year, showing a typical onset peak in summer and autumn and the peak incidence of typical infants and young children. The district should strengthen food safety and sanitation supervision of drinking water and effectively cut off the route of transmission; strengthen urban and rural environmental health Comprehensive management work to strengthen health promotion and health education, standardize the diagnosis and treatment of bacterial dysentery, improve the diagnostic accuracy and timely reporting rate; do a good job epidemic disease area emergency treatment, effectively control the spread of the epidemic.