汕头市1960～1998年急性传染病死亡趋势分析

Mortality Trend of Acute Infectious Disease Analysis in Shantou,1960～1998

采用时间序列研究方法对汕头市１９６０ ～１９９８ 年急性传染病的死亡趋势进行分析。结果显示３９ 年间该市急性传染病总死亡率呈下降趋势。由６０ 年代的１９－３２／ 十万降至９０ 年代的０－１７／ 十万，尤其是与计划免疫相关的传染病的死亡率下降幅度最大，从１５－６１／ 十万降至０－００４／ 十万；６０ 年代至９０ 年代，死亡首位由呼吸道传染病转变为肠道传染病，主要死因由流脑、乙脑、麻疹转为病毒性肝炎、狂犬病、伤寒及艾滋病。今后重点是加强肠道传染病，尤其是霍乱、病毒性肝炎。

The mortality trend of acute infectious disease in Shantou during 1960-1998 was analyzed by time alignment method. The result showed the total mortality rate of acute infectious disease declined form 19.32 per 10 5 in 1960s to 0.17 per 10 5 in 1990s,and the mortality rate related to EPI decreased most significantly from 15.61 per 10 5 in 1960s to 0.004 per 10 5 in 1990s. The top rank order of cause of death was respiratory infectious disease in 1960s and intestinal infectious disease in 1990s,and the main cause of death changed from epidemic cerebrospinal meningitis,epidemic encephalitis B and measles to viral hepatitis,rabies,typhoid fever and ADIS. It was indicated that intestinal infectious,disease,especially cholera,viral hepatitis and ADIS control should be reinforced.