| Objective To analysis the notifiable diseases epidemic characteristics in Tongling county from 2005 to 2009, for Providing scientific basis for government to establish prevention strategies.Methods The notifiable infectious diseases reported by information management system for disease surveillance during 2005 to 2009 were arranged, and used Descriptive epidemiology to analysis the incidence of notifiable infectious diseases in Tongling county from 2005 to 2009.Results During 2005 to 2009, 5007 cases in 21 kinds of notifiable infectious diseases (hand-foot-and-mouth disease(HFMD) and swine flu was excluded) was reported totally. The annual average reported incidence rate was 338.93/10 million, and the annual reported incidence rate was 319.02 per 10 million,284.42 per 10 million,301.97 per 10 million,342.85 per 10 million,448.62 per 10 million from 2005 to 2009 in turn. The highest incidence in 2009, and the trend was upward overall.2839 cases in 16 kinds of infectious diseases type B (swine flu was excluded) were reported totally. The annual average reported incidence rate was 192.17/10 million, and 2168 cases in 16 kinds of infectious diseases type C (HFMD was excluded) were reported totally. The annual average reported incidence rate was 146.75/10 million. Infectious diseases type B incidence rate was higher than C in during those 5 years except 2009, however, the fluctuations of incidence was moderate. The trend of infectious diseases type C incidence rate was on rise, and the incidence rate was higher than type B in 2009. The top five diseases incidence reported of 2005-2009 were tuberculosis, other infectious diarrhea, viral hepatitis, mumps, gonorrhea, a total of 4382 cases reported, accounting for 87.52% of total infectious diseases in five years. 2005-2009, 1670 cases of tuberculosis were reported, the annual average incidence rate 113.04/10 million, accounting for 75.57% was farmers. 1452 cases were reported in other infectious diarrhea, the average annual incidence rate of 98.29/10 million, the peak incidence is from May to August, accounting for 56.20%; 0-year-old group reported relatively high, accounting for 21.49%; the incidence of farmers is the highest, accounting for 31.82%.A total of 530 cases of viral hepatitis was reported, the annual average incidence of 35.88/10 million, 80% of those was hepatitis B; the incidence of 20-50 age group was higher, accounted for 71.70%; the highest incidence was farmer group, accounting for 59.81%. 488 cases of mumps were reported, and the average annual incidence rate of 33.03/10 million. The peak of incidence was the March-to-July group, accounting for 70.70%; the incidence of 3-20 years-old group was the highest, accounting for 92.26%; students accounted for 79.10%. 242 cases of gonorrhea were reported totally, the average reporting rate of 16.38/10 million and 25-55 year-old group accounted for 83.06%; farmers the most, accounting for 47.11%.2005-2009, 2465 cases were reported of the respiratory tract diseases and its` incidence was the most frequently, 49.23% of the total number reported ;the followed one was intestinal infectious diseases, 1689 cases reported, accounting for 33.73% of the total number reported; during 2005-2009, a total of 4154 cases in respiratory infections and intestinal infectious diseases were reported, 82.96% of the total reported number; 820 cases of blood and sexually transmitted diseases were reported totally, accounting for 16.38%; 25 cases of Insect-borne infectious diseases of natural foci reported account for 0.5%; other means infectious diseases was the least, 8 cases were reported, accounting for 0.16%. The average annual incidence rate of intestinal infectious diseases was 114.33%, in addition to 2008, there were fluctuations, and the overall was upward trend too; the average annual incidence rate of infectious diseases was 166.86 percent, in addition to fluctuations in 2005, the general on rise. Blood and sexually transmitted diseases had been declining from 2005 to 2008, but it began to rebound in 2009. Natural foci,insect-borne and other means infectious disease were in low-level sporadic state. 184 cases of rubella cases were reported totally in 2009 at Tongling Country, and the attack rate was 61.73 per 10 million. Peak rate was on mid-March to early January. The highest incidence of age groups was 10-20 years old group, accounting for 72.28%. The diseased people are mainly primary and secondary, accounting for 79.89%.A total of 141 cases in syphilis were reported from 2005 to 2009 and the average annual incidence rate was 13.24/10 million. The trend of incidence rate was downward in 2005-2007 and then began to rise. 25-50 years old group was mainly, 105 cases were reported, accounting for 74.47%. Incidence of occupational population was mainly farmers, which were reported in 71 cases, accounting for 50.35%.2005-2009, 136 cases of dysentery were reported, and they are all bacillary dysentery, the average annual incidence rate of 9.21/10 million. Upward trend in 2005 to 2007 and then began to decline. 75 cases were totally reported in May to August, 55.15% of total cases. 30 cases were reported in 0-2 years-old group, which was in the relatively high incidence, accounting for22.06%. Incidence of occupational groups, farmers the most, 56 cases were reported, accounting for 41.18%.64 cases of influenza reported all in August to December in 2009. The peak incidence was from August to September, totally 41 cases reported, 64.06% of all cases reported in 2009. 2009, the mainly incidence of age-group in influenza was 4-20 years-old group, and 53 cases were reported, accounting for 82.81%. Students mainly, were reported in 42 cases, accounting for 65.63%.The peak incidence of measles in Tongling county, mainly in March to May, 39 cases totally reported, 63.93% of total cases reported, and manly was 0-age-group. Followed was 15-40 years-old group, accounting for 44.26%. Occupational mainly was scattered children, 31 cases were reported, accounting for 50.82%. Followed were farmers about 10 cases, accounting for 16.39%.2008-2009, 468 cases of HFMD were reported in Tongling country. Peak incidence was from April to June. Children living in rural areas had higher incidence, totally reported 393 cases, accounting for 83.97%; scattered children accounted for 61.75%, and 95.09% of cases reported was 0-5 years-old group.106 cases in swine flu were totally reported. There was a peak incidence each in last third of the September, mid-November and first third of the December, and students accounted for 81.13%.Incidence of 5-20 year age group accounted for 83.02% of the total cases reported.Conclusion Intestinal, respiratory diseases account for a large proportion, and they still were the focus of future disease prevention. We should strengthen the prevention and control of infectious diseases. We also should continue to strengthen surveillance of communicable diseases which did not occur. Surveillance of infection diseases which were not notifiable infection diseases should be strengthened. Meantime, additional notifiable infection diseases and emerging should be strengthened. |
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