军队流行性出血热流行现况分析

Epidemiological analysis of epidemic hemorrhagic fever in PLA

目的分析军队流行性出血热流行病学特征,为部队防控提供参考依据。方法收集1991年1月至2016年7月军队流行性出血热的疫情监测数据及1949年以来的文献资料,并进行流行病学分析。结果文献共报道23起流行性出血热暴发疫情;驻东北地区部队暴发17起,占73.91%,明显高于其他地区部队(P<0.01);1991年1月至2016年7月军队疫情监测管理信息系统和军队突发公共卫生事件和传染病疫情报告信息系统共上报暴发疫情12起,流行性出血热1666例,发病总体呈下降趋势;驻华北地区部队上报病例最多,为734例,占46.00%(P<0.01);男性明显多于女性(P<0.01);战士发病人数明显多于军官(P<0.05);营区内发病明显多于营区外发病(P<0.05)。结论军队流行性出血热总体发病情况趋于平稳,在年龄、地区、发病地点分布等方面存在显著差异,应加强监测,制定综合防控措施,提升高流行区域驻军流行性出血热卫生防控能力和水平。

Objective To analyze the epidemiological characteristics of epidemic hemorrhagic fever（ EHF） in Chinese PLA,and to provide scientific evidence for its prevention and control in military troops. Methods Surveillance data from January 1991 to July 2016 and articles of EHF about PLA were collected and analysed. Results A total of 23 EHF outbreaks were reported by articles in PLA and 17 outbreaks were reported in Northeast,predominant of all reported area and accounting for 73. 91%（ P〈0. 01）. 1666 cases and 12 outbreaks were reported by the system of army epidemic situation inspection information administration and army public health emergencies and infectious disease reporting information from January 1991 to July 2016,with downward trend of overall incidence,which distributed 734 cases in North China and accounted for 46%（ P〈0. 01）. The number of male patients is more than the female（ P〈0. 01）. The number of soldier patients is obviously increased compared with the officer（ P〈0. 05）. Camp is the most infected place（ P〈0. 05）.Conclusion The occurrence of EHF become stable in the PLA,which showed significant difference in gender,occupation categories and infected regions was found. Monitoring should be straightened and comprehensive prevention and control measures should be developed to enhance the ability and level to prevent and control the EHF in high epidemic area in PLA.