2013～2017年沈阳市猩红热流行病学特征分析

Analysis on epidemiological characteristics of scarlet fever,Shenyang city,2013-2017

目的了解沈阳市猩红热发病强度和流行特征,为制定防治规划和评价实施效果提供准确依据。方法利用描述流行病学方法分析2013～2017年沈阳市猩红热疫情资料。结果沈阳市2013～2017年共报告猩红热发病8 663例,年均报告发病率为21.02/10万。男性年均报告发病率为25.01/10万(5 220例),女性为16.93/10万(3 443例)(P <0.01)。幼托儿童、学生、散居儿童报告发病数分别占全部报告发病数的42.70%(3 699例)、40.86%(3 540例)、15.11%(1 309例);3～8岁发病数占全部报告发病数的86.52%(7 495例);5～6、11～12月报告发病数占全年报告发病数的24.66%(2 136例)、31.89%(2 763例)。结论 2013～2017年沈阳市猩红热男性发病率高于女性,职业高峰明显,以春末夏初和冬季高发。

Objective To understand the morbidity level and epidemiological characteristics of scarlet fever in Shenyang city,so as to provide the accurate basis for scarlet fever prevention implementation and effect evaluation. Methods Analysis was made on the scarlet fever epidemic data in Shenyang city during 2013-2017 by using the descriptive epidemiological method. Results A total of 8 663 cases of scarlet fever were reported in Shenyang city during 2013-2017,and the average annual incidence was 21.02/105;the male average annual incidence was 25.01/105(5 220 cases),the female average annual incidence was 16.93/105(3 443 cases)(P <0.01);the kindergarten children,students and scattered children accounted for 42.70%(3 699 cases),40.86%(3 540 cases)and 15.11%(1 309 cases)respectively;the number of3-8 years old accounted for 86.52%(7 495 cases);the number of reported cases during May-June and November-December accounted for 24.66%(2 136 cases)and 31.89%(2 763 cases). Conclusion The average annual incidence of scarlet fever in male is higher than that of female in Shenyang city from 2003 to 2017,with obvious peaks in occupation.The cases concentrate in late spring and early summer and winter.