2014—2022年云南省细菌性痢疾流行病学特征分析

张荣兵; 田荣; 何继波; 陈莉华

doi:10.16462/j.cnki.zhjbkz.2024.06.004

2014—2022年云南省细菌性痢疾流行病学特征分析

doi: 10.16462/j.cnki.zhjbkz.2024.06.004

张荣兵^{1, 2},
田荣²,
何继波¹,
陈莉华^1, ,

1.
云南省疾病预防控制中心疫情监测/突发公共卫生事件处置中心, 昆明 650022
2.
昆明市疾病预防控制中心地方病与寄生虫病防制科, 昆明 650228

基金项目:

教育部哲学社会科学研究重大课题 21JZD039

详细信息

通讯作者:
陈莉华，E-mail: 312728767@qq.com

中图分类号: R183.4
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- 文章访问数: 109
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- 被引次数: 0
出版历程
- 收稿日期: 2024-03-15
- 修回日期: 2024-05-26
- 网络出版日期: 2024-07-13
- 刊出日期: 2024-06-10

Epidemiological characteristics of bacterial dysentery in Yunnan Province from 2014 to 2022

ZHANG Rongbing^{1, 2},
TIAN Rong²,
HE Jibo¹,
CHEN Lihua^{1
, ,}

1.
Epidemic Monitoring/Emergency Public Health Response Center, Yunnan Center for Disease Prevention and Control, Kunming 650022, China
2.
Department of Endemic and Parasiticdisease Prevention and Control, Kunming Center for Disease Prevention and Control, Kunming 650228, China

Funds:

Major Project of Philosophy and Social Sciences Research by the Mministry of Education 21JZD039

More Information

Corresponding author: CHEN Lihua, E-mail: 312728767@qq.com

摘要

摘要: 目的了解云南省细菌性痢疾(简称菌痢)流行特征，为云南省菌痢防控提供依据。方法从中国疾病预防控制信息系统中收集2014—2022年云南省报告的所有菌痢病例, 运用Excel 2019软件作图分析人群特征，采用ArcGIS 10.3软件绘制疫情地区分布图，对各地区发病率与气候特征的相关性进行Spearman相关性检验，运用描述流行病学方法对2014—2022年云南省菌痢流行病学特征进行分析。结果 2014—2022年，云南省共计报告菌痢病例30 309例，年均发病率为7.03/10万。高发区域呈从西北部至东南部的带状分布，城区发病率为7.36/10万，以学生和儿童为主；郊区发病率为6.93/10万，以农民为主。人群分布中男女比例为0.99∶1.00；以农民和散居儿童较多(72.33%)；年龄以0~＜10岁最多(40.82%)。发病高峰期为5—7月(37.61%)。病原菌以福氏志贺菌、宋内志贺菌为主。结论云南省菌痢以散发为主，应因地制宜、针对重点人群采取健康教育等综合措施，同时加强重点场所的管理，防止疫情暴发。
- 细菌性痢疾 /
- 流行病学特征 /
- 饮用水安全
Abstract: Objective To understand the epidemic characteristics of bacillary dysentery in Yunnan Province and provide reference for the prevention and treatment of bacillary dysentery in Yunnan Province. Methods All cases of bacillary dysentery reported in Yunnan Province during 2014-2022 were collected from the "China Disease Prevention and Control Information System". Excel 2019 software was used to map the population characteristics, ArcGIS 10.8 software was used to map the distribution of epidemic areas, and spearman correlation test was conducted on the correlation between incidence and climate characteristics in each region. Descriptive epidemiological methods were used to analyze the bacillary dysentery epidemic in Yunnan Province from 2014 to 2022. Results From 2014 to 2022, a total of 30 309 cases of bacillary dysentery were reported in Yunnan Province, with an average annual incidence rate of 7.03 per 100 000. The high-incidence areas were distributed from northwest to southeast, with an incidence rate of 7.36 per 100 000 in urban areas. Students and children were the main cases. The incidence rate in rural areas was 6.93 per 100 000, mainly farmers. The ratio of males to females in the population distribution was 0.99%; farmers and scattered children accounted for 72.33%; the age group of 0-< 10 years old accounted for the largest proportion, accounting for 40.82%. The peak period of incidence was from May to July, accounting for 37.61%. The main pathogenic bacteria were Shigella flexneri and Shigella sonnei. Conclusions Bacillary dysentery is mainly sporadic in Yunnan Province. Comprehensive measures such as health education according to local conditions should be taken. At the same time, the management of key places should be strengthened to prevent epidemic outbreaks.
- Bacillary dysentery /
- Epidemiological characteristics /
- Drinking water safety

HTML全文

图 1 2014—2022年云南省菌痢病例性别年龄分布

Figure 1. Gender and age distribution of dysentery cases in Yunnan Province from 2014 to 2022

下载: 全尺寸图片幻灯片

图 2 2014—2022年云南省各州(市)细菌性痢疾发病率地区分布

Figure 2. Regional distribution of incidence rate of bacillary dysentery in Yunnan Province from 2014 to 2022

下载: 全尺寸图片幻灯片

表 1 2014—2022年云南省各州(市)气候因素与细菌性痢疾发病率

Table 1. Climatic factors and incidence of dysentery in various states and cities in Yunnan Province from 2014 to 2022

地区Regions	年均降雨量/mm Annual rainfall /mm	年均气温/℃ Annual average temperature /℃	病例数 Number of cases	总人口数/万人 Total population /10 000 people	发病率/10万^-1 Incidence rate /100 000^-1
迪庆藏族自治州Diqing Tibetan Autonomous Prefecture	663.17	8.32	1598	366.92	43.55
大理白族自治州Dali Bai Autonomous Prefecture	767.08	16.46	5 444	3 233.51	16.84
楚雄彝族自治州Chuxiong Yi Autonomous Prefecture	835.57	17.54	1 696	2 475.90	6.85
玉溪市Yuxi City	869.77	17.91	1 082	2 130.09	5.08
昭通市Zhaotong City	910.13	16.26	1 731	4 965.30	3.49
昆明市Kunming City	901.62	16.54	3 799	6 099.38	6.23
丽江市Lijiang City	978.55	16.25	1 405	1 161.10	12.10
曲靖市Qujing City	997.23	14.98	2 224	5 490.05	4.05
文山壮族苗族自治州Wenshan Zhuang and Miao Autonomous Prefecture	1 114.70	17.89	2 547	3 274.77	7.78
保山市Baoshan City	1 155.97	16.77	366	2 342.70	1.56
怒江傈僳族自治州Nujiang Lisu Autonomous Prefecture	1 125.04	16.33	1 719	496.69	34.61
红河哈尼族彝族自治州Honghe Hani and Yi Autonomous Prefecture	1 164.45	19.19	3 843	4 230.58	9.08
临沧市Lincang City	1 194.18	19.21	1 628	2 266.68	7.18
西双版纳傣族自治州Dai Autonomous Prefecture of Xishuangbanna/Sipsongpanna	1 265.95	21.38	266	1 059.22	2.51
德宏傣族景颇族自治州Dehong Dai and Jingpo Autonomous Prefecture	1 281.16	19.78	567	1 159.91	4.89
普洱市Pu′er City	1 380.18	19.58	394	2 366.05	1.67
注：①以人数(占比/%)表示。 Note: ①Number of people (proportion/%).

下载: 导出CSV

表 2 2014—2022年云南省细菌性痢疾病例职业分布

Table 2. Occupational distribution of dysentery cases in Yunnan Province from 2014 to 2022

职业分布Occupational distribution	总人数 ^① Total ^① (n=30 309)	郊区 ^① Suburban ^① (n=22 837)	城区 ^① Urban ^① (n=7 472)	χ²值 value	P值 value
农民Farmer	12 365(40.79)	10 609(35.00)	1 756(5.79)	20.137	＜0.001
散居儿童Scattered children	9 557(31.54)	7 179(23.69)	2 378(7.85)
学生Student	3 063(10.10)	2 205(7.27)	858(2.83)
幼托儿童Preschool care children	1 597(5.27)	1 129(3.73)	468(1.54)
家务及待业Housekeeping and unemployment	1 039(3.43)	330(1.09)	709(2.34)
离退人员Retiree	874(2.88)	415(1.37)	459(1.51)
工人Worker	375(1.24)	204(0.67)	171(0.57)
干部职员Cadres and staff	369(1.22)	222(0.73)	147(0.49)
商业服务Business service	256(0.84)	95(0.31)	161(0.53)
教师Teacher	181(0.60)	122(0.40)	59(0.20)
民工Migrant labourer	170(0.56)	101(0.33)	69(0.23)
医务人员Medical staff	91(0.30)	46(0.15)	45(0.15)
餐饮食品业Catering and food industry	63(0.21)	22(0.07)	41(0.14)
个体Individual	60(0.20)	33(0.11)	27(0.09)
其他Other	249(0.82)	125(0.41)	124(0.41)
注：①以人数(占比/%)表示。 Note: ①Number of people (proportion/%).

下载: 导出CSV

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