深圳市外来和常住人口传染病发病谱对比分析

Differences of Incident Rates on Notifiable Communicable Diseases between Permanent and Provisional Residents in Shenzhen

目的 对外来人口传染病发病率及其影响因素进行分析。方法 利用传染病登记报告系统积累的资料 ,以法定传染病总发病率为基础 ,重点对暂住与常住人口相关传染病发病率进行了统计和对比分析。结果 从 1980～ 1999年 ,人群总发病率逐年下降 ,经历了 3个阶段 ,但暂住人口发病率下降不明显。从 1984～ 1999年 ,疟疾发病经过 2个高峰 ,与深圳大规模的建设相一致 ;疟疾和霍乱发病率暂住人口高于常住人群 ;伤寒发病率差异不明显 ,而细菌性痢疾、病毒性肝炎和淋病的发病率常住人群高于暂住人口。结论 社会经济发展对传染病发病谱的影响值得重视 ,疟疾和霍乱可作为深圳市外来流动人口传染病发病谱中的“指示病种”。

Objectives To explore the influence factors on the notifiable communicable diseases among the provisional population in Shezhen.Methods According to the reporting system of notifiable communicable diseases, the incident rates for the permanent and provisional residents were calculated and analyzed.Results From 1980 to 1999,the total incident rate of the communicable diseases was decreased year by year, whereas the decrease of the rate in provisional residents was not significant. As a major infectious disease. Malaria incidence showed two peaks from 1984 to 1999 and there were more cholera cases occurred in the provisional population.The rates of typhoid and paratyphoid fever were not differences between the two residents.The incident rates of dysentery and virus hepatitis in permanent population were higher than that in the provisional residents. The possible influent factors on the communicable diseases were discussed.Conclusion It is important that the socioeconomic factors influences on the incidence of the communicable diseases. And in Shenzhen, malaria and cholera should use as index diseases for the surveillance in the provisional and temporary population.