2005—2017年阿克苏地区流行性腮腺炎流行特征分析

Analysis of epidemiological characteristics of mumps in Aksu prefecture from 2005 to 2017

目的了解2005-2017年新疆阿克苏地区流行性腮腺炎的流行特征,为下一步制定防控策略提供依据。方法收集2005-2017年中国疾病预防控制信息管理系统中阿克苏地区报告的流行性腮腺炎病例资料,建立数据库,采用描述流行病学方法分析数据。结果2005-2017年阿克苏地区共报告病例5635例、年均发病率16.38/10万,发病率2005年最高(39.29/10万)、2014年最低(3.12/10万);呈季节性发病、4-7月和11月-次年1月为高峰期,库车县发病数最多(1669例)、发病率最高(29.26/10万);以学龄儿童为主,7岁发病率最高(156.42/10万);男性发病率(20.47/10万)高于女性(15.61/10万),差异无统计学意义(χ^2=0.5968,P>0.05)。结论阿克苏地区流行性腮腺炎发病呈下降趋势,中小学校和托幼机构是阿克苏地区流行性腮腺炎防控工作重点地区。

Objective To understand the epidemiological characteristics of mumps in Aksu prefecture from 2005 to 2017,and provide basis for further formulating prevention and control strategy.Methods The mumps information reported in Aksu prefecture from 2005 to 2017 were collected from Chinese information management system for disease prevention and control to establish database,and analyzed with descriptive epidemiological method.Results Totally 5635 cases of mumps were reported in Aksu prefecture from 2005 to 2017,with average annual incidence of 16.38/lakh.The incidence rate was the highest(39.29/lakh)in 2005,and the lowest(3.12/lakh)in 2014.The epidemic of mumps presented seasonal variation,with two peak periods from April to July and from November to January of the next year.The number of mumps cases and incidence rate in Kuche county was the highest(1669,29.26/lakh).The incidence rate was the highest at the age of 7 years(156.42/lakh),and mainly in the school-age children.The incidence was higher in the male(20.47/lakh)than in the female(15.61/lakh)without statistical difference(χ^2=0.5968,P>0.05).Conclusions The epidemic of mumps presents downward trend in Akesu prefecture.The kindergartens,primary and middle schools are still the key point for mumps prevention and control in Aksu prefecture.