中国血吸虫病防治杂志 ›› 2019, Vol. 31 ›› Issue (2): 121-125,133.

• 论著 • 上一篇    下一篇

2015–2017年全国传染病网络直报系统血吸虫病病例报告情况分析

戴思敏,徐志敏,张利娟*,许静,吕山   

  1. 中国疾病预防控制中心寄生虫病预防控制所、WHO热带病合作中心、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(上海 200025)
  • 出版日期:2019-05-24 发布日期:2019-05-26
  • 通讯作者: 张利娟
  • 作者简介:戴思敏,女,硕士,研究实习员。研究方向:血吸虫病防治
  • 基金资助:
    国家科技重大专项(2016ZX10004222?004)

Analysis of schistosomiasis cases report in National Notifiable Disease Report System in China, 2015-2017

DAI Si-Min, XU Zhi-Min, ZHANG Li-Juan*, XU Jing, Lü Shan   

  1. National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; WHO Collaborating Center for Tropical Diseases; Key Laboratory of Parasite and Vector Biology, National Health Commission, Shanghai 200025, China
  • Online:2019-05-24 Published:2019-05-26
  • Contact: ZHANG Li?Juan

摘要: 目的 了解全国传染病网络直报系统中血吸虫病病例报告情况,查找病例报告工作中存在的不足,并对报告病例流行特征进行分析。方法 在全国传染病网络直报系统中,导出2015–2017年血吸虫病报告病例数据,分析病例上报情况及病例流行病学特征。结果 2015–2017年全国传染病网络直报系统共上报血吸虫病病例59 981例,其中删除病例1 460例、终审病例58 521例。病例报告中存在不规范问题,主要涉及随意删除病例、病例上报时间不符合规定、病例分类错误和漏报。58 521例终审病例中,男女性别比为1.83∶1;平均年龄(51.91 ± 11.30)岁,农民和渔(船)民分别占93.26%(54 577例)和3.46%(2 022例)。国内病例主要集中在安徽、湖南、湖北和江西,4省报告病例数占全国病例总数的99.73%。北京、浙江等省(直辖市、自治区)共报告11例国外输入性曼氏血吸虫病和埃及血吸虫病病例。结论 2015–2017年全国传染病网络直报系统中血吸虫病报告病例以临床诊断病例为主;与全国血吸虫病防治工作年报表相比,全国传染病网络直报系统中血吸虫病确诊病例漏报严重。

关键词: 血吸虫病, 全国传染病信息报告管理系统, 流行病学特征

Abstract: Objective To understand the reporting situation of schistosomiasis cases in National Notifiable Disease Report System (NNDRS) in China from 2015 to 2017, and to seek current deficiencies on case reporting as well as to analyze the epidemiological characteristics of schistosomiasis cases. Methods The data of schistosomiasis cases in China from 2015 to 2017 were collected from NNDRS, and the reporting situation and epidemiological characteristics of schistosomiasis cases were analyzed. Results From 2015 to 2017, totally 59 981 schistosomiasis cases were reported in China, among which, 1 460 cases were deleted, and 58 521 were censored cases. The statistics and analysis showed that a part of the case reporting had been carried out in nonstandard ways, mainly involving the random deletion of cases, reporting time not compliance with regulations, incorrect classification, and severe omission of cases. Among the 58 521 censored cases, the sex ratio of the male to the female was 1.83∶1, the average age of the cases was (51.91 ± 11.30) years, and farmers and fishermen accounted for 93.26% (54 577 cases) and 3.46% (2 022 cases), respectively. The reported cases mainly concentrated in Anhui, Hunan, Hubei and Jiangxi provinces, accounting for 99.73% of the total number in China. During this period, Beijing, Zhejiang and other provinces (cities and regions) reported 11 imported schistosomiasis cases, all of them were schistosomiasis mansoni cases or schistosomiasis haematobia cases. Conclusions From 2015 to 2017, the reported cases of schistosomiasis are mainly clinically diagnosed cases. Compared with the annual report of the national schistosomiasis control, the number of confirmed cases in NNDRS is seriously missed. Therefore, the endemic provinces should strengthen the supervision on confirmed cases and reporting quality of schistosomiasis cases in accordance with the relevant law and regulation.

Key words: Schistosomiasis, National Notifiable Disease Report System (NNDRS), Epidemiological characteristic

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