| ObjectiveTo study popular trend of infectious diseases in Shengdong community from2005to2011, explore the prevalent regularity of key infectious diseases, comprehensive grasp epidemic dynamic of infectious diseases, identify the management program of key infectious disease, and provide a scientific basis for effective comprehensive prevention and control infectious diseases.MethodsUse the refrospective data analysis method, collecting infectious disease data in Shengdong community from2005to2011, using spss16.0and Excel2003to process the data. Use the descriptive epidemiology method, analyze popular trend and popular characteristic of infectious diseases in different seasons, different ages and different people. Analyze viral hepatitis, bacterial dysentery, hand, foot and mouth diseases.Results1. The overall situation of infectious diseases from2005to2011A total of671infectious disease cases were reported in shengdong community, among which444cases were male, accounted for66.2%,227cases were female, accounted for33.8%. Clinical diagnosis cases were615, accounted for91.7%, laboratory diagnosis cases were56, accounted for8.3%. The highest incidence was2009,167cases, accounted for24.9%, the lowest incidence was2005,51cases, accounted for7.6%. In all ages, the highest incidence was2～5years old,173cases, accounted for25.8%, the lowest incidence was 16～20years old,10cases, accounted for1.5%. In seasons, mainly concentrated in June,153cases, accounted for22.8%; the lowest in November,18cases, accounted for2.7%. Mainly occur among children,240cases, accounted for35.7%, including the scattered children131cases (19.5%), childcare children109cases(16.2%); followed by workers, incidence was227cases, accounted for33.8%; the lowest incidence was medical staff,2cases, accounted for0.3%.2. Constitute of all kinds of legal infectious diseases from2005to2011A total of671cases of infectious diseases were reported from2005to2011, including b, c class infectious diseases14kinds of619cases and other non-statutory infectious disease were52cases. A class infectious disease was not occurred. The top three of legal infectious diseases were viral hepatitis (41.8%), hand, foot and mouth disease (36.7%) and bacterial diarrhea (10.5%) from2005to2011.3. Trend analysis of all kinds of infectious diseases from2005to2011The number of viral hepatitis have been first from2005to2008, in recent years the pathogenesis of viral hepatitis several by the first gradually fell to a second or even third place, this suggests that the pathogenesis of viral hepatitis has been effectively controlled. Hand, foot and mouth disease was fourth in2007, gradually rising to the first in2009-2011years. Bacillary dysentery was second disease in total incidence.4. A total of10kinds366cases of B class infectious diseases were reported from2005to2011, the top three were viral hepatitis, bacillary dysentery and tuberculosis; a total of4kinds253cases of C class infectious diseases were reported, the top three were hand, foot and mouth disease, other infectious diarrhea and mumps.5. According to the route of transmission of infectious diseases, the ethylene-propylene class infectious diseases were divided into the following four kinds:the intestinal tract, respiratory tract, zoonotic and sexually transmitted diseases. Of which the highest incidence was intestinal infectious disease (569cases), the lowest incidence was Zoonotic infectious diseases (2cases).6. Incidence of intestinal infectious disease from2005to2011A total of569cases were intestinal infectious diseases from2005to2011,388cases were male, accounted for68.2%,181cases were female, accounted for31.8%. Age range was 0-81years old, the highest incidence was2-5years old,167cases, accounted for29.3%. Clinical diagnosis cases were542, accounted for95.3%, laboratory diagnosis cases were27, accounted for4.7%. The highest incidence was children, including scattered children werel24cases, accounted for21.8%and childcare children were107cases, accounted for18.8%. The second was workers,208cases, accounted for36.6%.The intestinal infectious diseases trend was obvious unimodal curve, mainly concentrated in June.7. Incidence of Viral hepatitis259cases of viral hepatitis were reported from2005to2011. Among them,205cases were male, accounted for79.2%,54cases were female, accounted for20.8%. Age range14-73years old, the highest incidence was31～35years old,62cases, accounted for23.9%, No children under14years old. The highest incidence was2008,53cases, accounted for20.5%, the lowest incidence was2011,5cases, accounted for1.9%. The four seasons all can come on. Mainly occur among workers,194cases, accounted for74.9%, the lowest were students and medical workers (0.8%).8. Incidence of Hand, foot and mouth disease227cases of hand, foot and mouth disease were reported from2005to2011. Among them,137cases were male, accounted for60.4%,90cases were female, accounted for39.6%. Age range was0-31years old; the highest incidence was0-5years old,159cases, accounted for70.7%. No cases in2005and2006. The highest incidence was80cases in2009and2010, accounted for35.2%. The season was mainly concentrated in June. Mainly occur among children,206cases, accounted for90.7%, including scattered children,107cases, childcare children,99cases.9. Incidence of Bacillary dysentery65cases of bacillary dysentery were reported from2005to2011. Among them,38cases were male, accounted for58.5%;27cases were female, accounted for41.5%. Age range was0-81years old. The highest incidence was under10years old and60years old or older. Among them, the highest incidence was0-1years old,14cases, accounted for21.5%. Bacterial dysentery incidence showed obvious double-peak curve, the peaks were mainly concentrated in June and September. The highest incidence was children,21cases, accounted for32.3%, including14cases were scattered children,7cases were childcare children; Secondly students incidence was higher,14cases, accounted for21.55%.Conclusion1. All kinds of infectious disease spectrum had bigger changed in shengdong community from2005to2011. As the effective interventions of vaccine, infectious disease epidemic intensity decreased. At present, all kinds of infectious diseases were given priority to the intestinal infectious diseases, viral hepatitis, hand, foot and mouth disease and bacterial dysentery were focus on prevention and control of infectious diseases in future.2. Health education propaganda was carried out; strengthen immunization of hepatitis B vaccine with the outside of the newborn population, which can effectively reduce the incidence of viral hepatitis.3. The health education was carried out, good personal hygiene habits were vigorously developed, which can reduce the incidence of hand, foot and mouth disease and bacillary dysentery.4. Strengthen monitoring of vaccination and the outside people crowd, carried out the combining method of routine immunization and strengthen the immune, prevented outbreaks rebound. |
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