2004-2011年云南省西双版纳傣族自治州法定报告传染病疫情分析

Epidemic trend of notifiable communicable diseases in Xishuangbanna,Yunnan,2004-2011

目的分析云南省西双版纳傣族自治州(西双版纳州)近8年法定传染病的流行特征,为制定防控措施提供依据。方法采用描述性流行病学方法对2004-2011年《疾病监测信息报告管理系统》报告的法定传染病疫情资料进行分析。结果 2004-2011年全州无甲类传染病报告,报告乙类传染病18种共30 511例,死亡324例,年均发病率为365.62/10万,年均死亡率为3.81/10万。居乙类传染病前5位的病种依次为病毒性肝炎、肺结核、伤寒和副伤寒、疟疾和痢疾,占传染病报告总数的83.57%。2005年发生输入性登革热病例,2008年发生首例狂犬病病例,2010年发生本地感染登革热病例。结论 8年间西双版纳州传染病发病率总体呈下降趋势,病毒性肝炎、肺结核、伤寒和副伤寒、性传播疾病、新发传染病和境外输入传染病应作为今后重点防制的主要传染病。

Objective To analyze the epidemic trend of notifiable communicable diseases in Xishuangbanna from 2004 to 2011 and provide evidence for the prevention and control measure development.Methods Descriptive epidemiological analysis was conducted on the incidence data of notifiable communicable diseases in Xishuangbanna during this period,which were collected from national disease reporting information system.Results From 2004 to 2011.No communicable disease case in class A was reported,but 30 511 cases of 18 communicable diseases in class B were reported,including 324 deaths.The average annual incidence was 365.62/lakh and the average annual death rate was 3.81/lakh.The first 5 communicable diseases with high incidences in class B were viral hepatitis,pulmonary tuberculosis,typhoid and paratyphoid fevers,malaria and dysentery with the cases accounting for 83.57% of the total communicable disease cases.Imported dengue fever occurred in 2005,the first rabies case occurred in 2008 and indigenous dengue fever occurred in 2010.Conclusion The overall incidence of communicable diseases delined in Xishuangbanna from 2004 to 2011.The priority diseases for which the prevention and control should be strenghtnened include viral hepatitis,pulmonary tuberculosis,typhoid and paratyphoid fevers,sexual transmitted diseases as well as emerging and imported communicable diseases.