2004-2017年郑州市流行性腮腺炎流行病学特征分析
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摘要
目的掌握郑州市流行性腮腺炎流行病学特征,为制定防治措施提供科学依据。方法采用描述流行病学方法,对郑州市2004-2017年流行性腮腺炎疫情资料进行对比分析。结果 2004-2017年流行性腮腺炎平均报告发病率28.25/10万,2009年最高,达40.79/10万。发病季节表现为春末夏初、冬季2个发病高峰。3～14岁告病例数最多,占总发病数的84.68%,1～14岁各年龄组男性发病率高于女性,城区发病率高于乡镇。结论 2008年,在全国将含流行性腮腺炎疫苗纳入扩大免疫规划前后,郑州市流行性腮腺炎发病未表现明显变化。建议继续做好托幼机构、中小学流行性腮腺炎疫情监测的同时,尽早实施2剂次接种策略,对未来提高易感人群免疫力,降低发病具有重要意义。
Objective The study aimed to assess the epidemiological characteristics of mumps in Zhengzhou and provide scientific basis for the prevention and treatment measures. Methods Descriptive epidemiology approaches were adopted to compare and analyze the data on mumps epidemic in Zhengzhou City between 2004 and 2017. Results The average reported incidence of mumps between 2004-2017 was 28.25/100000 and the incidence peaked in 2009, reaching 40.79/100000.The seasonality of mumps featured two epidemic peaks in late spring/early summer and in winter. The majority of the reported cases were patients between the age of 3 and 14, accounting for 84.6% of all the cases. The incidence rate of males was higher than that of females in all age groups from 1 to 14 years old. The incidence rate in urban areas is higher than in rural areas. Conclusion In 2008, before and after the mumps vaccine was included in the expanded immunization program, the incidence of mumps in Zhengzhou did not change significantly. It is recommended that we continue to monitor the epidemic of mumps in childcare institutions as well as primary and secondary schools. It is of great significance to implement the two-dose vaccination strategy as soon as possible, so as to improve immunity of susceptible population and reduce the incidence in the future.
Objective The study aimed to assess the epidemiological characteristics of mumps in Zhengzhou and provide scientific basis for the prevention and treatment measures. Methods Descriptive epidemiology approaches were adopted to compare and analyze the data on mumps epidemic in Zhengzhou City between 2004 and 2017. Results The average reported incidence of mumps between 2004-2017 was 28.25/100000 and the incidence peaked in 2009, reaching 40.79/100000.The seasonality of mumps featured two epidemic peaks in late spring/early summer and in winter. The majority of the reported cases were patients between the age of 3 and 14, accounting for 84.6% of all the cases. The incidence rate of males was higher than that of females in all age groups from 1 to 14 years old. The incidence rate in urban areas is higher than in rural areas. Conclusion In 2008, before and after the mumps vaccine was included in the expanded immunization program, the incidence of mumps in Zhengzhou did not change significantly. It is recommended that we continue to monitor the epidemic of mumps in childcare institutions as well as primary and secondary schools. It is of great significance to implement the two-dose vaccination strategy as soon as possible, so as to improve immunity of susceptible population and reduce the incidence in the future.
引文
[1]马春华.我国流行性腮腺炎流行病学特征及防控策略分析[J].中国卫生产业,2017,14(14):28-29.
[2]杨绍基,任红.传染病学[M].北京:人民卫生出版社,2002:79.
[3]卫生部.扩大国家免疫规划实施方案[EB/OL].[2019-05-08].http://www.gov.cn/gzdt/2008-02/19/content_893572.htm.
[4]肖占沛,王长双,王燕,等.河南省2004~2013年流行性腮腺炎流行病学特征分析[J].南京医科大学学报:自然科学版,2015,35(3):430-432.
[5]于静,刘元宝,汪志国,等.2006-2015年江苏省流行性腮腺炎流行病学分析[J].现代预防医学,2017,44(6):961-964.
[6]徐虹,李岩,范晨璐,等.2007-2016年哈尔滨市流行性腮腺炎流行病学特征分析[J].现代预防医学,2017,45(17):3076-3079.
[7]谢龙,冀贞浩,刘继峰.2005-2014年西安市流行性腮腺炎流行病学分析和防控策略探讨[J].现代预防医学,2016,43(7):1175-1178.
[8]高美英,李燕,保红莉.2004-2014年银川市流行性腮腺炎流行病学特征分析[J].现代预防医学,2016,43(6):979-981.
[9]孙卫敏,王雷,张迟.2004-2015年湖北省流行性腮腺炎流行病学特征分析[J].疾病监测,2016,31(8):654-658.
[10]顾雯雯,许二萍,刘艳,等.2005-2016年杭州市流行性腮腺炎流行病学特征分析[J].中国疫苗和免疫,2018,24(1):1-9.
[11]戴丽芳,张大勇,杜雯,等.2004-2016年贵州省流行性腮腺炎流行病学特征分析[J].现代预防医学,2018,45(5):773-775,794.
[12]王琴,陈俊磊,林岩,等.2005-2015年福建省流行性腮腺炎流行病学特征分析[J].现代预防医学,2017,44(17):3093-3095,3108.
[13]戴孟阳,孙岩.沈阳市2005-2014年流行性腮腺炎流行特征分析[J].中国初级卫生保健,2016,30(1):47-49.
[14]汤健闻.我国流行性腮腺炎流行概况及其免疫预防[J].微生物学免疫学进展,2015,43(3):51-57.
[15]徐维祯,张国民,梁爽,等.流行性腮腺炎减毒活疫苗免疫学效果和保护效果的系统评价[J].中国疫苗和免疫,2011,17(5):426-430, 450.
[16] Fernández DL, García CC, Puchades BM, et al. Mumps epidemic in the health area of Toledo with immunization intervention. Estimation of vaccine effectiveness[J]. Medicina Clinica, 1997, 108(5):175-179.
[17]陈国翠,刘卫民,陈伟红.流行性腮腺炎疫苗两剂次接种保护效果系统评价[J].中国预防医学杂志,2014,15(7):689-692.
[18] Davidkin I, Valle M, Julkunen I. Persistence of anti-mumps virus antibodies after a two-dose MMR vaccination[J]. Vaccine, 1995, 13(16):1617-1622.
[19]迮文远.中国风疹疫苗的开发与应用[J].中国计划免疫,1999(1):49-51.
[20]吴琳琳,胡家瑜,李智,等.1990-2015年上海市流行性腮腺炎的流行病学特征[J].中国疫苗和免疫,2018,24(1):1-6.
[2]杨绍基,任红.传染病学[M].北京:人民卫生出版社,2002:79.
[3]卫生部.扩大国家免疫规划实施方案[EB/OL].[2019-05-08].http://www.gov.cn/gzdt/2008-02/19/content_893572.htm.
[4]肖占沛,王长双,王燕,等.河南省2004~2013年流行性腮腺炎流行病学特征分析[J].南京医科大学学报:自然科学版,2015,35(3):430-432.
[5]于静,刘元宝,汪志国,等.2006-2015年江苏省流行性腮腺炎流行病学分析[J].现代预防医学,2017,44(6):961-964.
[6]徐虹,李岩,范晨璐,等.2007-2016年哈尔滨市流行性腮腺炎流行病学特征分析[J].现代预防医学,2017,45(17):3076-3079.
[7]谢龙,冀贞浩,刘继峰.2005-2014年西安市流行性腮腺炎流行病学分析和防控策略探讨[J].现代预防医学,2016,43(7):1175-1178.
[8]高美英,李燕,保红莉.2004-2014年银川市流行性腮腺炎流行病学特征分析[J].现代预防医学,2016,43(6):979-981.
[9]孙卫敏,王雷,张迟.2004-2015年湖北省流行性腮腺炎流行病学特征分析[J].疾病监测,2016,31(8):654-658.
[10]顾雯雯,许二萍,刘艳,等.2005-2016年杭州市流行性腮腺炎流行病学特征分析[J].中国疫苗和免疫,2018,24(1):1-9.
[11]戴丽芳,张大勇,杜雯,等.2004-2016年贵州省流行性腮腺炎流行病学特征分析[J].现代预防医学,2018,45(5):773-775,794.
[12]王琴,陈俊磊,林岩,等.2005-2015年福建省流行性腮腺炎流行病学特征分析[J].现代预防医学,2017,44(17):3093-3095,3108.
[13]戴孟阳,孙岩.沈阳市2005-2014年流行性腮腺炎流行特征分析[J].中国初级卫生保健,2016,30(1):47-49.
[14]汤健闻.我国流行性腮腺炎流行概况及其免疫预防[J].微生物学免疫学进展,2015,43(3):51-57.
[15]徐维祯,张国民,梁爽,等.流行性腮腺炎减毒活疫苗免疫学效果和保护效果的系统评价[J].中国疫苗和免疫,2011,17(5):426-430, 450.
[16] Fernández DL, García CC, Puchades BM, et al. Mumps epidemic in the health area of Toledo with immunization intervention. Estimation of vaccine effectiveness[J]. Medicina Clinica, 1997, 108(5):175-179.
[17]陈国翠,刘卫民,陈伟红.流行性腮腺炎疫苗两剂次接种保护效果系统评价[J].中国预防医学杂志,2014,15(7):689-692.
[18] Davidkin I, Valle M, Julkunen I. Persistence of anti-mumps virus antibodies after a two-dose MMR vaccination[J]. Vaccine, 1995, 13(16):1617-1622.
[19]迮文远.中国风疹疫苗的开发与应用[J].中国计划免疫,1999(1):49-51.
[20]吴琳琳,胡家瑜,李智,等.1990-2015年上海市流行性腮腺炎的流行病学特征[J].中国疫苗和免疫,2018,24(1):1-6.