Sun J, Yang W W, Zeng L J, Geng M J, Dong Y H, Xing Y, Ma J, Li Z J, Wang L P
Division of Infectious Disease Control and Prevention, Key Laboratory of Surveillance and Early Warning on Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing 102206, China; Department of Acute Infectious Disease Control and Prevention, Liu'an Center for Disease Control and Prevention, Liu'an, 237001, China.
Division of Infectious Disease Control and Prevention, Key Laboratory of Surveillance and Early Warning on Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing 102206, China; Preventive Medical Information Institute, Hubei Center for Disease Control and Prevention, Wuhan 430079, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Dec 10;39(12):1589-1595. doi: 10.3760/cma.j.issn.0254-6450.2018.12.010.
To analyze the epidemiological characteristics of notifiable infectious diseases among Chinese students from 2011 to 2016 and to provide reference for the effective prevention and control programs on infectious disease among students. Both morbidity and mortality of notifiable infectious diseases among Chinese students aged 6-22 years from 2011 to 2016 were analyzed, with main characteristics of the disease described. During 2011 to 2016, morbidities of Categories A, B and C infectious diseases among the Chinese students aged 6-22 years showed a decreasing trend, from 248.24/100 000 in 2012 to 158.57/100 000 in 2016. Mortality rates of Category A, B and C infectious diseases had also decreased from 0.12/100 000 in 2011 to 0.07/100 000 in 2016. The average morbidity of the top four diseases from Category A and B infectious diseases appeared as: tuberculosis (16.24/100 000), scarlet fever (9.39/100 000), hepatitis B (7.69/100 000) and bacillary and amebic dysentery (7.15/100 000). The average rates of mortality on the top four diseases appeared as: rabies (0.044 8/100 000), HIV/AIDS (0.027 7/100 000), tuberculosis (0.008 0/100 000) and Japanese encephalitis (0.005 9/100 000). The average rates of morbidity on the top four diseases appeared as: mumps (75.81/100 000), hand-foot-mouth disease (28.55/100 000), other infectious diarrhea (22.41/100 000) and influenza (15.67/100 000) in the Category C. Reported death cases were from hand-foot-mouth disease (11 cases), influenza (9 cases), mumps (1 case) and rubella (1 case). The prevalence rates varied among different student populations, with higher HIV/AIDS, hepatitis B and tuberculosis rates among college and senior high school students, while higher mumps, influenza and hand-foot-mouth disease rates among primary school and junior high school students. Both morbidity and mortality of notifiable infectious diseases among Chinese students aged 6-22 years had decreased significantly in 2011-2016. However, the major infectious diseases had become new challenges among students. HIV/AIDS had become a key infectious disease among college students and the relatively high prevalence of tuberculosis was seen in college and high school students.
分析2011年至2016年中国学生中法定传染病的流行病学特征,为学生传染病的有效防控方案提供参考。分析了2011年至2016年6至22岁中国学生法定传染病的发病率和死亡率,并描述了疾病的主要特征。2011年至2016年期间,6至22岁中国学生中甲乙丙类传染病发病率呈下降趋势,从2012年的248.24/10万降至2016年的158.57/10万。甲乙丙类传染病死亡率也从2011年的0.12/10万降至2016年的0.07/10万。甲乙类传染病中发病率居前四位的疾病平均发病率依次为:肺结核(16.24/10万)、猩红热(9.39/10万)、乙型肝炎(7.69/10万)和细菌性及阿米巴性痢疾(7.15/10万)。死亡率居前四位的疾病平均死亡率依次为:狂犬病(0.044 8/10万)、艾滋病(0.027 7/10万)、肺结核(0.008 0/10万)和流行性乙型脑炎(0.005 9/10万)。丙类传染病中发病率居前四位的疾病平均发病率依次为:流行性腮腺炎(75.81/10万)、手足口病(28.55/10万)、其他感染性腹泻(22.41/10万)和流感(15.67/10万)。报告的死亡病例来自手足口病(11例)、流感(9例)、流行性腮腺炎(1例)和风疹(1例)。不同学生群体的患病率有所不同,大学生和高中生中艾滋病、乙型肝炎和肺结核的患病率较高,而小学生和初中生中流行性腮腺炎、流感和手足口病的患病率较高。2011 - 2016年期间,6至22岁中国学生法定传染病的发病率和死亡率均显著下降。然而,主要传染病已成为学生面临的新挑战。艾滋病已成为大学生中的关键传染病,肺结核在大学生和高中生中的患病率相对较高。