法定传染病疫情分析

　 二OO九年宏伟区法定传染病疫情分析

　一、发病概况

　2009年我区全年共报告发生法定传染病13种445例，死亡3例，发病率为371.38/十万,与去年同期相比上升37.35%。死亡率为2.50/十万，与去年同期相比上升200.00%。未报告甲类传染病例。报告乙类法定传染病共8种266例，死亡3例，发病率为221.99/十万，与去年同期相比上升9.92%；报告丙类法定传染病5种179例，无死亡，发病率为149.39/十万，与去年同期相比上升118.29%。

　乙、丙类传染病发病依次为：手足口病105例、肺结核65例、甲型H1N1流感48例、风疹38例、梅毒35例、痢疾30例、丙肝30例、流行性腮腺炎19例、猩红热17例、乙肝16例、麻疹14例、其它感染性腹泻病14例、肝炎未分型7例、流行性感冒3例、甲肝2例、淋病2例。（见表一）

　与去年同期相比上升，下降情况：麻疹（+1300%）、风疹（+660%）、手足口病（+156.10%）、梅毒（+105.88%）、甲肝（+100%）、甲型H1N1流感（+100%）、流行性感冒（+100%）、丙肝（+25.00%）、乙肝（+6.67%）、肝炎未分型（-68.18%）、淋病（-50%）、肺结核（-35.64%）、猩红热（-29.17%）、其它感染性腹泻病（-17.65%）、痢疾（-9.09%）。（见表二）

　乙、丙类肠道传染病报告发生158例，占报告传染病发病总数的35.51%，与去年同期相比上升38.60%；呼吸道传染病报告发生204例，占报告传染病发病总数的45.84%，与去年同期相比上升36.00%；血源及性传播疾病报告发生83例，占报告传染病发病总数的18.65%，与去年同期相比上升38.33%；自然疫源及虫媒传染病报告发生0例，与去年同期持平。（见表三）

　二、时间分布

　全年均有发病，七月份明显出现一发病高峰，其次是九月份和六月份。（详见表四）

　三、空间分布

　四街一镇全年均有发病，曙光镇病例数最高121例，死亡1例；其次为光华街道病例数为90例，死亡1例；第三位是新村街道病例数为83例，死亡1例。（详见表五）

　四、人群分布

　1、年龄分布：各年龄组均有发病，0～10岁病例数为221例，占病例总数的49.66%。10岁以上年龄组相对集中在15～25岁和40～55岁，共报告病例数153例，占病例总数的34.38%。（详见表六）

　2、性别分布：性别以男性居多，性别比为男：女≈1.65：1。（详见表七）

　3、职业分布：职业以学生居多，共报告106例，其次为有托儿童72例，散居儿童68例，分别占病例总数的23.82%、16.18%、15.28%。（详见表八）

　五、重点传染病分析

　1、手足口病：共报告105例，发病率为87.63/十万，与去年同期相比上升156.10%，位居我区报告法定传染病排序首位，占总病例总数的23.60%。地区分布：发病顺位依次为曙光镇32例、新村街道23例、光华街道20例。人群分布：性别比为男：女≈2.39：1；年龄主要分布在2～3岁年龄组，共报告65例，占该病发病总数的61.90%；职业以散居儿童和托幼儿童为主，分别为报告51例和49例，两者之和占该病发病总数的94.29%。季节分布：3月之前无病例报告，发病高峰在7月份和8月份，两月共报告85例，占发病总数的19.10%，此后数月均有病例报告。

　2、肺结核：共报告65例，发病率为54.25/十万，与去年同期相比下降35.64%，位居我区报告法定传染病排序第二位，占病例总数的14.61%，死亡2例，病死率为3.08%，与去年同期相比上升100%，占传染病死亡总数的66.67%。地区分布：发病顺位依次为曙光镇30例、光华街道11例、长征街道10例。人群分布：性别比为男：女≈2.10：1；发病最小年龄为10岁，主要分布于45～50岁年龄组，报告病例19例，占该病发病总数的29.23%；职业最多为农民21例，占该病发病总数32.31%。季节分布：无明显季节变化，各月均有发病。

　3、甲型H1N1流感：共报告48例，发病率为40.06/十万，与去年同期相比上升100%，位居我区报告法定传染病排序第三位，占病例总数的10.79%。地区分布：发病顺位依次为光华街道18例、工农街道13例、新村街道10例。人群分布：性别比为男：女≈1.53：1；年龄主要分布在10～15岁年龄组，共报告34例，占该病发病总数的70.83%；职业主要以学生为主，共报告40例，占该病发病总数的83.33%。季节分布：8月份之前无病例报告，发病高峰在9月份，共报告40例，占该病发病总数的83.33%，此后数月均有病例报告。

　4、风疹：共报告38例，发病率为31.71/十万，与去年同期相比上升660%，位居我区报告法定传染病排序第四位，占病例总数的8.54%。地区分布：发病顺位依次为新村街道10例、光华街道10例、长征街道7例。人群分群：性别比为男：女≈2.8：1；年龄主要分布在9～10岁年龄组，共报告21例，占该病发病总数的55.26%；职业主要以学生为主，共报告34例，占该病发病总数的89.47%。季节分布：从3月份开始有散在病例发生，发病高峰期在6～7月份，共报告24例，占该病发病总数的63.16%。

　5、梅毒：共报告35例，发病率为29.21/十万，与去年同期相比上升105.88%，位居我区报告法定传染病排序第五位，占病例总数的7.87%。地区分布：地区分布：发病顺位依次为新村街道11例、曙光镇8例、长征街道6例。人群分群：性别比为男：女≈1.92：1；年龄主要分布在40～44岁，共报告6例，其次为25～30岁年龄组，共报告8例，两者之和占该病发病总数的40%；职业以工人为主，共报告9例，占该病发病总数的25.71%。季节分布：无明显季节变化，各月均有发病。（见表八）

　六、突发卫生公共事件

　2009年我区共发生2起暴发疫情，均为传染病疫情，波及人数7761人，发病人数38人，无死亡病例。其中乙类传染病1起，发病数36例；丙类传染病1起，发病数2例。按事件严重等级分，一般突发事件1起，发病数2例；未分级1起，发病数36例。所有疫情以学校发生为主，其它为散居儿童。从发生时间时间看，1起疫情发生在8月份，1起发生在9月份。

　1、甲型H1N1流感疫情：自卫生部2009年4月30日发布2009年第8号公告，明确将甲型H1N1流感（原称人感染猪流感）纳入传染病防治法规定管理的乙类传染病，并采取甲类传染病的预防、控制措施（1）（2）（1）（）（）（）（）

　including incentives) to ensure the achievement of the quality objectives. According to the company's quality system documents, combined with the specific circumstances of the project, preparation of project quality manual, procedures and work related to the project implementation rules to improve the quality management system of the project. A management review meeting held each year, on the implementation of the quality policy, objectives and review of the problems and propose corrective measures. Efforts and resources necessary for optimal allocation of project construction management (personnel, finance, facilities, information, etc). 3.2 with customer focus project staff establish a "customer-focused" thinking, fully aware that meet their customers ' needs and expectations is the fundamental pursuit of production and services projects. Projects in production and service processes, to: 3.2.1 identify and determine the needs and expectations of the project legal person, interests as the interests of the customer, with customer satisfaction as satisfied, good faith and cooperation, win-win and development; 3.2.2 needs and expectations of the project legal person into production and service management or technical requirements, and allocation of appropriate resources; 3.2.3 meet legal requirements and strive to exceed their expectations. 3.2.4 customers on the quality of projects put into operation for standards, in accordance with the national standard of quality works. 3.2.5 regulations and standards requires the State and issued by the Ministry of the project related to the current version of the technical specifications, procedures, design institutes and

　including incentives) to ensure the achievement of the quality objectives. According to the company's quality system documents, combined with the specific circumstances of the project, preparation of project quality manual, procedures and work related to the project implementation rules to improve the quality management system of the project. A management review meeting held each year, on the implementation of the quality policy, objectives and review of the problems and propose corrective measures. Efforts and resources necessary for optimal allocation of project construction management (personnel, finance, facilities, information, etc). 3.2 with customer focus project staff establish a "customer-focused" thinking, fully aware that meet their customers ' needs and expectations is the fundamental pursuit of production and services projects. Projects in production and service processes, to: 3.2.1 identify and determine the needs and expectations of the project legal person, interests as the interests of the customer, with customer satisfaction as satisfied, good faith and cooperation, win-win and development; 3.2.2 needs and expectations of the project legal person into production and service management or technical requirements, and allocation of appropriate resources; 3.2.3 meet legal requirements and strive to exceed their expectations. 3.2.4 customers on the quality of projects put into operation for standards, in accordance with the national standard of quality works. 3.2.5 regulations and standards requires the State and issued by the Ministry of the project related to the current version of the technical specifications, procedures, design institutes and6

　including incentives) to ensure the achievement of the quality objectives. According to the company's quality system documents, combined with the specific circumstances of the project, preparation of project quality manual, procedures and work related to the project implementation rules to improve the quality management system of the project. A management review meeting held each year, on the implementation of the quality policy, objectives and review of the problems and propose corrective measures. Efforts and resources necessary for optimal allocation of project construction management (personnel, finance, facilities, information, etc). 3.2 with customer focus project staff establish a "customer-focused" thinking, fully aware that meet their customers ' needs and expectations is the fundamental pursuit of production and services projects. Projects in production and service processes, to: 3.2.1 identify and determine the needs and expectations of the project legal person, interests as the interests of the customer, with customer satisfaction as satisfied, good faith and cooperation, win-win and development; 3.2.2 needs and expectations of the project legal person into production and service management or technical requirements, and allocation of appropriate resources; 3.2.3 meet legal requirements and strive to exceed their expectations. 3.2.4 customers on the quality of projects put into operation for standards, in accordance with the national standard of quality works. 3.2.5 regulations and standards requires the State and issued by the Ministry of the project related to the current version of the technical specifications, procedures, design institutes and