安徽省2008-2017年恙虫病流行特征与重复感染分析

朱梦; 姚慧媛; 宋丹丹; 马婉婉; 吴家兵; 龚磊

doi:10.16462/j.cnki.zhjbkz.2019.02.014

安徽省2008-2017年恙虫病流行特征与重复感染分析

doi: 10.16462/j.cnki.zhjbkz.2019.02.014

1.
230601 合肥, 安徽省疾病预防控制中心
2.
230061 合肥, 武警安徽省总队医院

详细信息

通讯作者:
龚磊, E-mail: gong0516@sina.com

中图分类号: R376.2
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出版历程
- 收稿日期: 2018-07-25
- 修回日期: 2018-11-23
- 刊出日期: 2019-02-10

Epidemiological characteristics and repeated infection analysis of scrub typhus in Anhui Province from 2008 to 2017

1.
Anhui Center for Diseases Control and Prevention, Hefei 230601, China
2.
Armed Police Anhui Provincial Corps Hospital, Hefei 230061, China

More Information

Corresponding author: GONG Lei, E-mail: gong0516@sina.com

摘要

摘要: 目的了解安徽省2008-2017年恙虫病流行特征，为制定防治策略和控制措施提供科学依据。方法采用描述流行病学方法对2008-2017年安徽省恙虫病病例进行描述分析。结果 2008-2017年安徽省恙虫病整体发病呈上升趋势（χ²=3 522.49，P<0.001），2016年发病率最高为3.98/10万；病例明显集中在9月份~11月份，属于典型的“秋冬型”，10月达到高峰，具有“10月高发”现象；病例主要集中在40~79岁年龄段，占总报告病例数的76.64%，60~69岁年龄段累计病例数最多，发病以农民为主。结论近年来，安徽省恙虫病发病整体呈上升趋势，需加强对重点地区恙虫病的日常监测工作和恙虫病病原检测工作，积极开展恙虫病的防治与健康教育工作。
- 恙虫病 /
- 流行 /
- 感染 /
- 监测
Abstract: Objective To understand the epidemiological characteristics of scrub typhus in Anhui Province from 2008 to 2017, so as to provide scientific evidence for the development of control strategies and control measures. Methods Descriptive epidemiological methods were used to describe and analyze the cases of scrub typhus in Anhui Province from 2008 to 2017. Results The overall incidence of scrub typhus in Anhui Province showed an upward trend from 2008 to 2017 (χ²=3 522.49, P<0.001). The highest incidence rate in 2016 was 3.98/100 000. The cases were concentrated from September to November. It was a typical "autumn and winter type" and peaked in October. It had the phenomenon of "high incidence in October"; the cases were mainly concentrated in the age group of 40-79 years old, accounting for 76.64% of the total reported cases. The cumulative number of cases in the 60-69 age group was the largest, and the incidence was mainly farmers. Conclusions In recent years, the incidence of scrub typhus in Anhui Province has shown an upward trend. It is necessary to strengthen the routine monitoring of scrub typhus in key areas and the detection of scrub typhus pathogens, and actively carry out prevention and health education of scrub typhus.
- Scrub typhus /
- Incidence /
- /
- Epidemiologic studies

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图 1 2008-2017年安徽省恙虫病报告病例时间分布

Figure 1. Time distribution in scrub typhus cases in Anhui Province from 2008 to 2017

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图 2 2008年-2017年安徽省各地区恙虫病发病率分布(/10万)

Figure 2. Regions distribution of scrub typhus incidence in Anhui Province from 2008 to 2017(/100 000)

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表 1 2008-2017年安徽省恙虫病报告情况

Table 1. The incidence of scrub typhus in Anhui Province from 2008 to 2017

年份	报告病例数(n)	年报告发病率(/10万)
2008	211	0.34
2009	191	0.31
2010	488	0.80
2011	970	1.63
2012	874	1.46
2013	712	1.19
2014	1 432	2.37
2015	2 417	3.97
2016	2 445	3.98
2017	1 311	2.12
合计	11 051	1.82

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表 2 2008-2017年安徽省恙虫病病例年龄分布

Table 2. Age distribution in scrub typhus cases in Anhui Province from 2008 to 2017

年龄组(岁)	性别		合计[n(%)]
年龄组(岁)	男	女	合计[n(%)]
0~	214	158	372(3.37)
10~	123	99	222(2.01)
20~	237	510	747(6.76)
30~	360	437	797(7.21)
40~	810	1 018	1 828(16.54)
50~	853	1 309	2 162(19.56)
60~	1 196	1 650	2 846(25.75)
70~	794	839	1 633(14.78)
≥80	214	230	444(4.02)
总计	4 801	6 250	11 051(100.00)

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