中国寄生虫学与寄生虫病杂志

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2005-2014年甘肃省内脏利什曼病流行情况的回顾性分析

余大为1,2,丁国武1 *,格鹏飞2,冯宇2,李凡2   

  1. 1 兰州大学公共卫生学院,兰州 730000;
    2 甘肃省疾病预防控制中心,兰州 730020
  • 出版日期:2015-06-30 发布日期:2015-09-08

A Retrospective Analysis on the Prevalence of Visceral Leishmaniasis in Gansu Province during 2005-2014

YU Da-wei 1,2, DING Guo-wu 1* , GE Peng-fei 2, FENG yu 2 , LI fan 2   

  1. 1 School of Public Health,Lanzhou University,Lanzhou 730000,China;2 Gansu Provincial Center for Disease Control and Prevention,Lanzhou 730020,China
  • Online:2015-06-30 Published:2015-09-08

摘要:

【摘要】  目的  回顾分析2005-2014年甘肃省内脏利什曼病的流行情况。  方法  收集甘肃省2005-2014年内脏利什曼病疫情报告资料,建立数据库,并进行描述性流行病学分析。  结果  2005-2014年甘肃省累计报告内脏利什曼病1 260例,自2005年(90例,占7.14%)起呈逐年增多趋势,至2011年达到高峰(168例,占13.33%),随后逐年下降,2014年为85例(占6.75%)。病例主要集中于陇南地区和甘南藏族自治州部分地区。其中陇南武都区发病人数最多,累计506例,占40.16%(506/1 260);其次为文县,累计发病人数302例,占23.97%(302/1 260);甘南地区的舟曲县累计发病人数居第3位,为202例,占16.03%(202/1 260)。男女患者比例为1.46 ∶ 1。各年龄组中0~5岁年龄组人群病例数最多,占发病总人数的52.78%(665/1 260),随年龄的增高,病例数逐渐减少。全年均有发病,3~6月份为高发月份,累计病例数分别占10.48%(132/1 260)、13.33%(168/1 260)、12.86%(162/1 260)和11.67%(147/1 260)。  结论  2005-2014年甘肃省陇南地区和甘南州部分地区为内脏利什曼病高发区,患者主要为5岁以下婴幼儿,3~6月份为高发月份。

关键词: 甘肃省, 内脏利什曼病, 流行, 回顾性分析

Abstract:

【Abstract】 Objective  To review the prevalence of visceral leishmaniasis in Gansu Province during 2005-2014.  Methods  The data of visceral leishmaniasis cases in Gansu Province during 2005-2014 were collected and descriptive statistical analysis was performed.  Results  During 2005-2014, 1 260 cases of visceral leishmaniasis were reported in Gansu Province. The incidence showed a trend of annual increase from 2005 (90 cases, 7.14%) onwards, peaked in 2011 (168 cases, 13.33%), and decreased afterwards. In 2014, 85 cases (6.75%) were reported. Most of the cases were from the Longnan region and some areas in Gannan Tibetan Autonomous Prefecture. Specifically, the case number was highest in Wudu District of the Longnan region (506/1 260, 40.16%), followed by Wenxian County (302/1 260, 23.97%) and Zhouqu County (202/1 260, 16.03%). In total, the cases had a male-to-female ratio of 1.46 ∶ 1, and concentrated in age group of 0-5 years (665/1 260, 52.78%), showing a trend of decrease with age increase. In addition, visceral leishmaniasis occured throughout the year, with a higher cumulative incidence from March to June [10.48% (132/1 260), 13.33% (168/1 260), 12.86% (162/1 260) and 11.67% (147/1 260), respectively]. Conclusion From 2005 to 2014, the Longnan region and some areas of Gannan Prefecture are the major endemic areas of visceral leishmaniasis, with more cases in children under 5 and higher incidence from March to June.

Key words: Gansu Province, Visceral leishmaniasis, Prevalence, Retrospective analysis