深圳市2005～2006年传染病暴发疫情监测分析

Epidemiologic analysis on the surveillance system of communicable disease outbreak in Shenzhen city (2005-2006)

目的对深圳市2005～2006年暴发疫情监测系统的运行结果进行流行病学分析,分析两年监测结果的异同。方法对法定传染病疫情及常见的非法定传染病疫情报告建立主动监测网络直报系统,应用描述性流行病学方法,从深圳市暴发疫情监测系统导出2005及2006年的监测数据Excel报表,利用SPSS13.0进行统计分析。结果深圳市2006年聚集性病例及暴发疫情共报告204起,总病例数2423例,分别较2005年上升89%和51%。2006年暴发疫情仍以流感、水痘、流行性腮腺炎为代表的呼吸道传染病为主;暴发疫情多集中发生在中小学和幼儿园等集体单位;2006年传染病暴发疫情的高峰在春季;与2005年暴发疫情大多类似但略有区别。结论深圳市2006年传染病暴发疫情较2005年有明显增加,但流行特征类似。依托各级疾控机构和医疗机构建立的暴发疫情网络直报系统是行之有效的,它能与国家疾病监测信息报告管理系统互为补充。

Objective To analyze the surveillance data of the communicable disease outbreak in Shenzhen city from 2005 to 2006, and to explore the pattern and significance of communicalble disease clusters and possible outbreaks from 2005 to 2006. Methods The active surveillance system was built on the information of the general Notifiable Communicable Diseases （NCDs） and original non-notifiable communicable diseases. Browse-Server reporting system was applied. Descriptive epidemiology methods and SPSS 13.0 software were applied to analyze excel-based data. Results There were 204 communicable disease clusters or possible outbreaks and 2 623 cases in total in 2006. The respiratory communicable diseases including influenza, chicken pox and mumps were representative of the major outbreaks in 2006. Most outbreaks occurred in schools including kindergartens, primary schools and middle schools. The peak was in Spring, being a little different with that in 2005. Conclusion The number of the cases reported in the surveillance system in 2006 is significantly higher than that of 2005, but the pattern and features was similar as in 2005. It is considered that the surveillance system based on hospitals and CDC was effective, and the local and the NCDs reporting system can be mutually complimentary.