广州市本地居民旅行感染传染病特征分析

Epidemiological characteristics of travel related infectious diseases among Guangzhou local residents

目的分析2005-2019年广州市本地居民因旅行感染传染病的流行病学特征,为针对本地居民制订旅行相关传染病健康干预措施提供科学依据。方法收集2005年1月至2019年9月中国疾病预防控制信息系统中输入性传染病信息,结合临床医生的诊断记录,描述广州市本地居民因旅行感染传染病的流行病学特征。结果2005-2019年广州市本地居民共报告因旅行感染传染病1177例,主要为登革热和疟疾,分别占病例总数的54.71%(644/1177)和43.84%(516/1177)。病例以男性为主,占75.96%(894/1177);年龄集中在20~<50岁,占85.56%(1007/1177)。职业排前5位的是商业服务(21.16%,249/1177),工人(16.40%,193/1177),家务待业(13.25%,156/1177),干部职员(9.35%,110/1177),学生(3.91%,46/1177)。旅行相关传染病每年从5月开始上升,在8、9月到达高峰,10月后迅速下降。获得感染的主要地区为亚洲和非洲国家,分别占57.18%(673/1177)和39.34%(463/1177)。结论广州市本地居民旅行感染传染病以登革热和疟疾为主,病例以男性、青壮年、商业服务职业为主,应根据发病人群特点,有针对性地开展健康教育,进一步做好旅行感染传染病防控工作。

Objective To analyze the epidemiological characteristics of travel related infectious diseases among Guangzhou local residents from 2005 to 2019,and provide scientific basis for the health intervention of travel related diseases.MethodFrom January 2005 to September 2019,the information of travel related diseases in the infectious disease reportinformation system of China Center for Disease Control and Prevention was collected,and the epidemiological characteristicsof travel related diseases of local residents in Guangzhou were described based on the diagnosis records of clinicians.Results From 2005 to 2019,1177 cases of travel related diseases,mainly dengue fever and malaria,were reported inGuangzhou.Dengue fever accounted for 54.71%(644/1177)of the total number of cases,and malaria accounted for43.84%(516/1177)of the total number of travel related diseases.The majority of travel related cases were male,accounting for 75.96%(894/1177),and the age range was 20-<50 years old,accounting for 85.56%(1007/1177).Thetop five occupations were business services(21.16%,249/1177),workers(16.40%,193/1177),housework(13.25%,156/1177),cadres and staff(9.35%,110/1177),and students(3.91%,46/1177).Travel related cases began to rise inMay every year,peaked in August and September,and declined rapidly after October.The main import regions were otherAsian countries(57.18%)and Africa(39.34%).Conclusion s Dengue fever and malaria were the main travel relatedinfectious diseases among the permanent residents of Guangzhou.The cases were mainly male,young and middle-aged,andbusiness service occupation.According to the characteristics of the affected population,health education should be carriedout in a targeted way to further prevent and control travel related infectious diseases.