在中国的SARS后时代,传染病的流行病学变化,2004-2018年
Yizhe Luo1,2, Binxiong Wu1, Yameng Xu1,2
1Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, 211166, P.R. China.
BMC public health
|November 6, 2023
概括
在SARS之后,中国的传染病发病率上升,疫苗可以预防的疾病和胃肠道疾病的发病率显著增加. 死亡率也增加,特别是动物传播疾病,突出地区差异和持续的公共卫生挑战.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 在2003年严重急性呼吸道综合征 (SARS) 爆发后,中国的传染病格局发生了重大变化.
- 公共卫生系统和生活水平的改善影响了疾病模式.
研究的目的:
- 分析2004年至2018年中国44种主要传染病的趋势.
- 通过年龄,性别,季节和省份来检查发病率和死亡率的变化.
主要方法:
- 利用来自中国疾病控制和预防信息系统 (CISDCP) 和公共卫生科学数据中心的数据.
- 雇员加入点回归模型来评估发病率和死亡率趋势.
主要成果:
- 44种疾病的总体发病率从2004年到2018年增加,疫苗可以预防的和胃肠道/肠道病毒疾病的显着增加.
- 死亡率在2011年之前大幅上升,然后稳定下来. 动物传播疾病是死亡风险最高的,而性传播疾病/血液传播疾病占死亡人数最多.
- 观察到显著的地理差异,中国西部承担了不成比例的负担.
结论:
- 尽管在SARS后传染病控制方面取得了进展,但整体发病率和死亡率仍在继续上升,尽管它们正在稳定.
- 在解决区域卫生不平等,扩大疫苗接种,控制性传播疾病和管理新出现的传染病方面,仍然存在挑战.
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