方新丽, 郑英杰. 上海市沪东社区201120180~6岁儿童法定传染病的分析[J]. 上海预防医学, 2022, 34(2): 157-162. DOI: 10.19428/j.cnki.sjpm.2022.21055
引用本文: 方新丽, 郑英杰. 上海市沪东社区201120180~6岁儿童法定传染病的分析[J]. 上海预防医学, 2022, 34(2): 157-162. DOI: 10.19428/j.cnki.sjpm.2022.21055
FANG Xinli, ZHENG Yingjie. Notifiable infectious diseases among children aged 0 to 6 years old in Hudong Community of Shanghai from 2011 to 2018[J]. Shanghai Journal of Preventive Medicine, 2022, 34(2): 157-162. DOI: 10.19428/j.cnki.sjpm.2022.21055
Citation: FANG Xinli, ZHENG Yingjie. Notifiable infectious diseases among children aged 0 to 6 years old in Hudong Community of Shanghai from 2011 to 2018[J]. Shanghai Journal of Preventive Medicine, 2022, 34(2): 157-162. DOI: 10.19428/j.cnki.sjpm.2022.21055

上海市沪东社区201120180~6岁儿童法定传染病的分析

Notifiable infectious diseases among children aged 0 to 6 years old in Hudong Community of Shanghai from 2011 to 2018

  • 摘要:
    目的 了解上海市沪东社区2011—2018年0~6岁儿童法定传染病发病特征及流行趋势,为0~6岁儿童传染病精准防控提供科学依据。
    方法 采用描述性流行病学方法对2011—2018年沪东社区0~6岁儿童传染病发病资料进行分析。
    结果 2011—2018年沪东社区 0~6岁儿童法定传染病报告8种1 401例,年均发病率3 536.63/10万,无死亡病例,不同年份发病率差异有统计学意义(P<0.001)。发病居前5位的传染病依次是手足口病、水痘、流行性腮腺炎、流行性感冒和猩红热,占总发病数的97.79%。肠道传染病发病高峰在5—9月和11月,呼吸道传染病发病主要集中在4—6月和11—次年1月。男童年均发病率4 118.81/10万,女童年均发病率2 930.87/10万,性别比为1.41∶1,发病率差异有统计学意义(P<0.001)。肠道传染病多发于1~4岁、占79.09%,呼吸道传染病多发于4~6岁、占63.46%,不同年龄组疾病谱不同。发病人群以幼托儿童为主,占55.46%。
    结论 威胁沪东社区0~6岁儿童健康的主要传染病是肠道传染病,特别是手足口病,应结合流行特征,有针对性地制定传染病防控措施,防止传染病的暴发和流行。

     

    Abstract:
    Objective To understand the incidence characteristics and epidemic tendency of notifiable infectious diseases (NID) among children aged 0 to 6 years old in Hudong Community of Shanghai from 2011 to 2018, in order to provide a scientific basis for the accurate prevention and control measures.
    Methods Descriptive epidemiology was used to analyze the data of NID.
    Results A total of 1 401 cases of eight different NID were reported in children aged 0 to 6 from 2011 to 2018 in Hudong Community, with an average annual incidence rate of 3 536.63/105, and there were no dead cases. The incidence rates of different years were statistically significant (P<0.001). The top five diseases were hand, foot and mouth disease (HFMD), chickenpox, mumps, influenza and scarlet fever, which accounted for 97.79% of all cases. The incidence of intestinal infectious diseases peaked during the months of May to September and November, and that of respiratory infectious diseases peaked from April to June and from November to January. The average incidence rate of males was 4 118.81/105, and that of females was 2 930.87/105. The gender ratio (male︰female) was 1.41∶1, with statistical significance (P<0.001). The intestinal infectious diseases mainly occurred in children aged one to four years old, accounting for 79.09%, and the respiratory infectious diseases mainly occurred in children aged four to six years old, accounting for 63.46%. The incidence and spectrum of NID varied in different age groups. The main population affected was those children from kindergartens, which accounted for 55.46% of all cases.
    Conclusion Infectious diseases threatening the health of children aged 0~6 years old in Hudong Community are mainly intestinal infectious diseases, especially HFMD. The targeted prevention and control strategies should be carried out according to the epidemic features so as to prevent the occurrence of outbreaks and epidemics of infectious diseases.

     

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