[2016-2023年福州市登革热疫情流行特征]。

J J Yang, X Y Zhang, S Zhang
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Local dengue fever cases: the peak incidence period was concentrated in August-October, accounting for 96.69% (1 462/1 512); distributed in 10 counties and districts, the three counties with the highest annual average incidence rate were Minhou County (9.95/100 000), Cangshan District (6.03/100 000), and Taijiang District (5.58/100 000); in 2019 (Moran's I=0.18, <i>P<</i>0.05) and 2023 (Moran's I=0.5, <i>P<</i>0.05) the spatial distribution of local dengue fever cases in Fuzhou City showed a clustering pattern, with Gulou, Taijiang, Cangshan, and Jin'an districts as high-high clustering areas, and the outbreaks basically clustered in the urban areas; the median age was 47 years old, and the proportion of 40-70 years old was 50.93% (770/1 512). 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引用次数: 0

摘要

为分析2016年至2023年福州市登革热流行病学特征,研究发现,2016年至2023年福州市共报告登革热病例1 697例(本地病例1 512例,输入性病例185例),共报告登革热相关突发公共卫生事件15起,平均疫情持续时间为15天。平均疫情持续时间为 71.6 天。本地登革热病例:发病高峰期集中在8-10月,占96.69%(1 462/1 512);分布在10个县区,年均发病率最高的3个县区分别为闽侯县(9.95/10万)、仓山区(6.03/10万)、台江区(5.58/10万);2019年(Moran's I=0.18,P0.05)和2023年(Moran's I=0.5,P0.05)福州市本地登革热病例空间分布呈现集聚模式,鼓楼区、台江区、仓山区、晋安区为高发集聚区,疫情基本集聚在市区;年龄中位数为47岁,40-70岁比例为50.93%(770/1 512)。在本地登革热病例中,81.15%(1 227/1 512)为无业人员,6.81%(103/1 512)为学生,比例最高。2016-2019年发病诊断间隔时间中位数分别为3.38 d、6.67 d、3.50 d、3.75 d,2023年发病间隔时间中位数为3.46 d。发病至确诊的中位时间差异无统计学意义(χ²=8.556 4,P>0.05)。输入性病例:主要来自东南亚国家,柬埔寨、巴布亚新几内亚、印度尼西亚所占比例最高,为 62.70% (116/185);5-9月是白纹伊蚊的活跃期,白纹伊蚊抗药性检测结果显示,蚊幼虫对残留毒死蜱敏感,白纹伊蚊成蚊对两种有机磷杀虫剂(毒死蜱、马拉硫磷)和一种有机磷杀虫剂(毒死蜱、马拉硫磷)敏感、一种白纹伊蚊成蚊对两种有机磷杀虫剂(毒死蜱、马拉硫磷)和一种拟除虫菊酯类氨基甲酸酯杀虫剂(呋喃丹)敏感。)
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[The epidemiological characteristics of the outbreak of Dengue fever in Fuzhou City from 2016 to 2023].

To analyze the epidemiological characteristics of dengue fever in Fuzhou City from 2016 to 2023, it was found that a total of 1 697 cases of Dengue fever (1 512 local cases and 185 imported cases) were reported in Fuzhou City from 2016 to 2023, and a total of 15 dengue-related public health emergencies were reported, with an average duration of the epidemic. The average duration of the epidemic was 71.6 days. Local dengue fever cases: the peak incidence period was concentrated in August-October, accounting for 96.69% (1 462/1 512); distributed in 10 counties and districts, the three counties with the highest annual average incidence rate were Minhou County (9.95/100 000), Cangshan District (6.03/100 000), and Taijiang District (5.58/100 000); in 2019 (Moran's I=0.18, P<0.05) and 2023 (Moran's I=0.5, P<0.05) the spatial distribution of local dengue fever cases in Fuzhou City showed a clustering pattern, with Gulou, Taijiang, Cangshan, and Jin'an districts as high-high clustering areas, and the outbreaks basically clustered in the urban areas; the median age was 47 years old, and the proportion of 40-70 years old was 50.93% (770/1 512). Among the local cases of Dengue fever, 81.15% (1 227/1 512) were unemployed, and 6.81% (103/1 512) were students with the highest proportion.The median time between onset diagnosis was 3.38 d, 6.67 d, 3.50 d, 3.75 d in 2016-2019, and 3.46 d in 2023, respectively, and the years of onset. The difference in the median time between onset and diagnosis was not statistically significant (χ²=8.556 4, P>0.05). Imported cases: mainly from Southeast Asian countries, Cambodia, Papua New Guinea, Indonesia accounted for the highest proportion of 62.70% (116/185); May to September is the active period of Aedes albopictus, and the results of Aedes albopictus resistance test showed that the mosquito larvae were sensitive to residual chlorpyrifos, and the Aedes albopictus adult mosquitoes showed sensitivity to two organophosphorus insecticides (chlorpyrifos, malathion), and to one type of Aedes albopictus adults were sensitive to two kinds of organophosphorus insecticides (chlorpyrifos, malathion) and a kind of pyrethroid carbamate insecticide (carbofuran).

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来源期刊
中华预防医学杂志
中华预防医学杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
12678
期刊介绍: Chinese Journal of Preventive Medicine (CJPM), the successor to Chinese Health Journal , was initiated on October 1, 1953. In 1960, it was amalgamated with the Chinese Medical Journal and the Journal of Medical History and Health Care , and thereafter, was renamed as People’s Care . On November 25, 1978, the publication was denominated as Chinese Journal of Preventive Medicine . The contents of CJPM deal with a wide range of disciplines and technologies including epidemiology, environmental health, nutrition and food hygiene, occupational health, hygiene for children and adolescents, radiological health, toxicology, biostatistics, social medicine, pathogenic and epidemiological research in malignant tumor, surveillance and immunization.
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