摘要
目的分析黑龙江省肾综合征出血热(HFRS)流行特征,为疫情监测、防控提供参考。方法利用黑龙江省传染病报告信息管理系统收集2018年HFRS病例资料,用描述性流行病学方法进行统计分析。结果 2018年黑龙江省共报告1 249例HFRS患者,报告发病率为3.3/10万,死亡率为0.03/10万,为近3年来的最高水平。1 150例病例调查资料表明,全省13个地(市)均有病例,其中哈尔滨、佳木斯、黑河及齐齐哈尔等市报告数较多,各地不同年发病率差异无统计学意义(χ^2=1.231,P>0.05);秋冬季为发病高峰,病例相对集中在41~60岁年龄组人群;男女病例性别比为3∶1,发病率差异有统计学意义(χ^2=97.531,P<0.05);病例职业以农民为主,91%的病例从未接种过疫苗,81%的人有明确的接触史。结论黑龙江省HFRS疫情不容忽视,应加强重点人群的防护、疫苗接种、灭鼠和宣传教育等工作,确保重点人群的健康。
Objective To analyze the epidemic characteristics of hemorrhagic fever with renal syndrome(HFRS) in Heilongjiang Province, and to provide reference for epidemic monitoring as well as prevention and control.Methods The data of HFRS cases in 2018 were collected by using Infectious Disease Report Information Management System of Heilongjiang Province, and the descriptive epidemiological method was used for statistical analysis. Results A total of 1249 cases of HFRS were reported in Heilongjiang Province in 2018, the incidence rate was 3.3/100000, and the mortality rate was 0.03/100000, which was the highest level in the past three years. According to the investigation data of 1150 cases, there were HFRS cases in 13 regions(prefecture level cities) in the whole province, and the reported number in Harbin, Jiamusi, Heihe and Qiqihar were more than others. There was no significant difference in incidence rate between different places and between different years(χ^2=1.231, P>0.05), and the peak incidence was in autumn and winter, and the cases were relatively concentrated in 41-60 age group and gender ratio of male to female was 3:1, and the difference of incidence rate was statistically significant(χ^2=97.531, P<0.05);the occupation of cases was mainly farmers, 91% of cases had never been vaccinated, and 81% of them had a clear history of contact.Conclusion The epidemic situation of HFRS in Heilongjiang Province should not be ignored. Focusing on the key population, the work of protection, vaccination, deratization, publicity and education should be strengthened to ensure the health of the key population.
作者
华华
杨明
陈淑红
胡泉博
李冀宏
HUA Hua;YANG Ming;CHEN Shu-hong;HU Quan-bo;LI Ji-hong(Heilongjiang Provincial Center for Disease Prevention and Control,Harbin,Heilongjiang 150000,China)
出处
《中国公共卫生管理》
2020年第4期550-552,共3页
Chinese Journal of Public Health Management
基金
黑龙江省卫生健康委科研课题(2017-534)
黑龙江省科学基金项目(H2018042)。
关键词
肾综合征出血热
流性特征
流行病学调查
疫情分析
hemorrhagic fever with renal syndrome(HFRS)
epidemiological characteristics
epidemiological investigation
epidemic analysis
