2013年安阳市网络监测法定传染病疫情分析

Analysis on epidemic situation of notifiable infectious diseases by network monitoring in Anyang City in 2013

目的了解安阳市法定传染病流行特征，为进一步制定和调整传染病控制策略和措施提供依据。方法对安阳市2013年网络直报法定传染病疫情信息进行描述流行病学分析。结果2013年全市共报告法定传染病23种21363例，总发病率401．26／10万，前5位病种乙型肝炎、肺结核、其他感染性腹泻病、手足口病和丙型肝炎，农民发病11498例（53．82％）为构成最高，其次为散居儿童4722例（22．10％）；0—4岁段发病率1056．72／10万，高于其他各年龄段；血源及性传播疾病9791例，占67．71％；呼吸道传染病3916例，占27．08％。发病以5和10月为峰值点，呈双峰分布。结论安阳市法定传染病以血源及性传播和呼吸道传播为主，4岁以下儿童和农民为重点人群，发病呈一定的季节性分布；传染病工作应以控制血源及性传播和呼吸道传播疾病为重点，加强流行性腮腺炎、手足口病等常见丙类传染病的防控。

[ Objective ] To understand the epidemiological characteristics of notifiable infectious diseases in Anyang City, provide evidence for further development and adjustment of prevention and control strategies. [Methods] Descriptive epidemiological analysis was conducted on the epidemic data of notifiable infectious diseases in Anyang City in 2013, which were collected from network direct reporting system. [Results] 21 363 cases of 23 notifiable infectious diseases were reported in 2013, with the total reported incidence of 401.26/lakh, and the top five diseases were hepatitis B, tuberculosis, other infectious diarrhea, hand foot and mouth disease （HFMD） and hepatitis C. There were 11 498 farmer cases, which accounted for the highest proportion （53.82%）, followed by 4 722 cases of scattered children （22.10%）. The incidence rate in 0-4 year-old age group was 1 056.72/lakh, which was higher than that in other age groups. There were 9 791 （67.71%） cases of blood-borne/sexually transmitted diseases and 3 916 （27.08%） cases of respiratory diseases. The peak seasons appeared in May and October, showing a bimodal distribution. [Conclusion] Blood-borne/sexually transmitted diseases and respiratory diseases are the main notifiable infectious diseases in Anyang City, children under 4 years old and farmers are the high population, and there is a seasonal distribution feature. It is necessary to pay attention to the blood-borne/sexually transmitted diseases, and strengthen the control and prevention of class C infectious diseases, such as mumps and I-IFMD.