干旱区生态环境知识资源中心(Arid): 2015-2018年我国内脏利什曼病疫情分析

Arid

	2015-2018年我国内脏利什曼病疫情分析
其他题名	Prevalence of visceral leishmaniasis in China during 2015-2018
	周正斌; 李元元; 张仪; 李石柱
来源期刊	中国寄生虫学与寄生虫病杂志
ISSN	1000-7423
出版年	2020
卷号	38 期号:3
中文摘要	目的了解2015-2018年我国内脏利什曼病疫情状况,为制定防治策略和措施提供科学依据。方法收集2015-2018年中国疾病预防控制中心传染病报告信息管理系统中内脏利什曼病报告病例信息,剔除疑似病例、重复病例以及皮肤利什曼病病例,建立数据库,采用Microsoft Excel 2016软件对内脏利什曼病报告病例的三间分布进行描述性流行病学分析。结果2015-2018年全国16个省份的177个县共报告内脏利什曼病1 194例,病例主要分布于新疆(669例)、甘肃(271例)和四川(79例)等3个省。其中73个县属于流行区,共报告本地感染病例1 064例,其余104个县属于非流行区,共报告输入性病例130例。新疆伽师县(497例)和甘肃省舟曲县(94例) 、宕昌县(49例)和武都区(71例)为主要流行县,报告病例数占全国总病例数的59.5 %(711/1 194)。2015-2018年,甘肃、山西、陕西和河南等4省共有9个县出现内脏利什曼病复燃,报告本地感染病例25例。内脏利什曼病患者发病高峰为1 0-11月,男女患者比为1 ∶ 0.7。婴幼儿和农民是我国内脏利什曼病高风险人群,分别占全部病例数的67.3 %(803/1 194)和18.8 %(224/1 194)。内脏利什曼病病例主要分布于0~2岁年龄组(727例),不同流行类型病例年龄分布明显不同,野生动物源型和人源型内脏利什曼病病例主要分布于 0~2岁年龄组(557、30例) ,犬源型内脏利什曼病病例主要分布于≥ 15岁年龄组(198例) 。结论我国内脏利什曼病呈低度流行态势,但流行范围逐渐扩大。
英文摘要	Objective To understand the prevalence of visceral leishmaniasis (VL) in China during 2015- 2018, providing scientific basis for formulating strategies and measures for prevention and control. Methods Information of VL cases reported during 2015 -2018 from the web-based National Diseases Reporting Information System (NDRIS) operated by the Chinese Center for Disease Control and Prevention was collected. A database was established after excluding suspected cases, duplicate cases and cutaneous leishmaniasis cases. The three -compartment distribution of VL cases was analyzed with descriptive statistics using Microsoft Excel 2016. Results During 2015- 2018, a total of 1 194 VL cases were reported in 177 counties (cities) of 16 provinces (autonomous regions and municipalities). They were mainly distributed in Xinjiang (669 cases), Gansu (271 cases) and Sichuan Province (79 cases). Of the 177 counties (cities), 73 were endemic areas, reporting 1 064 indigenous cases, while the other 104 counties (cities) were non-endemic areas, reporting 130 imported VL cases. In particular, Jiashi County (497 cases), Zhouqu county (94 cases), Dangchang county (49 cases) and Wudu district (71 cases) were major endemic regions; the number of cases reported in the 4 areas accounted for 59.5% (711/1 194) of the grand total reported. During 2015 -2018, VL recurrence occurred in 9 counties of 4 provinces including Gansu, Shanxi, Shaanxi and Henan Provinces, where 25 indigenous cases were reported. The onset of VL peaked during October -November, with a male/female ratio of 1∶ 0.7. Infants and farmers were high-risk populations of VL, accounting for 67.3% (803/1 194) and 18.8% (224/1 194) of total cases, respectively. The VL cases were mainly distributed within ages of 0-2 years (727 cases). The age distribution of different epidemiological types of VL obviously varied. The desert -type zoonotic and anthroponotic types of VL were mainly distributed within ages of 0-2 years (557 cases and 30 cases), while the mountain-type zoonotic VL was mainly distributed at ages ≥15 years (198 cases). Conclusion Visceral leishmaniasis endemic in China displays a status of low prevalence, but the endemic area shows a trend of expansion.
中文关键词	内脏利什曼病 ; 中国 ; 疫情 ; 分布
英文关键词	Visceral leishmaniasis China Prevalence Distribution
类型	Article
语种	中文
收录类别	CSCD
WOS类目	General & Internal Medicine
CSCD记录号	CSCD:6778552
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/354042
作者单位	周正斌, 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;;世界卫生组织热带病合作中心;;科技部国家级热带病国际联合研究中心;;卫生部寄生虫病原与媒介生物学重点实验室, 上海 200025, 中国. 李元元, 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;;世界卫生组织热带病合作中心;;科技部国家级热带病国际联合研究中心;;卫生部寄生虫病原与媒介生物学重点实验室, 上海 200025, 中国. 张仪, 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;;世界卫生组织热带病合作中心;;科技部国家级热带病国际联合研究中心;;卫生部寄生虫病原与媒介生物学重点实验室, 上海 200025, 中国. 李石柱, 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;;世界卫生组织热带病合作中心;;科技部国家级热带病国际联合研究中心;;卫生部寄生虫病原与媒介生物学重点实验室, 上海 200025, 中国.
推荐引用方式 GB/T 7714	周正斌,李元元,张仪,等. 2015-2018年我国内脏利什曼病疫情分析[J],2020,38(3).
APA	周正斌,李元元,张仪,&李石柱.(2020).2015-2018年我国内脏利什曼病疫情分析.中国寄生虫学与寄生虫病杂志,38(3).
MLA	周正斌,et al."2015-2018年我国内脏利什曼病疫情分析".中国寄生虫学与寄生虫病杂志 38.3(2020).