1999—2014年河南省流行性脑脊髓膜炎疫情分析

Analysis on epidemic situation of epidemic cerebrospinal meningitis in Henan from 1999-2014

目的分析河南省1999—2014年流行性脑脊髓膜炎(流脑)的流行病学特征,为全省流脑防控工作提供依据。方法收集1999—2014年"疾病监测信息报告管理系统"和"突发公共卫生事件报告系统"的流脑疫情资料进行分析。结果河南省1999—2014年流脑累计发病1 289例,报告病例数居前3的地区为商丘市(93例)、洛阳市(86例)和郑州市(84例);15岁以下人群发病最多,占62.98%;冬春季为发病高峰,占68.51%;职业主要集中在学生(39.96%)、散居儿童(26.70%)及农民(19.71%)。结论应继续对流脑开展常规监测,密切关注发生在学校和托幼机构等集体单位内的流脑病例,详细调查各地市的首发病例,流脑疫苗的基础免疫、突发事件的规范处置工作仍是河南省下一步流脑防控工作的重点。

[Objective]To analyze the epidemiological characteristics of epidemic cerebrospinal meningitis in Henan from 1999-2014,provide basis for prevention and control work of epidemic cerebrospinal meningitis. [Methods]The data of epidemic cerebrospinal meningitis from 1999-2014 were collected from ＂Disease Monitoring Information Reporting Management System＂ and ＂Public Health Emergency Reporting System＂ and analyzed. [Results]A total of 1 289 cases of epidemic cerebrospinal meningitis were reported in Henan from 1999-2014. The top 3 areas were Shangqiu city（93 cases）,Luoyang city（86 cases） and Zhengzhou city（84 cases）. Most cases（62.98%）were〈15 years old. The peak incidence appeared in winter and spring（68.51%）.The occupational were students（39.96%）,scattered children（26.70%） and farmers（19.71%）. [Conclusion]We should continue on the regular monitoring of epidemic cerebrospinal meningitis,pay close attention to the cases in school,kindergarten and other collective areas and detailed investigate the initial cases. Basal immunity of epidemic meningitis vaccine and normative disposal emergency are the focus of prevention and control work of epidemic meningitis.