Gao J H, Huang R G
Operational Office, Beijing Center for Disease Control and Prevention, Beijing 100013, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Jun;37(6):836-40. doi: 10.3760/cma.j.issn.0254-6450.2016.06.019.
To analyze the trends and epidemiological characteristics of notifiable communicable diseases from 2010 to 2015 in Beijing so as to provide reliable reference data.
Data on the epidemiological characteristics was gathered and analyzed through the monitoring programs on notifiable diseases, reported by the China Information System for Disease Control and Prevention, from 2010 to 2015.
A total of 764 290 cases of notifiable communicable diseases were reported from 2010 to 2015 in Beijing. The annual reported incidence on notifiable communicable diseases showed an annual downward (χ(2)=1.25×10(4), P<0.01), with rates between 498.95/100 000 and 828.45/100 000. The annual reported incidence rates of intestinal infectious diseases and respiratory infectious diseases also showed an annual downward (χ(2)=1.25×10(4), P<0.01; χ(2)=4.97×10(2), P<0.01), which accounted for 39.72% and 33.01% among the total classes A and B reported cases, respectively. The average annual reported incidence rates in males were higher than that in females. The average annual incidence of children under 7 years old appeared higher than that of the other age groups that accounted for 47.79% of the total reported cases. High incidence mainly appeared in children that living scattering around which accounted for 31.64% of the total reported cases. The first three leading incidence rates seen in other infectious diseases were infectious diarrhea, hand-foot-and-mouth disease and dysentery for the last consecutive 6 years. The laboratory diagnosed rate on notifiable disease was 16.67%, but with a trend of annual increase.
Intestinal infective diseases kept the highest incidence among all the notifiable communicable diseases, suggesting the necessity of improving the prevention and control programs on notifiable communicable diseases in preschool, especially in those children with their houses scattered around. Programs on laboratory diagnosis also need to be strengthened.
分析2010年至2015年北京市法定传染病的流行趋势及流行病学特征,为提供可靠的参考数据。
通过中国疾病预防控制信息系统的法定传染病监测程序,收集并分析2010年至2015年的流行病学特征数据。
2010年至2015年北京市共报告法定传染病病例764290例。法定传染病年报告发病率呈逐年下降趋势(χ(2)=1.25×10(4),P<0.01),发病率在498.95/10万至828.45/10万之间。肠道传染病和呼吸道传染病的年报告发病率也呈逐年下降趋势(χ(2)=1.25×10(4),P<0.01;χ(2)=4.97×10(2),P<0.01),分别占甲乙类报告病例总数的39.72%和33.01%。男性年报告发病率平均高于女性。7岁以下儿童年发病率平均高于其他年龄组,占报告病例总数的47.79%。高发人群主要为散居儿童,占报告病例总数的31.64%。其他传染病发病率前三位连续6年依次为感染性腹泻、手足口病和痢疾。法定传染病实验室诊断率为16.67%,但呈逐年上升趋势。
肠道传染病在所有法定传染病中发病率最高,提示有必要加强学龄前儿童尤其是散居儿童法定传染病防控措施。同时也需要加强实验室诊断工作。