济南市1956-2009年猩红热流行病学资料分析

Epidemiological analysis of scarlet fever in Ji′nan,Shandong province,1956-2009

目的了解济南市猩红热的发病特征及流行趋势,进一步探讨有效控制猩红热的措施。方法应用描述流行病学分析方法,对1956-2009年济南市猩红热流行病学资料进行分析。结果 53年间疫情出现6次高峰期,发病率最高的是1958年（333.93/10万）、最低的是2001年（0.69/10万）;高峰期每次间隔5-6年,持续2-3年。20世纪80年代末以来发病率一直处于较低水平,但2006年开始又有所抬头,2007年发病率明显上升,总的发病呈下降趋势（r=-0.548 8,P〈0.01）。城区发病率高于郊区（χ2=59 660.501,P〈0.05）。结论目前济南市猩红热发病有上升趋势,应进一步加强对该病的监测和核实诊断工作,防止出现暴发流行。

Objective To learn the epidemiological characteristics of scarlet fever in Jinan,Shandong provice.Methods The disease surveillance data of scarlet fever were collected from the year 1956 to 2009.Descriptive epidemiological method was applied to analyze the dynamics of the disease.Results There were 6 peaks of scarlet fever incidence rate during the past 53 years.The highest and the lowest incidence rates were 333.93/LAKH and 0.69/LAKH,which appeared in 1958 and in 2001,respectively.The peaks of disease incidence occurred every 5 to 6 years and each lasted 2 to 3 years.The incidence rate of scarlet fever was low since 1980s,but increased again since 2006.Conclusion Scarlet fever incidences increased in Ji′nan since 2006.Surveillance and clinical diagnosis need to be strengthened to prevent the outbreak of the disease.