摘要
目的分析2013—2022年云浮市肠道传染病的流行特征及时空聚集性。方法收集2013—2022年云浮市肠道传染病疫情报告数据,采用描述流行病学、空间自相关分析及时空扫描统计量等方法对肠道传染病报告发病情况进行分析。结果2013—2022年云浮市报告法定肠道传染病8种,累计报告93334例,年报告发病率10.45/万~56.76/万,年均报告发病率39.16/万。报告肠道传染病以手足口病和其他感染性腹泻病为主,共占报告肠道传染病的97.39%,年均报告发病率分别为33.18/万和4.95/万。年报告发病率整体呈下降趋势(趋势χ^(2)=65.837,P<0.01)。发病呈现季节性,呈双峰分布(5—7月和9—10月),12月至次年3月处于低发水平。各年龄组均有病例报告,其中0~4岁组报告病例最多(77118例,占82.63%)。空间自相关分析结果显示,2013—2022年云浮市报告肠道传染病发病率在街道(镇)尺度上呈空间正相关(全局Moran's I为0.592,Z=7.439,P<0.05),具有空间聚集性。手足口病具有不同的“热点”高发区域。时空扫描分析显示2013—2022年云浮市肠道传染病发病在时空上存在明显聚集性,探测到Ⅰ类和Ⅱ类聚集区各1个,1个聚集季节(5—10月),手足口病与其他感染性腹泻病具有不同的聚集区和聚集季节(月份)。结论2013—2022年云浮市报告肠道传染病呈现明显的时空聚集性,应重点在流行季节前和在高发街道(镇)采取针对性防控措施。
Objective To analyze the epidemiological characteristics and spatial‐temporal clustering of intestinal infectious diseases in Yunfu City from 2013 to 2022.Methods The reported data of intestinal infectious diseases in Yun‐fu City from 2013 to 2022 were collected.Descriptive epidemiological methods,spatial autocorrelation analysis,and spatial‐temporal scanning statistics were used to analyze the reported incidence of intestinal infectious diseases.Results From 2013 to 2022,Yunfu City reported eight kinds of notifiable intestinal infectious diseases,with a total of 93334 cases reported,with an annual reported incidence of 10.45 per 10000 to 56.76 per 10000,and an annual reported incidence of 39.16 per 10000.The reported intestinal infectious diseases were mainly hand,foot and mouth disease and other infectious diar‐rheal diseases,accounting for 97.39%of the reported intestinal infectious diseases,and the annual reported incidence was 33.18 per 10000 and 4.95 per 10000,respectively.The reported incidence rate showed a decreasing trend(trend χ^(2)=65.837,P<0.01).The incidence was seasonal,with bimodal distribution(May‐July and September‐October),and at a low level from December to March.Cases were reported in all age groups,among which the group of 0-4 years old reported the most cases(77118 cases,accounting for 82.63%).The results of spatial autocorrelation analysis showed that the incidence of intestinal infectious diseases reported in Yunfu City from 2013 to 2022 showed a spatial positive correlation at the street(town)scale(global Moran's I was 0.592,Z=7.439,P<0.05),with spatial clustering.Hand,foot and mouth disease had different“hot spots”with high incidence.Spatial‐temporal scanning analysis showed that there were obvious spatial‐temporal clusters of intestinal infectious diseases in Yunfu City from 2013 to 2022,with one cluster area of classⅠand one cluster area of classⅡand one cluster season(May to October).Hand,foot and mouth disease and other infectious di‐arrhea diseases had di
作者
廖晓文
赵惠珍
陈秋玲
赖辉兵
LIAO Xiaowen;ZHAO Huizhen;CHEN Qiuling;LAI Huibing(Yunfu Center for Disease Control and Prevention,Yunfu 527300,China)
出处
《华南预防医学》
2024年第1期1-5,共5页
South China Journal of Preventive Medicine
基金
云浮市2022年科技计划项目(2022020701)。
关键词
肠道传染病
时空分布
流行特征
空间自相关
时空扫描
趋势分析
Intestinal infectious diseases
Spatial‐temporal distribution
Epidemiological characteristics
Spa‐tial autocorrelation
Spatial‐temporal scanning
Trend analysis
