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[2005 - 2013年中国流感暴发的流行病学特征]

[Epidemiological characteristics of influenza outbreaks in China, 2005-2013].

作者信息

Li Ming, Feng Luzhao, Cao Yu, Peng Zhibin, Yu Hongjie

机构信息

Key Laboratory of Surveillance and Early-warning for Infectious Disease, Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

Key Laboratory of Surveillance and Early-warning for Infectious Disease, Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China; Email:

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Jul;36(7):705-8.

Abstract

OBJECTIVE

To understand the epidemiological characteristics of influenza outbreaks in China from 2005 to 2013.

METHODS

The data of influenza-like illness outbreaks involving 10 or more cases were collected through Public Health Emergency Management Information System and National Influenza Surveillance Information System in China, and the influenza outbreaks were identified according to the laboratory detection results. Descriptive epidemiological analysis was conducted to understand the type/subtype of influenza virus and outbreak time, area, place and extent.

RESULTS

From 2005 to 2013, a total of 3 252 influenza-like illness outbreaks were reported in the mainland of China, in which 2 915 influenza outbreaks were laboratory confirmed, and influenza A (H1N1) pdm09 virus and influenza B virus were predominant. More influenza outbreaks were reported in the influenza A (H1N1) pandemic during 2009-2010. Influenza outbreaks mainly occurred during winter-spring, and less influenza outbreaks occurred in winter and summer vacations of schools. More influenza outbreaks were reported in southern provinces, accounting for 79% of the total. Influenza outbreaks mainly occurred in primary and middle schools, where 2 763 outbreaks were reported, accounting for 85% of the total. Average 30-99 people were involved in an outbreak.

CONCLUSION

A large number of influenza outbreaks occur during influenza season every year in China, the predominant virus type or subtype varies with season. Primary and middle schools are mainly affected by influenza outbreaks.

摘要

目的

了解2005年至2013年中国流感暴发的流行病学特征。

方法

通过中国突发公共卫生事件管理信息系统和国家流感监测信息系统收集涉及10例及以上病例的流感样病例暴发数据,并根据实验室检测结果确定流感暴发。进行描述性流行病学分析,以了解流感病毒的型/亚型以及暴发时间、地区、场所和范围。

结果

2005年至2013年,中国内地共报告3252起流感样病例暴发,其中2915起流感暴发经实验室确诊,甲型(H1N1)pdm09病毒和乙型流感病毒为主。2009 - 2010年甲型(H1N1)大流行期间报告的流感暴发更多。流感暴发主要发生在冬春季,学校寒假和暑假期间流感暴发较少。南方省份报告的流感暴发更多,占总数的79%。流感暴发主要发生在中小学,共报告2763起,占总数的85%。每次暴发平均涉及30 - 99人。

结论

中国每年流感季节都会发生大量流感暴发,主要流行病毒型或亚型随季节变化。中小学是流感暴发的主要受影响场所。

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