潍坊市坊子区2009—2013年流行性腮腺炎流行病学特征分析

Analysis of mumps epidemiological characteristics from 2009 to 2013 in Fangzi district,Weifang city

目的了解潍坊市坊子区2009—2013年流行性腮腺炎流行病学特征,为预防控制流行性腮腺炎提供科学依据。方法对2009—2013年潍坊市坊子区传染病报告信息管理系统流行性腮腺炎报告病例个案资料,采用描述性流行病学方法分析流行性腮腺炎的流行病学特征。结果潍坊市坊子区2009—2013年累计报告流行性腮腺炎病例416例,年平均发病率为20.97/10万。2009—2013年发病率分别为10.03/10万、10.71/10万、10.74/10万、36.63/10万、24.50/10万;男性为28.92/10万,女性为12.93/10万;0～2岁为30.81/10万,3～9岁为125.74/10万,10～24岁为49.11/10万,25～55岁为1.43/10万。病例数最多的是峡山生态发展区98例,占总病例数的23.56%;凤凰、九龙街办均为92例,各占总病例数的22.12%。发病高峰期在每年的3—7月和12月至次年1月。其中,3—7月占63.70%,1月、12月占17.07%;学生占64.66%,幼托儿童占16.11%,散居儿童占12.26%,其他占6.92%;有临床合并症的病例占5.77%,合并脑膜炎者占5.29%;合并胰腺炎者占0.48%。结论潍坊市坊子区2009—2013年流行性腮腺炎发病率逐年上升,今后应针对重点人群和高发季节进一步加强流行性腮腺炎监测和预防控制工作。

Objective To study the epidemiological characteristics of mumps from 2009 to 2013 in Fangzi district, Weifang city and provide scientific basis for the prevention and control of epidemicmumps. Methods The data of epidemic mump- swere collected from the information supplied by infectious diseases management system from 2009 to 2013, and epidemio- logical characteristics of mumps were analyzed with descriptive epidemiological method. Results A total of 416 mumps ca- ses were reported in Fangzi district from 2009 to 2013, the annual incidence rate is 10.03/100 000,10.71/100 000,10.74/ 100 000,36.63/100 000, and 24.50/100 000, respectively; and the average annual incidence rate is 20.97/100 000. The incidence rate of male was 28.92/100 000, famle was 12.93/100 000. The incidence rate for 0-2, 3-9,10-24, and 25-55 years groupis 30.81/100 000, 125.74/100 000, 49.11/100 000, and 1.43/100 000,respectively. The highest number of cases （ 98 cases ） is in Xiashan ecological development area, accounting for 23.56% in total cases ; there are 92 cases in Phoenix and Kowloon Jieban, respectively, eachaccounting for 22.12% in total cases. Incidence peaks are in March to July and December to January in next year, 63.70% cases occur in March to July, 17.07% cases in December. Cases of student, child in kindergarten, scattered children and others account for 64.66%, 16.11%, 12.26%, and 6.92%, respectively. The cases with clinical complication account for 5.77% in total cases, with meningitis for 5.29% and with pancreatitis for 0.48%. Conclusion Mumps incidence increased yearly from 2009 to 2013 in Fangzi district, Weifang city, it should focus on susceptible population and high incidence season to strengthen prevention and control mumps in the future.