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目的探究江西省2004-2014年猩红热发病趋势及流行特征,为制定猩红热防控策略提供科学依据。方法采用描述性流行病学方法对2004-2014年江西省猩红热数据资料进行分析。结果 2004-2014年江西省共报告猩红热病例398例,年平均发病率为0.09/10万,病例分布11个设区市62个县区,男性发病率高于女性,病例主要集中在15岁以下,以儿童、学生为主;2004-2014年江西省猩红热发病呈现2个阶段:猩红热低发期(2004-2010年,年平均发病率为0.04/10万)和猩红热发病快速上升期(2011-2014年,年平均发病率为0.16/10万);进入猩红热发病快速上升期,病例分布由40个县区扩大为62个县区,0岁~、5岁~和10岁~年龄组儿童发病率大幅增高,散居儿童构成比增加。结论自2011年以来,江西省猩红热发病水平快速上升,地区分布范围扩大,10岁以下儿童是猩红热的高发人群,托幼机构和儿童聚集的游乐场所是今后猩红热防控的重点场所;建议开展病原学监测和病原耐药性监测,进一步认识猩红热的流行规律。
Objective To explore the trend and epidemiological characteristics of scarlet fever in Jiangxi Province from 2004 to 2014 and provide a scientific basis for the development of scarlet fever prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the data of scarlet fever in Jiangxi Province from 2004 to 2014. Results A total of 398 cases of scarlet fever were reported in Jiangxi Province from 2004 to 2014, with an average annual incidence of 0.09 / lakh. The cases were distributed in 11 districts and counties in 62 counties. The incidence of males was higher than that of females, with the majority of cases being below 15 years old , Mainly children and students. The incidence of scarlet fever in Jiangxi Province in 2004-2014 showed two stages: the low incidence of scarlet fever (2004-2010, the annual average incidence of 0.04 / 100000) and the rapid rise of scarlet fever (2011- In 2014, the average annual incidence rate was 0.16 / 100000). When the incidence of scarlet fever increased rapidly, the distribution of cases increased from 40 counties to 62 counties, with children aged 0 to 5, and 10 to 10 years of age The rate of diaspora increased significantly. Conclusion Since 2011, the incidence of scarlet fever in Jiangxi Province has risen rapidly. The distribution of the area has been widened. Children under 10 years of age are high-risk groups of scarlet fever. Kindergartens and children’s playgrounds are the key places for future prevention and control of scarlet fever. To monitor and monitor pathogenic drug resistance to further understand the epidemic of scarlet fever.