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预防医学  2024, Vol. 36 Issue (7): 566-570    DOI: 10.19485/j.cnki.issn2096-5087.2024.07.004
  论著 本期目录 | 过刊浏览 | 高级检索 |
2005—2023年湖州市法定传染病发病趋势分析
刘艳1, 沈建勇2, 王雨达1, 刘光涛1, 孙秀秀1, 张子喆1
1.湖州市疾病预防控制中心传染病预防控制科,浙江 湖州 313000;
2.湖州市疾病预防控制中心,浙江 湖州 313000
Trends in incidence of notifiable infectious diseases in Huzhou City from 2005 to 2023
LIU Yan1, SHEN Jianyong2, WANG Yuda1, LIU Guangtao1, SUN Xiuxiu1, ZHANG Zizhe1
1. Department of Infectious Disease Control and Prevention, Huzhou Center for Disease Control and Prevention, Huzhou, Zhejiang 313000, China;
2. Huzhou Center for Disease Control and Prevention, Huzhou, Zhejiang 313000, China
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摘要 目的 了解2005—2023年浙江省湖州市法定传染病发病趋势及流行特征,为完善传染病监测与防控工作提供依据。方法 通过中国疾病预防控制信息系统传染病报告信息管理系统收集2005—2023年湖州市法定传染病病例资料,计算平均年度变化百分比(AAPC)和年度变化百分比(APC)分析发病率的时间变化趋势;描述性分析法定传染病发病的人群分布和季节特征。结果 2005—2023年湖州市累计报告法定传染病504 283例,年均粗发病率为892.65/10万,年均标化发病率为989.21/10万。2005—2023年湖州市法定传染病发病率整体呈上升趋势(AAPC=8.886%,P<0.05),其中2021—2023年存在明显上升趋势(APC=95.996%,P<0.05);去除新型冠状病毒感染后发病趋势基本不变(AAPC=7.970%,P<0.05)。2005—2023年甲乙类传染病发病率整体无明显变化趋势(P>0.05),甲乙类呼吸道传染病发病率呈上升趋势(AAPC=6.958%,P<0.05),去除新型冠状病毒感染后,两者呈下降趋势(AAPC=-7.680%、-8.660%,均P<0.05);甲乙类消化道传染病、血源及性传播传染病发病率呈下降趋势(AAPC=-14.849%、-5.977%,均P<0.05),自然疫源性及虫媒传染病发病率无明显变化趋势(P>0.05)。丙类传染病发病率整体呈上升趋势(AAPC=13.058%,P<0.05)。男性和女性法定传染病发病率比为1.26(95%CI:1.25~1.27)。<10岁病例报告204 043例,占40.46%。甲乙类呼吸道传染病发病高峰为1月、5月和6月,甲乙类消化道传染病为6—10月,丙类呼吸道传染病为1月、3—4月和12月,丙类消化道传染病为5—8月和11—12月。结论 2005—2023年湖州市法定传染病发病率呈上升趋势,2021—2023年较为明显;男性、<10岁儿童是高发群体;呼吸道和消化道传染病发病具有明显的季节特征。
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刘艳
沈建勇
王雨达
刘光涛
孙秀秀
张子喆
关键词 法定传染病发病率趋势流行特征    
AbstractObjective To investigate the trends in incidence and epidemiological characteristics of notifiable infectious diseases in Huzhou City, Zhejiang Province from 2005 to 2023, so as to provide insights into optimizing infectious disease surveillance and control. Methods Data of notifiable infectious disease cases in Huzhou City from 2005 to 2023 were collected from the Infectious Disease Report Information System of Chinese Disease Prevention and Control Information System. Trends in incidence were analyzed using annual percent change (APC) and average annual percent change (AAPC). The population distribution and seasonal characteristics were descriptively analyzed. Results From 2005 to 2023, a total of 504 283 cases of notifiable infectious diseases were reported in Huzhou City, with an annual crude incidence rate of 892.65/105 and a standardized incidence rate of 989.21/105. The incidence rate of notifiable infectious diseases in Huzhou City showed an upward trend (AAPC=8.886%, P<0.05), of which there was an obvious upward trend from 2021 to 2023 (APC=95.996%, P<0.05). After the removal of COVID-19 incidence, the incidence trend was basically unchanged (AAPC=7.970%, P<0.05). From 2005 to 2023, the incidence rate of class A and B notifiable infectious diseases showed no obvious trend (P>0.05), and the incidence rate of class A and B respiratory infectious diseases showed an upward trend (AAPC=6.958%, P<0.05). After the removal of COVID-19 incidence, the two showed a downward trend (AAPC=-7.680% and -8.660%, both P<0.05). The incidence rate of class A and class B intestinal infectious diseases, blood-borne and sexually transmitted infectious diseases showed a downward trend (AAPC=-14.849% and -5.977%, both P<0.05), while the incidence rates of natural and insect-borne infectious diseases did not show a significant trend (P>0.05). The overall incidence rate of class C infectious diseases showed an upward trend (AAPC=13.058%, P<0.05). The incidence rate ratio (IRR) of notifiable infectious diseases between males and females was 1.26 (95%CI: 1.25-1.27). A total of 204 043 cases under 10 years were reported, accounting for 40.46%. The peak incidence of class A and B respiratory infectious diseases was in January, May and June, while that of class A and B intestinal infectious diseases was from June to October. The peak incidence of class C respiratory infectious diseases was in January, March, April and December, while that of class C intestinal infectious diseases was from May to August and from November to December. Conclusions The incidence rate of notifiable infectious diseases in Huzhou City showed an upward trend from 2005 to 2023, which was more obvious from 2021 to 2023. Men and children under 10 years were the high-risk population. The incidence of respiratory and intestinal infectious diseases had obvious seasonal characteristics.
Key wordsnotifiable infectious diseases    incidence    trend    epidemiological characteristics
收稿日期: 2024-01-29      修回日期: 2024-04-03      出版日期: 2024-07-10
中图分类号:  R181.3  
基金资助:湖州市科学技术局公益性应用研究项目(2022GYB10); 湖州市疾控中心重点学科:急性传染病学(ZDXK202202); 湖州市医学重点支撑学科项目(流行病学)
作者简介: 刘艳,硕士,主管医师,主要从事急性传染病预防控制工作
通信作者: 沈建勇,E-mail:32288746@qq.com   
引用本文:   
刘艳, 沈建勇, 王雨达, 刘光涛, 孙秀秀, 张子喆. 2005—2023年湖州市法定传染病发病趋势分析[J]. 预防医学, 2024, 36(7): 566-570.
LIU Yan, SHEN Jianyong, WANG Yuda, LIU Guangtao, SUN Xiuxiu, ZHANG Zizhe. Trends in incidence of notifiable infectious diseases in Huzhou City from 2005 to 2023. Preventive Medicine, 2024, 36(7): 566-570.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2024.07.004      或      http://www.zjyfyxzz.com/CN/Y2024/V36/I7/566
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