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Epidemiological characteristics of hepatitis A and hepatitis E in Jiaxing City from 2005 to 2021 |
FU Xiaofei, LIU Yanqing, HU Jie, QI Yunpeng, GUO Feifei, ZHA Yiwei
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Department of Infectious Disease Control and Prevention, Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang 314050, China |
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Abstract Objective To investigate the epidemiological characteristics of hepatitis A and hepatitis E in Jiaxing City, Zhejiang Province from 2005 to 2021, so as to provide insights into prevention and control of hepatitis A and hepatitis E. Methods Data of hepatitis A and hepatitis E reported in Jiaxing City from 2005 to 2021 were collected from the Chinese Disease Prevention and Control Information System. The temporal, spatial and population distribution of hepatitis A and hepatitis E were analyzed using a descriptive epidemiological method, and the trends in incidence of hepatitis A and hepatitis E were evaluated using annual percent change (APC). Results Totally 1 830 hepatitis A cases were reported in Jiaxing City from 2005 to 2021, with an annual average incidence of 2.44/105, and 2 deaths were reported, with a fatality rate of 0.11%. The incidence of hepatitis A appeared a tendency towards a decline from 2005 to 2012 (APC=-37.807%, P<0.05) and was relatively stable from 2012 to 2021 (APC=-1.277%, P>0.05), and the incidence peaked from July to September, with a monthly average incidence of 0.30/105. Higher annual average incidence of hepatitis A was seen in urban areas than in rural areas (3.91/105 vs. 1.92/105; P<0.05), among people at ages of 30 to 39 years (4.19/105), and among men than among women (3.00/105 vs. 1.93/105; P<0.05). Farmers were the predominant occupation (759 cases, 41.31%). Totally 2 176 hepatitis E cases were reported in Jiaxing City from 2005 to 2021, with an annual average incidence of 2.91/105, and 7 deaths were reported, with a fatality rate of 0.32%. The incidence of hepatitis E was relatively stable from 2005 to 2011 (APC=3.421%, P>0.05) and appeared a tendency towards a decline from 2011 to 2021 (APC=-4.294%, P<0.05), and the incidence peaked from January to March, with a monthly average incidence of 0.38/105. Higher annual average incidence of hepatitis E was seen in urban areas than in rural areas (3.50/105 vs. 2.70/105; P<0.05), among people at ages of 70 to 79 years (6.20/105), and among men than among women (3.74/105 vs. 2.05/105; P<0.05). Farmers were the predominant occupation (1 079 cases, 49.59%). Conclusions The incidence of hepatitis A and hepatitis E appeared a tendency towards a decline in Jiaxing City from 2005 to 2021. The incidence of hepatitis A was high in summer, and cases were mainly males, young and middle-aged people and farmers. The incidence of hepatitis E was high in winter, and cases were mainly males, elderly people and farmers.
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Received: 03 July 2023
Revised: 17 August 2023
Published: 06 September 2023
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[1] 李兰娟,任红.传染病学[M].9版.北京:人民卫生出版社,2018. [2] 陈晓林,康县.2008—2017年病毒性肝炎流行病学分析[J].卫生职业教育,2019,37(6):133-135. [3] 薛同明,薛士银.2004—2020年涟水县病毒性肝炎流行特征和防控策略分析[J].疾病预防控制通报,2022,37(4):42-46. [4] 唐林,刘倩倩,王晓琪,等.中国扩大国家免疫规划前后不同流行区甲型肝炎报告发病率变化的中断时间序列分析[J].中国疫苗和免疫,2022,28(1):19-25. [5] 孙校金,张国民,郑徽,等.2004—2017年中国戊型肝炎流行特征分析[J].中华预防医学杂志,2019,53(4):382-387. [6] 杨心悦,何启瑜,王麟.戊型肝炎的流行病学进展[J].中华肝脏病杂志,2023,31(5):455-459. [7] 杭惠,张钧,陈立凌,等.2012—2021年苏州市甲型、戊型病毒性肝炎流行特征分析[J].中国初级卫生保健,2023,37(1):73-75. [8] 陈琳,陈立,盛望,等.甲型肝炎疫苗应用现状及研究进展[J].医学综述,2012,18(17):2802-2804. [9] 吴小清,许阳婷,苏晶晶,等.1989—2020年南京市病毒性肝炎流行趋势分析[J].预防医学,2021,33(3):236-240. [10] 姚沈敏. 嘉兴市生猪养殖业转型政策研究[D].上海:上海交通大学,2015. [11] 宿飞,周建军,许振慧,等.上海市黄浦区1956—2011年病毒性肝炎疫情分析[J].中国公共卫生,2017,33(7):1112-1115. [12] 肖正斌,陈恺韵,任宏,等.2005—2019年戊型肝炎季节性流行特征及时间序列分析[J].上海预防医学,2021,33(10):923-928. [13] 李玉梅,文艳,刘友全,等.2004—2018年绵阳市甲型病毒性肝炎流行特征分析[J].预防医学情报杂志,2020,36(5):508-513. [14] 李丽娜,李宁,胡樱,等.2004—2019年湖北省甲型肝炎流行特征分析及预测[J].中华疾病控制杂志,2020,24(10):1165-1169. [15] 唐莹,管文齐,王凤双,等.2005—2019年北京市顺义区戊型肝炎流行病学特征及危险因素分析[J].华南预防医学,2021,47(7):926-929. [16] 李燕婷. 上海市甲型和乙型病毒性肝炎防治工作回顾[J].上海预防医学,2019,31(1):41-45. [17] 陈小英,许国章.甲型和戊型病毒性肝炎的流行病学研究进展[J].浙江预防医学,2014,26(9):909-911,914. [18] 向泽林,何奔,沈国初,等.2005—2014年嘉兴市戊型肝炎流行病学特征分析[J].中国农村卫生事业管理,2016,36(7):890-894. |
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