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王笑辰, 张楠, 周伟忠, 秦圆方, 李志锋, 胡建利, 鲍倡俊. 江苏省狂犬病疾病负担研究[J]. 中国公共卫生, 2021, 37(1): 134-137. DOI: 10.11847/zgggws1127590
引用本文: 王笑辰, 张楠, 周伟忠, 秦圆方, 李志锋, 胡建利, 鲍倡俊. 江苏省狂犬病疾病负担研究[J]. 中国公共卫生, 2021, 37(1): 134-137. DOI: 10.11847/zgggws1127590
WANG Xiao-chen, ZHANG Nan, ZHOU Wei-zhong, . Disease burden of rabies in Jiangsu province, 2008 – 2018: a surveillance data-based analysis[J]. Chinese Journal of Public Health, 2021, 37(1): 134-137. DOI: 10.11847/zgggws1127590
Citation: WANG Xiao-chen, ZHANG Nan, ZHOU Wei-zhong, . Disease burden of rabies in Jiangsu province, 2008 – 2018: a surveillance data-based analysis[J]. Chinese Journal of Public Health, 2021, 37(1): 134-137. DOI: 10.11847/zgggws1127590

江苏省狂犬病疾病负担研究

Disease burden of rabies in Jiangsu province, 2008 – 2018: a surveillance data-based analysis

  • 摘要:
      目的  通过对江苏省狂犬病的疾病负担进行统计分析和综合评价,为制定疾病防制策略提供参考依据。
      方法  收集2008 — 2018年江苏省狂犬病疫情资料,进行流行病学特征分析,同时使用世界卫生组织(WHO)公布的计算工具评估因狂犬病早死导致的伤残调整寿命年(DALYs),并结合人力资本法评估早死间接经济负担。
      结果  2008 — 2018年江苏省累计报告狂犬病病例565例,男女性别比为1 ∶ 0.42,所有病例中农民超过了73 %;DALYs总损失为12 318.22人年,年均损失1 119.84人年;DALY 强度为0.014人年/1 000人;男性年均损失DALYs 783.82人年,显著高于女性(t = 2.984,P < 0.05);45~59岁年龄组损失的DALYs居首位,约占总损失的35.15 %;70~79岁年龄组DALY强度最高,为0.021 9人年/1 000人;江苏省每年因狂犬病死亡导致的间接经济负担为4 929.29万元,其中45~59岁组所占比例最高。
      结论  狂犬病主要负担人群为男性以及45~59岁年龄组人群,此外 < 15岁青少年儿童的负担也较大,应加强对此部分人群的关注,并制定相应防控对策。

     

    Abstract:
      Objective  To assess the disease burden of rabies in Jiangsu province for providing references to the development of rabies prevention and control strategies.
      Methods  We collected the data on rabies incidences reported in Jiangsu province during 2008 – 2018 and performed statistical analysis on the data. Disability-adjusted life years (DALYs) attributed to rabies mortalities were calculated with tools recommended by World Health Organization and human capital method was adopted to estimate economic burden caused by rabies incidents.
      Results  Totally 565 rabies cases were reported Jiangsu province during the 11 years; the male to female ratio was 1 : 0.42 for all the cases and more than 73% of the rabies mortalities were farmers. The estimated total life loss and the average annual life loss caused by rabies mortality were 12 318.22 years and 1 119.84 years; the rabies mortality related DALY intensity is 0.014 person-years/1 000 persons. The average annual loss of DALYs is 783.82 person-years for the males, which is significantly higher than that for the females (t = 2.984, P < 0.05); the DALYs lost due to rabies mortality cases aged 45 – 59 years accounted for 35.15% of the total DALYs loss. The DALY intensity is the highest (0.0219 person-years/1 000 persons) for the population aged 70 – 79 years. The annual indirect economic burden related to the reported rabies incidents was 49.29 million yuan RMB and the highest proportion of the indirect economic burden is attributed to rabies mortalities aged 45 – 59 years.
      Conclusion  During 2008 – 2018 in Jiangsu province, major disease burden of rabies is for male population and population aged 45 – 59 years and the disease burden of rabies is also relatively high for the population under 15 years of age, suggesting that targeted strategies should be developed for rabies prevention among those populations.

     

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