【摘要】 目的 探索茂名市传染病的发病趋势。方法 采用描述流行病学方法分析茂名市１９５０～１９９９年法定报告传染病的流行及发病趋势。结果 除鼠疫、黑热病外，其余法定传染病都有发生，年均发病率由５０年代的１９９６．０９／十万降低至９０年代的９４．５６／十万，死亡率由５０年代的８．１７／十万降至９０年代的０．６０／十万；５０年代以虫媒传染病（１３１９．９１／十万）为优势病种，６０～８０年代以呼吸道传染病（８６４．００／十万～４４２７．８８／十万）为优势病种，９０年代以肠道传染病（３５．２７／十万）为优势病种；居各年代首位的传染病为：５０年代疟疾，６０年代麻疹，７０～８０年代流感，９０年代肝炎；计免相关病种发病率下降明显，如麻疹由５０年代的４０９．９９／十万降至９０年代的５．１３／十万，脊灰从１９９４年起无病例报告，疟疾由５０年代的１３１９．７１／十万降至９０年代的４．３５／十万，肝炎发病率下降幅度不大；９０年代，肺结核、淋病和梅毒的发病率逐年上升，同时出现艾滋病新病种。结论 茂名市传染病发病总趋势是下降的。在继续抓好计划免疫的同时，应把肠道传染病、血源及性传播传染病作为今后防治重点。更多还原

【Abstract】 Objective To analyse the changing of incidence of notifiable infectious diseases in Maoming during 1950～1999 .Methods Related data was reviewed by descriptive epidemiologi- cal method. Results Except Plagu and kala - azar, the other kinds of notifiable infectious diseases had been reported. The total annual average incidence declined from l996 .09/100000 in the 1950’ s to 94. 56/100000 in the 1990’s. The total annual average mortality declined from 8.17/100000 in the l950’s to 0.6/100 000 in the 1990’s. In the 1950’s the incidence of vector - borne infec- tious diseases was the highest(1319.91/100000). The incidence of respiratory infectious disease was the highest(864. 00/100000～4427/100000) in the 1960’s～1980’s. And the incidence of intestinal infectious was the highest(35.27/100000) in the 1990’s. The diseases which ranked the first in each decade were as follows:malaria in the 1950’s,measles in the 1960’s, flu in the 1970’ s～1980’s, hepatitis in the 1990’s. The incidence of the vaccine - preventable disease declined dra- matically, for instance, measles dropped from 409.99/100000 in the 1950’s to 5. 13/100000 in the 1990’s, and polio has not been reported since 1994. The incidence of malaria dropped from 1319. 71/100000 in the 1950’s to 4.35/100000 in the 1990’s. The incidence of hepatitis fell a little. However, in the 1990’s the incidence of lung tuberculosis, gonorrhea and syphilis rose anually, and some new diseases such as AIDS have emerged. Conclusion The general incidence of the infectious disease has been falling. We should continue to conduct planned immunization successfully, and put the food born, blood born and sexual transmitted diseases as the focus of infectious disease prevention and control.更多还原