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目的探讨福建省恙虫病流行特征,为防控提供依据。方法据中国疾病预防控制信息系统中2010—2013年恙虫病报告数据,结合综合性医院送检疑似标本检测情况,对数据进行分析。结果福建省2010—2013年共报告恙虫病2 529例,死亡3例;年均发病率1.70/10万,呈逐年上升趋势。病例呈散发态势,已波及94.3%的县区;疫情前5位高发县区占病例总数的40.1%;发病高峰为6~10月(81.7%);40~64岁占62.0%,发病率以60~64岁组最高(5.31/10万);发病率男女比为0.92∶1,农民占65.2%。结论福建省恙虫病流行强度逐年增高,有地域集中性和明显季节性。建议加强监测,对高发地区和高发季节的重点人群采取必要防控措施,控制其发生与流行。
Objective To investigate the epidemiological characteristics of scrub typhus in Fujian Province and provide evidence for prevention and control. Methods According to the reported data of tsutsugamushi disease from 2010 to 2013 in China’s disease prevention and control information system and the detection of suspected specimens in general hospitals, the data were analyzed. Results A total of 2 529 tsutsugamushi diseases were reported in Fujian Province from 2010 to 2013, with 3 deaths. The average annual incidence rate was 1.70 / 100 000, showing an upward trend year by year. The incidence of epidemic situation has spread to 94.3% of the counties; the top 5 epidemic areas accounted for 40.1% of the total number of cases; the peak incidence of 6 to 10 months (81.7%); 40 to 64 years old accounted for 62.0% of the incidence The highest in the 60-64 age group (5.31 / 100000); the incidence of male to female ratio was 0.92: 1, farmers accounted for 65.2%. Conclusions The epidemic intensity of scrub typhus in Fujian Province is increasing year by year with regional concentration and obvious seasonal. It is suggested to strengthen monitoring and take necessary precautionary measures against key populations in areas with high incidence and high incidence and control their occurrence and prevalence.