热带病与寄生虫学

热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (6): 308-311.

• 云南省热带病防治报道 • 上一篇    下一篇

2005—2020 年云南省棘球蚴病网报病例分析

魏春,李奔福,杨锐,郭小连,唐烨榕,吴方伟,杨亚明,周红宁
  

  1. 云南省寄生虫病防治所,云南省虫媒传染病防控研究重点实验室,云南省虫媒传染病防控关键技术创新团队,云南 普洱 665099
  • 出版日期:2021-12-20 发布日期:2021-12-31
  • 通信作者: 周红宁,E-mail:zhouhn66@ 163. com
  • 作者简介:魏春,女,本科,主管医师,研究方向:虫媒传染病防控。 E-mail:wch3235356@ 163. com; 李奔福,男,本科,主管技师,研究方向:重点寄生虫病防治与研究。 E-mail:libefu@ 163. com 魏春、李奔福同为第一作者
  • 基金资助:
    国家卫生健康委员会疾控局委托项目

Analysis on echinococcosis cases reported online in Yunnan Province from 2005 to 2020

WEI Chun,LI Ben-fu,YANG Rui,GUO Xiao-lian,TANG Ye-Rong,WU Fang-wei,YANG Ya-ming,ZHOU Hong-ning    

  1. Yunnan Institute of Parasitic Diseases,Yunnan Provincial Key Laboratory of Vector-borne Diseases Control and Research, Yunnan Institute of Parasitic Diseases Innovative Team of Key Techniques for Vector Borne Disease Control and Prevention,Pu′er 665099,Yunnan Province,China
  • Online:2021-12-20 Published:2021-12-31

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摘要： 目的 了解云南省棘球蚴病疫情变化趋势,为优化棘球蚴病防治工作提供参考。 方法 收集中国疾病预防控制信息系统中 2005—2020 年云南省棘球蚴病患者个案信息,采用描述性流行病学方法进行数据分析。 结果 2005—2020 年,云南省 16 个州(市)的 65 个县(区)累计报告棘球蚴病 134 例。 报告病例数排前三位的州(市)是大理州(37 例)、昆明市( 20 例) 和迪庆州( 10 例);报告发病率排前三位的是迪庆州( 0. 157 1 / 10 万)、怒江州(0. 092 8 / 10 万)和大理州(0. 065 4 / 10 万)。 网报病例中男女比例为 1 ∶ 1;职业以农(牧)民为主,共报告 74 例(占55. 22%),其次为学生 17 例(占 12. 69%);所有病例中年龄最小 1 岁,最大 81 岁,21 ~ 50 岁最多,共报告 70 例(占52. 24%)。 82. 84%(111 / 134)的病例在发病当年即诊断为棘球蚴病,17. 16%(23 / 134)的病例在发病第二年及以后诊断出;病例报告单位主要为医院(109 例,占 81. 34%),其次为疾控中心(16 例,占 11. 94%)。 结论 云南省棘球蚴病网报病例数逐渐增多,但仍存在一定的漏报现象,应加强疫情报告管理,针对重点地区和重点人群积极开展棘球蚴病筛查和健康教育工作。

关键词: 棘球蚴病, 流行病学, 报告病例, 云南省

Abstract: Objective To understand the endemic trend of echinococcosis in Yunnan Province for evidence to optimize the prevention and control measures for this infection. Methods The particular cases of echinococcosis in Yunnan Province reported in China Disease Prevention and Control Information System were obtained from 2005 to 2020,and statistically analyzed by descriptive epidemiology. Results Totally,134 cases of echinococcosis were reported throughout the 16 autonomous prefectures (cities) and 65 counties (districts) in Yunnan Province from 2005 to 2020. The cases reported most were topped by Dali prefecture( n= 37),Kunming City( n= 20) and Diqing prefecture(n = 10),and the top three incidence was Diqing prefecture(0. 157 1 / 100 000),Nujiang prefecture(0. 092 8 / 100 000) and Dali prefecture(0. 065 4 / 100 000). The male / female ratio was 1: 1. The occupation was associated with farmer / herdsman ( 55. 22%, n= 74 ) and students (12. 69%, n= 17). The youngest patient was only one year old,and the oldest was 81 years. The infection was the most seen in population aged from 21 and 50 years,with 70 cases (52. 24%) reported. 82. 84%(111 / 134) of the patients were confirmed as echinococcosis during the right years of infection,and 17. 16% (23 / 134) were confirmed by the second year after infection. One hundred and nine cases(81. 34%) were reported by medical institutions,and 16 (11. 94%) by CDC. Conclusion The cases of echinococcosis reported online in Yunnan Province tends to increase,yet underreporting still exists, for which we should strengthen management of reporting system,implement active disease screening in population in areas of higher risks,and provide health education for the target population.

Key words: Echinococcosis, Epidemiology, Reported Case, Yunnan Province

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