上海市诺如病毒感染性腹泻疾病负担的评估

Assessment of the disease burden of infectious diarrhea caused by Norovirus in Shanghai

目的对上海市诺如病毒感染性腹泻的疾病负担进行综合评估,为管理部门制定预防和控制诺如病毒感染的措施提供依据。方法结合上海市哨点医院诺如病毒感染性腹泻监测和诺如病毒感染暴发事件报告,采用伤残调整寿命年(DALYs)、发病率、就诊率和住院率等指标对上海市诺如病毒感染性腹泻的疾病负担进行评估。结果 2015年上海市感染性腹泻发病人数为483.05万人,其中诺如病毒感染性腹泻的发病人数为123.23万人,住院病例为370人,所产生的疾病负担为2 938.98 DALYs,即0.12 DALYs/千人。结论上海市诺如病毒感染性腹泻的疾病负担相对较高,需要加强预防控制。

Objective This study aimed to assess the disease burden of infectious diarrhea caused by Norovirus in Shanghai,and provide evidence for the government management decision and control measures of infectious diarrhea and foodborne disease. Methods The disease burden of infectious diarrhea was assess using the data from infectious diarrhea surveillance in Shanghai and the report of Norovirus infection outbreaks in Shanghai. The indexes included disabilityadjusted life years（ DALYs）,morbidity,treatment rate and hospitalization rates. Results The total number of infectious diarrhea cases was 4. 83 million,and 1. 23 million cases were caused by Norovirus,370 cases were hospitalized. The disease burden of infectious diarrhea caused by Norovirus in Shanghai in 2014 was 2 938. 98 DALYs,0. 12 DALYs per thousand. Conclusion The disease burden of infectious diarrhea caused by Norovirus in Shanghai was high,and the government should give more attention to prevention,control and management of infectious diarrhea caused by Norovirus.