济宁市2009-2016年肠道传染病流行状况及疾病负担分析

张璟; 刘伟; 刘艳挪; 王文军

doi:10.16462/j.cnki.zhjbkz.2019.02.019

济宁市2009-2016年肠道传染病流行状况及疾病负担分析

doi: 10.16462/j.cnki.zhjbkz.2019.02.019

张璟¹,
刘伟²,
刘艳挪¹,
王文军^1, ,

1.
272000 济宁, 济宁医学院公共卫生学院环境卫生学教研室
2.
272000 济宁, 济宁市疾病预防控制中心传染病科

基金项目:

山东省高等学校科技计划项目 J16LD53

山东省高等学校科技计划项目 J13LK53

山东省自然科学基金 ZR2014HL092

济宁医学院扶贫专项 JYFC2018FP003

详细信息

通讯作者:
王文军, E-mail: wwjun1973@163.com

中图分类号: R183.4
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出版历程
- 收稿日期: 2018-08-08
- 修回日期: 2018-11-09
- 刊出日期: 2019-02-10

Analysis on the epidemic status and the burden of intestinal infectious diseases in Jining city from 2009 to 2016

1.
Section of Evironmental Health, School of Public Health, Jining Medical University, Jining 272000, China
2.
Department of Infectious Disease, Jining Municipal Center for Disease Control and Prevention, Jining 272000, China

Funds:

Project of Shandong Province Higher Educational Science and Technology Program J16LD53

Project of Shandong Province Higher Educational Science and Technology Program J13LK53

Natural Science Foundation of Shandong Province ZR2014HL092

Special Help-the-poor funds of Jining Medical University JYFC2018FP003

More Information

Corresponding author: WANG Wen-jun, E-mail: wwjun1973@163.com

摘要

摘要: 目的对济宁市2009-2016年肠道传染病疾病负担进行分析，确定该地区的流行趋势和高危人群，为疾病防治提供依据。方法收集法定传染病上报系统济宁市2009-2016年肠道传染病资料，计算总体发病率、伤残生命年（years lived with disability，YLDs）和YLDs强度。结果 2009-2016年济宁市肠道传染病年均发病率为128.81/10万，依次为其他感染性腹泻（74.74/10万）、手足口病（49.15/10万）、细菌性痢疾（3.65/10万）、戊型肝炎（0.57/10万）、急性出血性结膜炎（0.37/10万）和甲型肝炎（0.34/10万）。5~8月高发。总YLDs为593.04人年，男性372.31人年，女性220.73人年；依次为手足口病（326.88人年）、其他感染性腹泻（235.74人年）、戊型肝炎（10.65人年）、细菌性痢疾（10.09人年）、甲型肝炎（7.71人年）和急性出血性结膜炎（1.97人年），对应YLDs强度为0.489、0.353、0.016、0.015、0.012和0.003人年/10万。结论 2009-2016年济宁市肠道传染病以手足口病和其他感染性腹泻为主，夏季高发，学龄前儿童和老年人是高发人群。提示疾病防控部门可根据人群和季节发病特点，采取措施加以防控。
- 肠道传染病 /
- 疾病负担 /
- 伤残生命年
Abstract: Objective To analyze the burden of intestinal infectious diseases in Jining city from 2009 to 2016, determine the epidemic trends and the high-risk groups in this area, so as to provide evidence for the prevention and control of intestinal infectious diseases. Methods The intestinal infectious diseases case information were collected from the Infectious Diseases Surveillance Information Reporting System. Based on these data, the incidence rate, the years lived with disability (YLDs) and the intensity of YLDs of intestinal infectious diseases was calculated. Results From 2009 to 2016, the annual incidence rate of intestinal infectious diseases in Jining city was 128.81/100 000, the annual incidence rate of subtype diseases in the descending order were other infectious diarrhea (74.74/100 000), hand-foot-and-mouth disease (49.15/100 000), bacillary dysentery (3.65/100 000), hepatitis E (0.57/100 000), acute hemorrhagic conjunctivitis (0.37/100 000) and hepatitis A (0.34/100 000). The highest incidence of intestinal infectious diseases was at May to August. The total YLDs caused by intestinal infectious diseases were 593.04 person-years, including 372.31 person-years for males and 220.73 person-years for females. The YLDs ranked in descending order were of hand-foot-mouth disease (326.88 person-years), other infectious diarrhea (235.74 person-years), hepatitis E (10.65 person-years), bacillary dysentery (10.09 person-years), hepatitis A (7.71 person-years), and acute hemorrhagic conjunctivitis (1.97 person-years), and the corresponding intensity of YLDs were 0.489, 0.353, 0.016, 0.015, 0.012, and 0.003 person-years/100 000, respectively. Conclusions The hand-foot-and-mouth disease and the other infectious diarrhea were the main intestinal infectious diseases subtypes prevailed in Jining city from 2009 to 2016, whose incidence was highest in the season of summer, and the preschool children and elderly people were the high-risk populations. According to its incidence characteristic, relevant government departments can take effective measures to prevent and control the intestinal infectious diseases in Jining city.
- Intestinal infectious diseases /
- Burden of disease /
- Years lived with disability

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图 1 济宁市2009-2016年肠道传染病平均年发病率

Figure 1. Annual incidence rate of intestinal infectious diseases in Jining city from 2009 to 2016

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图 2 济宁市2009-2016年肠道传染病在不同月份的平均发病率

Figure 2. Monthly incidence rate of intestinal infectious diseases in Jining city from 2009 to 2016

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表 1 济宁市2009-2016年不同性别肠道传染病发病率、YLDs及YLD强度

Table 1. Gender-specific incidence rate, YLDs and the intensity of YLDs of intestinal infectious diseases in Jining city from 2009 to 2016

年度(年)	男性			女性			合计
年度(年)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)
2009	119.71	44.79	1.046	69.62	23.98	0.595	95.43	68.77	0.827
2010	109.34	33.53	0.772	61.12	16.72	0.409	85.96	50.25	0.596
2011	72.74	19.48	0.446	45.28	10.58	0.258	59.42	30.07	0.355
2012	155.45	44.46	1.019	94.51	24.05	0.586	125.90	68.50	0.809
2013	142.67	39.43	0.933	102.34	25.01	0.629	123.12	64.44	0.785
2014	203.64	64.98	1.531	139.63	39.08	0.978	172.61	104.06	1.263
2015	164.04	46.06	1.078	132.98	32.33	0.803	148.98	78.39	0.945
2016	264.23	79.58	1.849	174.88	48.97	1.209	220.92	128.55	1.539
合计	153.74	372.31	1.082	102.32	220.73	0.682	128.81	593.04	0.888

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表 2 济宁市2009-2016年不同年龄人群肠道传染病发病率、YLDs及YLD强度

Table 2. Age-specific incidence rate, YLDs and the intensity of YLDs of intestinal infectious diseases in Jining city from 2009 to 2016

年龄组(岁)	手足口病			细菌性痢疾			其他感染性腹泻			急性出血性结膜炎			甲型肝炎			戊型肝炎			合计
年龄组(岁)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)	发病率(/10万)	YLDs (人年)	YLDs强度(人年/10万)
0~	520.12	251.78	5.180	17.92	3.96	0.082	337.07	85.87	1.767	0.31	0.13	0.003	0.31	0.44	0.009	0.51	0.57	0.012	876.24	342.75	7.051
5~	32.62	24.23	0.325	3.00	0.85	0.011	35.50	11.67	0.156	0.31	0.22	0.003	0.20	0.45	0.006	0.07	0.12	0.002	71.68	37.54	0.503
15~	8.53	12.63	0.085	1.98	1.11	0.007	57.21	36.80	0.248	0.32	0.44	0.003	0.49	2.55	0.017	0.18	0.77	0.005	68.71	54.30	0.365
30~	9.10	12.61	0.091	1.79	0.94	0.007	53.13	32.00	0.230	0.43	0.56	0.004	0.32	1.53	0.011	0.42	1.65	0.012	65.20	49.29	0.354
45~	8.32	12.58	0.083	2.25	1.29	0.008	46.46	30.55	0.201	0.43	0.62	0.004	0.30	1.59	0.010	0.82	3.55	0.023	58.58	50.17	0.330
≥60	12.48	13.06	0.124	4.34	1.94	0.018	75.49	38.85	0.370	0.34	0.34	0.003	0.30	1.13	0.011	1.34	4.00	0.038	94.30	59.32	0.565
合计	49.15	326.88	0.489	3.65	10.09	0.015	74.74	235.74	0.353	0.37	1.97	0.003	0.34	7.71	0.012	0.57	10.65	0.016	128.81	593.04	0.888

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