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沈秀莲, 郑尔达, 黄甜, 贾豫晨, 何继波, 彭霞. 云南省2010 — 2021年流行性感冒流行特征及暴发疫情分析[J]. 中国公共卫生, 2023, 39(7): 830-834. DOI: 10.11847/zgggws1140233
引用本文: 沈秀莲, 郑尔达, 黄甜, 贾豫晨, 何继波, 彭霞. 云南省2010 — 2021年流行性感冒流行特征及暴发疫情分析[J]. 中国公共卫生, 2023, 39(7): 830-834. DOI: 10.11847/zgggws1140233
SHEN Xiulian, ZHENG Erda, HUANG Tian, JIA Yuchen, HE Jibo, PENG Xia. Epidemiological characteristics and outbreak management of influenza in Yunnan province, 2010 – 2021[J]. Chinese Journal of Public Health, 2023, 39(7): 830-834. DOI: 10.11847/zgggws1140233
Citation: SHEN Xiulian, ZHENG Erda, HUANG Tian, JIA Yuchen, HE Jibo, PENG Xia. Epidemiological characteristics and outbreak management of influenza in Yunnan province, 2010 – 2021[J]. Chinese Journal of Public Health, 2023, 39(7): 830-834. DOI: 10.11847/zgggws1140233

云南省2010 — 2021年流行性感冒流行特征及暴发疫情分析

Epidemiological characteristics and outbreak management of influenza in Yunnan province, 2010 – 2021

  • 摘要:
      目的  分析云南省流行性感冒(以下简称流感)的流行特征及暴发疫情处置情况,为制定有效防控策略和措施提供科学依据。
      方法  收集“传染病监测”和“突发公共卫生事件管理信息”系统2010 — 2021年云南省报告的流感病例及暴发疫情事件相关信息,对云南省2010 — 2021年流感流行特征及暴发疫情处置情况进行分析。
      结果  云南省2010 — 2021年共报告流感病例85018例,死亡13例,年平均发病率为14.9895/10万。各年龄段人群均有病例报告,以0~9岁组的发病人数居多,占52.64%(44752/85018); ≥ 60岁老年人发病数较少,仅占总病例数的7.18%(6101/85018)。年均发病率排前3位的州市分别是德宏州(82.7681/10万)、红河州(37.9560/10万)、迪庆州(34.1800/10万)。云南省2010 — 2021年报告病例中有实验室诊断结果的病例16000例,其中流感病毒型别甲型(占50.99%,8158/16000)和乙型(占48.14%,7703/16000)基本持平,混合感染占0.87%(139/16000)。2010 — 2021年共报告暴发疫情127起,其中乙型流感64起,甲型流感54起,混合型流感9起;每起疫情平均涉及病例69.6例;首发病例的发病日期至暴发疫情的平均报告日期间隔为4.5~10 d;暴发疫情持续时间集中在12 d(8,19);暴发疫情的发现时间与疫情持续时间呈正相关(rs = 0.518,P < 0.05);120起暴发事件发生在学校。
      结论  云南省2010 — 2021年流感发病高峰为每年11 — 12月份及次年1月份,儿童和老年人为流感高危人群,学校是流感的高发场所。针对高危人群,应加强流感疫苗接种宣传,以提高流感疫苗的接种率。

     

    Abstract:
      Objective  To analyze epidemiological characteristics and outbreak management of influenza in Yunnan province and to provide evidence for developing effective prevention and control strategies.
      Methods  The data on reported influenza cases and outbreaks in Yunnan province during 2010 – 2021 were collected from China Information System for Disease Control and Prevention and analyzed using descriptive statistics.
      Results  Totally 85 018 influenza cases and 13 deaths were reported in the province during the 12-year period, with the average annual incidence of 14.9895/100 000. Although the cases were reported in populations of various ages, the majority (52.64%) of the cases were at ages of 0 – 9 years and only 7.18% of the cases were elderly people aged ≥ 60 years. The top three average annual influenza incidence (82.7681, 37.9560, and 34.1800 per 100 000 population) were observed in three prefectures, namely Dehong, Honghe and Diqing. There were altogether 16 000 reported cases with laboratory confirmation, of them, 50.99% and 48.14% had influenza A and B virus infection, and 0.87% had combined infection of influenza A and B. Among 127 influenza outbreaks identified during the period in the province, 120 occurred in schools; 64 and 54 caused by influenza B and A virus infection, and 9 were induced by combined infection of influenza A and B virus. For the outbreaks, the average total number of reported cases in one outbreak was 69.6; the interval between the report of first case and the identification of the outbreak ranged 4.5 – 10 days; and the median duration of the outbreaks was 12 days (25th, 75th percentile: 8, 19). The interval between the report of first case and the identification of an outbreak was positively correlated with the duration of the outbreak (rS = 0.518, P < 0.05).
      Conclusion  During 2010 – 2021 in Yunnan province, influenza was prevalent from November of a year to January of the next year, especially among children aged 0 – 9 years and the most of the influenza outbreaks occurred in schools, suggesting that influenza vaccination should be promoted among high-risk populations to control the epidemic in the province.

     

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