云南省楚雄市2007-2016年恙虫病流行特征分析

Analysis on the epidemic characteristics of tsutsugamushi disease from 2007 to 2016 in Chuxiong city,Yunnan province

[目的]分析楚雄市2007-2016年恙虫病的流行特征及影响因素,为恙虫病的预防和控制提供参考依据。[方法]运用描述流行病学方法对楚雄市2007-2016年恙虫病报告数据进行统计分析。[结果]楚雄市2007-2016年共报告恙虫病600例,年均报告发病率10.4/10万,发病率呈逐年上升趋势,2016年最高达45.3/10万。死亡4例,病死率0.7%。疫情主要集中在山区,前5位高发乡镇报告470例(占78.3%);季节性明显,8-10月为发病高峰期共506例(占83.8%);男女发病分别为268例、332例,男女性别比为1∶1.24,50岁~组发病率最高(26.6/10万),农民高发(占84.0%);临床诊断病例占99.3%,县级以上医疗机构报告占63.7%。[结论]楚雄市恙虫病发病率逐年上升,应采取包括灭鼠、灭恙螨和个体防护的综合措施,夏秋季节对山区乡镇重点人群加强健康教育,加大基层医务人员的专业知识培训,提高其诊疗水平、报告意识及实验室检测能力,以控制恙虫病的发生和流行。

Objective To analyze the epidemic characteristics and influencing factors of tsutsugamushi disease from2007to2016in Chuxiong city so as to provide reference basis for tsutsugamushi disease prevention and control Methods It conducted statistical analysis on tsutsugamushi disease report data from2007to2016by descriptive epidemiology Results From2007to2016,600cases of tsutsugamushi disease were reported in Chuxiong city,annual average incidence report was104/100,000The incidence was increasing year by year,it reached453/100,000in2016Four cases died and fatality rate was07%The epidemic was mainly concentrated in mountainous areas,with470cases reported in top five townships(783%)Seasonal variation was clear,there were506cases(838%)in August and October There were268and332cases of male and female,and the ratio of male and female was1∶124The incidence of above50years old was the highest(266/100,000),and the farmersincidence was840%Clinical diagnosis accounted for993%,report ratio of above county level medical institutions was637%Conclusions The incidence of tsutsugamushi disease is rising year by year in Chuxiong city It need to take comprehensive measures including deratization,vanish chigger and individual protection Strengthen health education tomountain towns focus groups in,summer and autumn Increase professional knowledge train to grassroots health workers,improve their diagnosis treatment level,report consciousness and laboratory testing capabilities so as to control the occurrence and prevalence of tsutsugamushi disease.