摘要
目的分析2005-2017年荆州市流行性腮腺炎（流腮）的流行病学特征。方法运用描述性流行病学方法对2005-2008年、2009-2012年、2013-2017年流腮报告病例进行分析。采用圆形分布法分析流腮的季节性;运用出生队列分析2005-2009年出生儿童的发病趋势。结果 2005-2017年荆州市共报告流腮11 113例,年均发病率为14.54/10万;年均发病率居前3位的县（市、区）为荆州区（30.77/10万）、沙市区（20.29/10万）、洪湖市（13.07/10万）。圆形分布法分析显示,三个阶段流腮均呈两个发病高峰,即4-7月和10月-次年2月。3-14岁流腮病例数占总病例数的83.94%。2005-2009年出生人群的发病呈逐年下降趋势。2005-2017年共报告流腮暴发疫情22起,总罹患率为1.26%（561例）;22起疫情均发生在学校,其中小学19起。结论荆州市流腮发病总体呈下降趋势,以大年龄儿童或学生发病为主,应考虑2剂次流腮疫苗的常规免疫策略,加强学校流腮监测与暴发控制。
Objective To analyze the epidemiological characteristics of mumps in Jingzhou city of Hubei province,2005-2017. Methods Descriptive epidemiological methods were used to analyze reported cases of mumps in 2005-2008,2009-2012,and 2013-2017. A circular distribution method was used to analyze seasonal characteristics. The trend of mumps among children born from 2005 to 2009 was analyzed by birth cohort analysis. Results In total,11 113 mumps cases were reported in Jingzhou during 2005-2017,for an average annual incidence of 14. 54 per 100 000 population. The three highest incidence rates were in Jingzhou district（ 30. 77 per 100 000）,Shashi district（ 20. 29 per 100 000） and Honghu city（ 13. 07 per 100 000）. The circular distribution method showed two seasonal epidemic peaks of mumps-April to July and October to the following February; 83. 94% of mumps cases were children aged 3-14 years. Incidence rates decreased among birth cohorts in 2005-2009. Twenty-two mumps outbreaks were reported during 2005-2017,with an average overall attack rate of 1. 26%（ 561 cases）. All outbreaks occurred in schools; 19 occurred in primary schools. Conclusions The incidence of mumps decreased in Jingzhou,and most cases occurred among older children or students. We recommend a2-dose mumps vaccination strategy for children and suggest strengthening mumps surveillance and outbreak control measures in schools.
作者
刘天
黄继贵
宋开发
姚梦雷
刘予希
Liu Tian;Huang Jigui;Song Kaifa;Yao Menglei;Liu Yuxi(Jingzhou Municipal Center for Disease Control and Prevention,Jing-zhou 434000,Hubei,China)
出处
《中国疫苗和免疫》
北大核心
2018年第4期429-433,共5页
Chinese Journal of Vaccines and Immunization
关键词
流行性腮腺炎
流行病学特征
圆形分布法
Mumps
Epidemiological characteristic
Circular distribution method
