张小娟, 权力, 敖建军, 华瑞珏, 黄瑾. 20172019年上海市静安区水痘流行病学特征及疫苗接种情况分析[J]. 上海预防医学, 2023, 35(2): 122-125. DOI: 10.19428/j.cnki.sjpm.2023.22311
引用本文: 张小娟, 权力, 敖建军, 华瑞珏, 黄瑾. 20172019年上海市静安区水痘流行病学特征及疫苗接种情况分析[J]. 上海预防医学, 2023, 35(2): 122-125. DOI: 10.19428/j.cnki.sjpm.2023.22311
ZHANG Xiaojuan, QUAN Li, AO Jianjun, HUA Ruijue, HUANG Jin. Epidemiological characteristics of varicella and vaccination status in the cases in Jingan DistrictShanghai from 2017 to 2019[J]. Shanghai Journal of Preventive Medicine, 2023, 35(2): 122-125. DOI: 10.19428/j.cnki.sjpm.2023.22311
Citation: ZHANG Xiaojuan, QUAN Li, AO Jianjun, HUA Ruijue, HUANG Jin. Epidemiological characteristics of varicella and vaccination status in the cases in Jingan DistrictShanghai from 2017 to 2019[J]. Shanghai Journal of Preventive Medicine, 2023, 35(2): 122-125. DOI: 10.19428/j.cnki.sjpm.2023.22311

20172019年上海市静安区水痘流行病学特征及疫苗接种情况分析

Epidemiological characteristics of varicella and vaccination status in the cases in Jingan DistrictShanghai from 2017 to 2019

  • 摘要:
    目的 分析2017—2019年上海市静安区水痘流行病学特征及变化趋势,回溯病例的疫苗接种情况,为进一步完善水痘疫情防控策略提供参考依据。
    方法 采用描述性流行病学方法对2017—2019年静安区水痘疫情进行分析。按照是否接种过水痘疫苗,将研究对象分为接种组和未接种组,比较2组之间的差异。
    结果 2017—2019年静安区报告水痘病例2 508例,年平均报告发病率78.7/10万,3年间报告发病率差异无统计学意义(χ2=5.535,P=0.063)。病例中男性1 308例,女性1 200例,性别比1.1∶1。5~9岁年龄组发病562例,报告发病率最高,为479.3/10万。全年呈现2个发病高峰,分别为5月和11月。≤18岁病例发病率逐年下降,3年间的差异有统计学意义(χ2=78.129,P<0.001)。接种组接种疫苗至发病时间间隔的中位数为5年。3年间病例接种第2剂疫苗比例的差异有统计学意义(χ2=90.902,P<0.001)。
    结论 应进一步加强监测,重视水痘流行病学特征及变化趋势分析,系统评估水痘疫苗纳入免疫规划后的效果。

     

    Abstract:
    Objective To analyze the epidemiological characteristics and the vaccination status of the cases in Jing’an District from 2017 to 2019, so as to provide reference basis for the strategy of prevention and control of varicella epidemic.
    Methods Descriptive epidemiological methods were used to analyze the epidemiological characteristics of varicella in Jing’an District. The differences between the vaccinated group and the unvaccinated group were compared by statistical methods.
    Results A total of 2 508 cases of varicella were reported with an average annual incidence of 78.7/105 from 2017 to 2019. There was no significant difference in the incidence among the three years(χ2=5.535,P=0.063). There were 1 308 males and 1 200 females, and sex ratio was 1.1∶1. The highest incidence occurred in the age group from 5 to 9 years old (562 cases, 479.3/105). Two annual peaks occured in May and November. The incidence in the aged 18 and below decreased year by year. There was significant difference in the proportion among the three years(χ2=78.129, P<0.001). The median interval from vaccination to onset was 5 years among the vaccinated cases. There was significant difference in the cases who received two doses of vaccine in three years(χ2=90.902, P<0.001).
    Conclusion We should strengthen the monitoring system and pay more attention to the epidemiological characteristics of varicella. The protective efficacy of two-doses vaccine needs to be systematically evaluated.

     

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