中国寄生虫学与寄生虫病杂志 ›› 2022, Vol. 40 ›› Issue (4): 475-480.doi: 10.12140/j.issn.1000-7423.2022.04.009

• 论著 • 上一篇    下一篇

2004—2020年全国棘球蚴病疫情分析

韩帅1(), 蒉嫣1, 薛垂召1, 张雅兰2, 张本光3, 李启扬4, 王婷5, 戴洋6, 袁熠7, 陶薇8, 朱爱娅9, 李正祥10, 王子江11, 唐磊12, 吴文婷13, 谢汉国14, 姚立农15, 杨益超16, 伍卫平1,*()   

  1. 1.中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心),国家卫生健康委员会寄生虫病原与媒介生物学重点实验室,世界卫生组织热带病合作中心,国家级热带病国际联合研究中心,上海 200025
    2.河南省疾病预防控制中心,郑州 450016
    3.山东省寄生虫病防治研究所,济宁 272033
    4.安徽省寄生虫病防治研究所,合肥 230000
    5.山西省疾病预防控制中心,太原 030000
    6.江苏省血吸虫病防治研究所,无锡 214000
    7.重庆市疾病预防控制中心,重庆 400000
    8.河北省疾病预防控制中心,石家庄 050000
    9.贵州省疾病预防控制中心,贵阳 550000
    10.湖南省疾病预防控制中心,长沙 410000
    11.辽宁省疾病预防控制中心,沈阳 110000
    12.黑龙江省疾病预防控制中心,哈尔滨 150000
    13.北京市疾病预防控制中心,北京 100000
    14.福建省疾病预防控制中心,福州 350000
    15.浙江省疾病预防控制中心,杭州 310000
    16.广西壮族自治区疾病预防控制中心,南宁 530000
  • 收稿日期:2021-04-06 修回日期:2021-04-27 出版日期:2022-08-30 发布日期:2022-09-07
  • 通讯作者: 伍卫平
  • 作者简介:韩帅(1987-),男,硕士,副研究员,从事寄生虫病防治研究。E-mail: hanshuai@nipd.chinacdc.cn

The endemic status of echinococcosis in China from 2004 to 2020

HAN Shuai1(), KUI Yan1, XUE Cui-zhao1, ZHANG Ya-lan2, ZHANG Ben-guang3, LI Qi-yang4, WANG Ting5, DAI Yang6, YUAN Yi7, TAO Wei8, ZHU Ai-ya9, LI Zheng-xiang10, WANG Zi-jiang11, TANG Lei12, WU Wen-ting13, XIE Han-guo14, YAO Li-nong15, YANG Yi-chao16, WU Wei-ping1,*()   

  1. 1. National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research); NHC Key Laboratory of Parasite and Vector Biology; WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Shanghai 200025, China
    2. Henan Province Center for Disease Control and Prevention, Zhengzhou 450016, China
    3. Shandong Institute of Parasitic Diseases, Jining 272033, China
    4. Anhui Provincial Institute of Parasitic Disease, Hefei 230000, China
    5. Shanxi Province Center for Disease Control and Prevention, Taiyuan 030000, China
    6. Jiangsu Institute of Parasitic Diseases,Wuxi 214064, China
    7. Chongqing Municipality Center for Disease Control and Prevention, Chongqing 400000, China
    8. Henbei Province Center for Disease Control and Prevention, Shijiazhuang 050000, China
    9. Guizhou Province Center for Disease Control and Prevention, Guiyang 550000, China
    10. Hunan Province Center for Disease Control and Prevention, Changsha 410000, China
    11. Liaoning Province Center for Disease Control and Prevention, Shenyang 110000, China
    12. Heilongjiang Province Center for Disease Control and Prevention, Haerbin 150000, China
    13. Beijing Center for Disease Control and Prevention, Beijing 100000, China
    14. Fujian Province Center for Disease Control and Prevention, Fuzhou 350000, China
    15. Zhejiang Province Center for Disease Control and Prevention, Hangzhou 310000, China
    16. Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530000, China
  • Received:2021-04-06 Revised:2021-04-27 Online:2022-08-30 Published:2022-09-07
  • Contact: WU Wei-ping

摘要:

目的 了解我国棘球蚴病疫情分布状况及流行病学特点,为优化防治策略提供依据。 方法 收集2004—2020年国家传染病报告信息管理系统中全国棘球蚴病报告病例的数据,采用Microsoft Office 2016软件对报告病例的时间分布、地区分布、人群分布进行描述性统计分析。 结果 2004—2020年全国31个省(直辖市、自治区)共报告棘球蚴病病例66 040例,其中9个流行省份[新疆(包括新疆生产建设兵团)、四川、青海、甘肃、宁夏、西藏、内蒙古、陕西和云南]报告65 340例,占全国总报告病例数的98.9%,22个非流行省份报告700例,占全国报告病例的1.1%。男性31 494例,女性34 546例。全国报告棘球蚴病例数从2004年的991例上升至2020年的3 650例,呈逐年增多的趋势(z = 2.27,P < 0.05)。非流行省份报告棘球蚴病例数从2004年的17例上升至2020年的56例,亦呈逐年增多趋势(z = 4.1675,P < 0.05)。报告病例年龄分布主要以≥ 20岁年龄组为主,占91.3%(60 271/66 040),年龄不足1岁11例,≥ 85岁200例;职业分布中牧民和农民占全国报告病例数的72.8%(48 074/66 040),其他主要为家务及待业者(5.5%,3 606/66 040),学生(4.6%,3 034/66 040)。2020年非流行区共报告56例,河南报告最多(16例);其中输入性病例38例,由新疆输入24例;10个省份存在疑似本地感染病例。 结论 我国西部9个省份的棘球蚴病流行仍然十分严重,报告病例数呈增多趋势。牧民和农民、青中年为高发人群。

关键词: 棘球蚴病, 疫情, 流行区, 非流行区

Abstract:

Objective To analyze the endemic situation and epidemiological characteristics of echinococcosis in China, and provide a scientific basis for optimizing control strategy. Methods From the Infectious Diseases Report System of the Chinese Center for Disease Control and Prevention, information of nationwide echinococcosis cases reported in 2004 to 2020 were collected, and descriptively analyzed on time distribution, the regional distribution, and demographic distribution, using Microsoft Office 2016 software. Results From 2004 to 2020, a total of 66 040 cases of echinococcosis were reported in 31 provinces (municipalities and autonomous regions), among which 65 340 cases were reported in nine endemic provinces (Xinjiang, Sichuan, Qinghai, Gansu, Ningxia, Tibet, Inner Mongolia, Shaanxi and Yunnan) and 700 cases were reported in 22 non-endemic provinces, accounting for 98.9% and 1.1% of the total, respectively. Among the nationwide total, 31 494 male cases and 34 546 female cases were recorded. The toal number of reported cases of echinococcosis was on the increase from 991 in 2004 to 3 650 on 2020, showing an increasing trend (z = 2.27, P < 0.05). The number of reported cases of echinococcosis from non-endemic provinces in 2004 was 17 cases, which increased to 56 in 2020, showing an increasing trend (z = 4.1675, P < 0.05). The age distribution indicated that majority (91.3%) of cases were at the age goup of ≥ 20, whereas 11 cases were at the age group of under one year old, and 200 cases were at 85 years old or older. The occupation distribution demonstrated that herdsmen and farmers accounted for 72.8% (48 074/66 040) of the total, housework and unemployed 5.5% for (3 606/66 040); and students for 4.6% (3 034/66 040). A total of 56 cases were reported in non-epidemic areas in 2020, including 38 imported cases. Henan reported the most cases with 16, Xinjiang imported 24 cases, and 10 provinces had suspected local cases. Conclusion The endemicity of echinococcosis in nine west provinces remains high. The number of reported cases showed increasing trend. Herdsmen, farmerd, youth and middle age are the population with high prevalence.

Key words: Echinococcosis, Endemic situation, Endemic areas, Non-endemic areas

中图分类号: