上海市长宁区2005～2015年流行性腮腺炎流行病学特征分析.docVIP

上海市长宁区2005～2015年流行性腮腺炎流行病学特征分析 　　摘要： 目的 分析上海市长宁区2005～2015年流行性腮腺炎（流腮）的流行病学特征，为预防和控制流腮提供参考。 方法 在全国“传染病报告信息管理系统”中，收集发病日期为2005年1月1日至2015年12月31日、现住址为上海市长宁区、传染病报告卡审核状态为“已终审卡”、病例分类为“实验室诊断病例”和“临床诊断病例”的流腮个案信息。采用描述流行病学方法，分析流腮病例的时间、地区和人群分布特征。 结果 2005～2015年长宁流腮报告发病率呈逐渐下降趋势，从2005年37.11/10万（280/754612）下降至2015年的12.6/10万（92/728296）。2005-2008年发病有明显的季节性，有一个发病高峰在5～7月。2009年以后发病的季节高峰不再明显。外来人口最多的新泾镇2013年之前年均发病率居长宁区10个街道（镇）首位，且2015年与2005年相比，发病率下降最明显，下降了81.63%。 2005～2015年 　　关键词：流行性腮腺炎； 流行病学； 免疫规划 　　中图分类号：R512.1 文献标识码：A 　　Abstract： Objective To analysis the epidemiological characteristics of mumps in Changning District of Shanghai from 2005 to 2015， and provide reference for mumps control and prevention. Methods Data of mump cases occurring between 2005 and 2015 were gathered from the national notifiable disease reporting system in China. Cases with current address in changning district， classified as “final card”， laboratory confirmed， or clinical diagnosis were included. Descriptive epidemiology techniques were used to analyze features of sex， age， trends over time， and geography. Results There was a decreasing trend in mumps incidence in Changning District from 2005 to 2015. The incidence declined from 37.11/100000（280/754612）in 2005 to 12.6/100000（92/728296）in 2015. One seasonal peak from May to July occurred between 2005 and 2008， but no significant seasonal peak occurred after 2008. Xinjing Town in Changning District with the？largest amount？of？population from other places？reported the highest incidence before 2013. During the study period， 79.46% cases occurred in children under 15 years old， and the peak age was 4-8 years， with incidence were 375.39/100000， 380.58/100000， 336.43/100000， 308.27/100000 and 289.40/100000 respectively. Conclusions 2-doses of MMR （Measles， mumps and rubella combined vaccine， MMR） in Shanghai have shown positive effect in controlling mumps. A high level of vaccination coverage of the children should be maintained. As a monitoring strategy， the inclusio