Article(id=1241065992101614104, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202409049, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1725292800000, receivedDateStr=2024-09-03, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773822790408, onlineDateStr=2026-03-18, pubDate=1740412800000, pubDateStr=2025-02-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773822790408, onlineIssueDateStr=2026-03-18, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773822790408, creator=13701087609, updateTime=1773822790408, updator=13701087609, issue=Issue{id=1241065978004557893, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='4', pageStart='577', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773822787047, creator=13701087609, updateTime=1773823194927, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241067688831808347, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241067688831808348, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=725, endPage=730, ext={EN=ArticleExt(id=1241065992588153395, articleId=1241065992101614104, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Analysis of the epidemiological characteristics and trends of notifiable infectious diseases among people aged 60 and above in Chaoyang District, 2014-2023, columnId=1228016573156360233, journalTitle=Modern Preventive Medicine, columnName=Disease Control and Prevention, runingTitle=null, highlight=null, articleAbstract=
Objective

To investigate the epidemiological characteristics and trends of notifiable infectious diseases among ≥ 60-year-olds in Chaoyang District, Beijing, and to provide a basis for the prevention and control of infectious diseases in the elderly population.

Methods

The data of ≥ 60-year-old cases of notifiable infectious diseases in Chaoyang District from 2014 to 2023 were collected through the Infectious Disease Reporting Information System of the Chinese Information System for Disease Control and Prevention, and the incidence trends and epidemiological characteristics of cases were descriptively analyzed.

Results

From 2014 to 2023, the average annual incidence rate of notifiable infectious diseases among ≥ 60-year-old population in Chaoyang District was 864.01/100 000 showing an upward trend over the years (AAPC=31.50%, P<0.05). The incidence was highest in the ≥ 85-year-old population, and the incidence rate of males was 1 020.40/100 000 and higher than that of females (922.03/100 000) (χ2=150.333, P<0.001). 48 979 cases were mainly respiratory infections, accounting for 84.56%, its incidence showed an increasing trend, while that of intestinal infectious diseases showed a decreasing trend (AAPC=40.77%, -9.12%, P<0.05). A total of 317 deaths had been reported, with an average annual mortality rate of 4.63 per 100 000.

Conclusion

From 2014 to 2023, the incidence of notifiable infectious diseases among ≥ 60-year-old population in Chaoyang District showed a significant upward trend, and it is necessary to pay attention to tuberculosis, AIDS and influenza. Males are at high risk of respiratory and bloodborne and sexually transmitted infections; The incidence of respiratory and intestinal infectious diseases from 2020 to 2023 has no obvious seasonal characteristics, and the peak increases.

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目的

了解北京市朝阳区≥60岁人群法定传染病流行特征及趋势,为老年人群传染病防控提供依据。

方法

通过中国疾病预防控制信息系统传染病报告信息系统收集2014—2023年朝阳区法定传染病≥60岁病例资料,对其流行特征和发病趋势进行描述性分析。

结果

2014—2023年朝阳区≥60岁人群法定传染病年均发病率为864.01/10万,历年呈上升趋势(AAPC=31.50%,P<0.05)。以≥85岁人群发病率最高;男性发病率1 020.40/10万高于女性922.03/10万(χ2=150.333,P<0.001);以呼吸道传染病发病48 979例为主,占比84.56%,其发病率呈上升趋势,而肠道传染病呈下降趋势(AAPC=40.77%,AAPC=-9.12%,P<0.05)。累计死亡317例,年均死亡率4.63/10万。

结论

2014—2023年朝阳区≥60岁人群法定传染病发病率呈明显上升趋势,需重点关注肺结核、艾滋病和流行性感冒;男性是呼吸道和血源及性传播传染病的高危人群;呼吸道及肠道传染病2020—2023年发病没有明显的季节特征,高峰增多。

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王珊,E-mail:
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王珊(1981—),女,硕士,副主任医师,研究方向:传染病监测预警

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Morbidity and deaths from statutory infectious diseases among people aged ≥60 years in Chaoyang District,2014-2023 (n/100 000)

, figureFileSmall=null, figureFileBig=null, tableContent=
年份甲乙类丙类合计
发病率死亡率发病率死亡率发病率死亡率
2014122.810.82127.730.21250.550.82
2015100.841.41109.490.40210.331.61
201697.311.28185.300.18282.601.64
2017105.630.90327.440.36433.071.07
2018177.331.08522.441.62699.771.44
2019168.661.68804.560.17973.233.20
2020139.020.87290.700.00429.721.04
2021128.370.7164.470.00192.840.71
2022664.5124.50155.480.00819.9824.50
20232 616.1310.231 731.920.004 348.0510.23
), ArticleFig(id=1241065999789773696, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=表1, caption=

2014—2023年朝阳区≥60岁人群法定传染病发病及死亡情况(n/10万)

, figureFileSmall=null, figureFileBig=null, tableContent=
年份甲乙类丙类合计
发病率死亡率发病率死亡率发病率死亡率
2014122.810.82127.730.21250.550.82
2015100.841.41109.490.40210.331.61
201697.311.28185.300.18282.601.64
2017105.630.90327.440.36433.071.07
2018177.331.08522.441.62699.771.44
2019168.661.68804.560.17973.233.20
2020139.020.87290.700.00429.721.04
2021128.370.7164.470.00192.840.71
2022664.5124.50155.480.00819.9824.50
20232 616.1310.231 731.920.004 348.0510.23
), ArticleFig(id=1241065999882048389, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Table 2, caption=

Incidence of statutory infectious diseases in Chaoyang District, ≥60 years of age, by gender and age, 2014-2023 (n/100 000)

, figureFileSmall=null, figureFileBig=null, tableContent=
年龄(岁)发病死亡
男性女性合计男性女性合计
60~<656 765(799.81)7 853(859.36)14 681(830.73)19(2.25)7(0.77)26(1.48)
65~<706 782(1 016.62)7 143(960.20)13 625(986.24)22(3.45)1(0.13)23(1.66)
70~<754 847(969.41)4 662(739.98)9 509(841.49)26(5.20)10(1.59)36(3.19)
75~<803 469(841.84)3 472(738.16)6 941(786.58)34(8.25)14(2.98)48(5.44)
80~<853 333(1 372.68)3 309(1 215.96)6 642(1 289.86)49(20.18)23(8.45)72(13.98)
≥853 463(2 457.89)3 126(1 773.41)6 589(2 077.47)68(48.26)44(24.96)112(35.31)
合计28 359(1 020.40)29 565(922.03)57 924(967.70)218(7.84)99(3.09)317(5.30)
), ArticleFig(id=1241065999961740172, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=表2, caption=

2014—2023年朝阳区≥60岁人群不同性别年龄法定传染病发病情况(n/10万)

, figureFileSmall=null, figureFileBig=null, tableContent=
年龄(岁)发病死亡
男性女性合计男性女性合计
60~<656 765(799.81)7 853(859.36)14 681(830.73)19(2.25)7(0.77)26(1.48)
65~<706 782(1 016.62)7 143(960.20)13 625(986.24)22(3.45)1(0.13)23(1.66)
70~<754 847(969.41)4 662(739.98)9 509(841.49)26(5.20)10(1.59)36(3.19)
75~<803 469(841.84)3 472(738.16)6 941(786.58)34(8.25)14(2.98)48(5.44)
80~<853 333(1 372.68)3 309(1 215.96)6 642(1 289.86)49(20.18)23(8.45)72(13.98)
≥853 463(2 457.89)3 126(1 773.41)6 589(2 077.47)68(48.26)44(24.96)112(35.31)
合计28 359(1 020.40)29 565(922.03)57 924(967.70)218(7.84)99(3.09)317(5.30)
), ArticleFig(id=1241066000087569299, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Table 3, caption=

Morbidity and mortality of different statutory infectious diseases among elderly people ≥60 years old in Chaoyang District,2014-2023

, figureFileSmall=null, figureFileBig=null, tableContent=
疾病发病率
(/10万)
发病顺位死亡率
(/10万)
死亡顺位
流感393.2910.274
COVID-19382.7424.181
其它感染性腹泻病70.0530.00-
肺结核41.3540.175
梅毒36.6450.036
病毒性肝炎19.8660.332
痢疾19.4670.65-
艾滋病/HIV2.1680.323
流行性腮腺炎0.8590.00-
淋病0.60100.00-
布病0.25110.00-
手足口病0.17120.00-
伤寒、副伤寒0.08130.00-
登革热0.03140.00-
急性出血性结膜炎0.03140.00-
疟疾0.03140.00-
乙脑0.03140.00-
霍乱0.02180.00-
风疹0.02180.00-
麻疹0.02180.00-
钩体病0.02180.00-
合计967.70-5.30-
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2014—2023年朝阳区≥60岁老年人不同法定传染病病种发病及死亡情况

, figureFileSmall=null, figureFileBig=null, tableContent=
疾病发病率
(/10万)
发病顺位死亡率
(/10万)
死亡顺位
流感393.2910.274
COVID-19382.7424.181
其它感染性腹泻病70.0530.00-
肺结核41.3540.175
梅毒36.6450.036
病毒性肝炎19.8660.332
痢疾19.4670.65-
艾滋病/HIV2.1680.323
流行性腮腺炎0.8590.00-
淋病0.60100.00-
布病0.25110.00-
手足口病0.17120.00-
伤寒、副伤寒0.08130.00-
登革热0.03140.00-
急性出血性结膜炎0.03140.00-
疟疾0.03140.00-
乙脑0.03140.00-
霍乱0.02180.00-
风疹0.02180.00-
麻疹0.02180.00-
钩体病0.02180.00-
合计967.70-5.30-
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2014—2023年朝阳区60岁及以上人群法定传染病流行特征及趋势分析
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王珊 1 , 杜新鑫 2
现代预防医学 | 疾病预防控制 2025,52(4): 725-730
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现代预防医学 | 疾病预防控制 2025, 52(4): 725-730
2014—2023年朝阳区60岁及以上人群法定传染病流行特征及趋势分析
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王珊1 , 杜新鑫2
作者信息
  • 1.北京市朝阳区疾病预防控制中心,北京 100020
  • 2.内蒙古科技大学包头医学院
  • 王珊(1981—),女,硕士,副主任医师,研究方向:传染病监测预警

通讯作者:

王珊,E-mail:
Analysis of the epidemiological characteristics and trends of notifiable infectious diseases among people aged 60 and above in Chaoyang District, 2014-2023
Shan WANG1 , Xin-xin DU2
Affiliations
  • Technology Center for Disease Control and Prevention of Chaoyang District, Beijing 100020, China
出版时间: 2025-02-25 doi: 10.20043/j.cnki.MPM.202409049
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目的

了解北京市朝阳区≥60岁人群法定传染病流行特征及趋势,为老年人群传染病防控提供依据。

方法

通过中国疾病预防控制信息系统传染病报告信息系统收集2014—2023年朝阳区法定传染病≥60岁病例资料,对其流行特征和发病趋势进行描述性分析。

结果

2014—2023年朝阳区≥60岁人群法定传染病年均发病率为864.01/10万,历年呈上升趋势(AAPC=31.50%,P<0.05)。以≥85岁人群发病率最高;男性发病率1 020.40/10万高于女性922.03/10万(χ2=150.333,P<0.001);以呼吸道传染病发病48 979例为主,占比84.56%,其发病率呈上升趋势,而肠道传染病呈下降趋势(AAPC=40.77%,AAPC=-9.12%,P<0.05)。累计死亡317例,年均死亡率4.63/10万。

结论

2014—2023年朝阳区≥60岁人群法定传染病发病率呈明显上升趋势,需重点关注肺结核、艾滋病和流行性感冒;男性是呼吸道和血源及性传播传染病的高危人群;呼吸道及肠道传染病2020—2023年发病没有明显的季节特征,高峰增多。

老年人  /  法定传染病  /  流行特征
Objective

To investigate the epidemiological characteristics and trends of notifiable infectious diseases among ≥ 60-year-olds in Chaoyang District, Beijing, and to provide a basis for the prevention and control of infectious diseases in the elderly population.

Methods

The data of ≥ 60-year-old cases of notifiable infectious diseases in Chaoyang District from 2014 to 2023 were collected through the Infectious Disease Reporting Information System of the Chinese Information System for Disease Control and Prevention, and the incidence trends and epidemiological characteristics of cases were descriptively analyzed.

Results

From 2014 to 2023, the average annual incidence rate of notifiable infectious diseases among ≥ 60-year-old population in Chaoyang District was 864.01/100 000 showing an upward trend over the years (AAPC=31.50%, P<0.05). The incidence was highest in the ≥ 85-year-old population, and the incidence rate of males was 1 020.40/100 000 and higher than that of females (922.03/100 000) (χ2=150.333, P<0.001). 48 979 cases were mainly respiratory infections, accounting for 84.56%, its incidence showed an increasing trend, while that of intestinal infectious diseases showed a decreasing trend (AAPC=40.77%, -9.12%, P<0.05). A total of 317 deaths had been reported, with an average annual mortality rate of 4.63 per 100 000.

Conclusion

From 2014 to 2023, the incidence of notifiable infectious diseases among ≥ 60-year-old population in Chaoyang District showed a significant upward trend, and it is necessary to pay attention to tuberculosis, AIDS and influenza. Males are at high risk of respiratory and bloodborne and sexually transmitted infections; The incidence of respiratory and intestinal infectious diseases from 2020 to 2023 has no obvious seasonal characteristics, and the peak increases.

Elderly  /  Notifiable infectious diseases  /  Popular characteristics
王珊, 杜新鑫. 2014—2023年朝阳区60岁及以上人群法定传染病流行特征及趋势分析. 现代预防医学, 2025 , 52 (4) : 725 -730 . DOI: 10.20043/j.cnki.MPM.202409049
Shan WANG, Xin-xin DU. Analysis of the epidemiological characteristics and trends of notifiable infectious diseases among people aged 60 and above in Chaoyang District, 2014-2023[J]. Modern Preventive Medicine, 2025 , 52 (4) : 725 -730 . DOI: 10.20043/j.cnki.MPM.202409049
近年来,全球人口老龄化趋势显著,2030年60岁以上人口将占1/6,到2050年翻倍至21亿[1]。而我国作为世界上老年人口最多的国家,截至2022年末,全国60岁及以上老年人口28 004万人,占总人口的19.8%[2]。由于免疫力下降和慢性疾病的存在,老年人更容易受到传染病的侵袭且危害严重。为进一步了解北京市朝阳区≥60岁人群法定传染病发病水平及流行特征,以及为准确评价老年人群传染病防控措施效果提供依据,本文对2014—2023年朝阳区法定传染病≥60岁人群发病和死亡情况进行统计分析。
法定传染病的个案信息和人口信息均来自于《中国疾病预防控制信息管理系统》,参与统计的病例现住址为北京市朝阳区、发病日期为2014年1月1日至2023年12月31日,报告的法定传染病中≥60岁人群的确诊病例和临床诊断病例。常住人口数据来源于北京市朝阳区政府统计年鉴同期人口数据。
本研究中,按不同传播途径将所涉及的法定传染病分为肠道传染病、呼吸道传染病、自然疫源及虫媒传染病、血源及性传播传染病和其他传播途径传染病5类。
本研究对2014—2023年朝阳区≥60岁人群法定传染病发病及死亡情况进行描述性分析。应用Excel 2019和SPSS 20.0对数据进行筛选整理和分析。相关系数(r)的值介于-1到+1之间,用于探索变量间的线性关系。运用Joinpoint 5.0.2 软件计算平均年度变化百分比(average annual percentage change,AAPC),检验水准均为α=0.05。
2014—2023年,朝阳区≥60岁人群共报告法定传染病22种,累计报告病例数为57 924例,年均报告发病率为864.01/10万,呈明显上升趋势(AAPC=31.50%,P<0.05),见图1。甲乙类传染病共30 126例,报告发病率由2014年的122.81/10万,上升到2023年的2 616.13/10万,整体呈上升趋势,2021出现拐点,发病率为128.37/10万(AAPC=43.01%,P<0.05)。丙类传染病27 798例,历年报告发病率整体上升趋势不明显(AAPC=12.38%,P>0.05)。死亡病例涉及6种法定传染病共317例,年均报告死亡率为4.63/10万。见表1
2014—2023年朝阳区报告的≥60岁人群病例中,男性28 359例,女性29 565例,报告发病率分别为1 020.40/10万和922.03/10万,男性高于女性(χ2=150.333,P<0.001)。报告发病率在各年龄组发病率存在显著差异(χ2=5 472.958,P<0.001),通过比较列比例的Z检验(两两比较),除60~<65和70~<75岁组的差异无统计学意义,其他各年龄组两两比较的差异均有统计学意义(P<0.05),其中≥85岁组发病率最高,见表2。按不同传播途径来看,除自然疫源及虫媒传染病和其他传播途径传染病无明显高峰外,其它三类传染病≥85岁组均为发病高峰,其次是80~<85岁组,见图2。死亡病例中,男性218例,女性99例,报告死亡率分别为7.08/10万和3.09/10万,男性高于女性(χ2=63.605,P<0.001)。各年龄组死亡率存在差异(χ2=705.379,P<0.001),并且随着年龄增加死亡率呈逐步上升趋势。
2014—2023年,朝阳区≥60岁人群全年各月均有发病,其中,12月发病最多,占17.82%(10 324/57 924),5月次之,占13.76%(7 971/57 924),1月第3位,占13.38%(7 753/57 924)。每年发病高峰不尽相同,2014、2018、2019、2020年均为1月(12.52%~55.55%),2023年为5月(21.33%),2021年为6和8月并列(10.17%),2015年为8月(13.30%),2016、2017、2022年为12月(16.27%~53.49%)。见图3
按不同传播途径来看:(1)呼吸道传染病:2014—2023年发病率呈上升趋势,(AAPC=40.77%,P<0.05);2014—2021年集中在冬季(12月—次年3月之间)高发,2022—2023年季节性不明显,发病高峰增多;(2)肠道传染病:2014—2023年发病率呈下降趋势,(AAPC=-9.12%,P<0.05)在2014—2020年集中在夏季(6—8月),2020—2023年发病高峰增多,但整体发病率较前几年降低;(3)血源及性传播传染病:2014—2023年发病率下降趋势不明显(AAPC=-1.40%,P>0.05);(4)自然疫源及虫媒传染病:2014—2023年发病率上升趋势不明显(AAPC=3.35%,P>0.05);(5)其他传播途径传染病:2014—2023年发病率下降趋势不明显(AAPC=-2.30%,P>0.05)。后三类传染病均没有明显的季节特征。
2014—2023年朝阳区≥60岁人群,发病例数前五位的街道分别为劲松3 137例,来广营2 865例,潘家园2 449例,双井2 387例和酒仙桥2 242例。按不同传播途径看,呼吸道传染病为劲松发病最高,肠道传染病为来广营最高,血源及性传播疾病是望京,其他两类传染病差别不大。
2014—2023年朝阳区≥60岁人群甲乙类传染病发病前三位依次为新型冠状病毒感染(coronavirus disease, COVID-19)、肺结核、梅毒,共占91.54%,其中COVID-19占76.05%。2014—2017年梅毒发病最高,2017—2021年占据首位的均为肺结核,2022、2023年发病最高为COVID-19。丙类传染病发病前两位为流行性感冒(以下简称流感)和其他感染性腹泻病,共占比99.77%;其中,2014、2015、2021年,其他感染性腹泻病发病最多,其余七年,流感位居首位。
整体来看,死亡占比前五位分别是COVID-19(78.86%)、病毒性肝炎(6.31%)、艾滋病/HIV感染(5.99%)、流感(5.05%)和肺结核(3.15%)。艾滋病/HIV感染多居各年死亡占比第一位,包括2014、2015、2018和2020年,占比均为50%。2016、2017年最多为病毒性肝炎,占比为55.56%和66.67%。2019年为流感,占比为47.37%。2021年肺结核与病毒性肝炎并列第一,各占50%。2022、2023年死亡最高为COVID-19,占比99.43%和97.37%。见表3
2020—2023年朝阳区≥60岁人群共报告COVID-19病例22 910例,集中于2023年5月和6月(6 650例和3 105例)。发病率由2020年的3.12/10万上升至2023年的2 488.37/10万。共报告死亡病例250例,随着年龄增长,病死率升高(r=0.96,P<0.05)。两年间,病死率明显降低,由2022年的1 816.53/10万下降至2023年的919.71/10万。
2014—2023年朝阳区≥60岁人群共报告肺结核病例2 475例,年均发病率为48.58/10万,但尚不能认为发病率呈上升趋势(AAPC=7.99%,P>0.05),男女发病率之比为2.02:1(56.67/10万:28.07/10万),男性高于女性(χ2=294.702,P<0.001)。全年各月均有发病,2022年发病最少,发病率为9.47/10万,是其它年份的0.15~0.58倍。共报告死亡10例。
2014—2023年朝阳区≥60岁人群共报告艾滋病/HIV感染病例129例,年均发病率为2.20/10万,高峰为2018年的4.69/10万。病例集中在60~69岁,占比71.32%。男性发病高于女性(χ2=75.152,P<0.05)。共报告死亡病例19例,均为男性,集中在70~<75岁组,占比42.11%。
2014—2023年朝阳区共报告流感病例23 541例,年均发病率为358.80/10万,尚不能认为呈上升趋势(AAPC=24.33%,P>0.05),2023年发病12 362例为峰值,占51.51%。发病月份大多集中在12—2月冬季,2017和2022在6—9月夏季出现上升。年龄组发病率情况大致呈“V型”,70~79岁人群发病率较低,≥85岁人群最高。共报告死亡病例16例,2019年占比较多,为62.50%,其余各年死亡病例较少。
2014—2023年朝阳区老年人群年均发病率为864.01/10万,总体发病率呈现上升趋势,高于2010—2019年北京市通州区[3]的499.65/10万,也高于2014—2017年湖州市的495.99/10万[4],可能与本地人口密度大,医疗卫生资源丰富,传染病诊断和报告率更高有关。2020—2021年报告发病率较2018—2019年大幅下降,与2016—2021北京市全人群的发病趋势一致[5],可能与2020年新冠疫情暴发后,朝阳区严格落实各项防控措施,一定程度上降低了部分传染病的传播风险有关。
2014—2023年朝阳区60岁及以上人群法定传染病发病前三位的年龄组为≥85、80~<85和65~<70岁,这与2010—2019北京市通州区[3]和2014—2018沈阳市[6]的研究结果一致。报告发病率男性高于女性,与多地报道的老年传染病发病年龄性别分布特点相似[7],提示以上三个年龄段男性人群是传染病重点防控对象。
COVID-19病死率男性高于女性,需重点关注男性人群。自2022年11月12日北京市调整密切接触者和入境人员隔离的五项措施开始,发病人数由10月的10例迅速增长到11月的1 130例,2022、2023年COVID-19位居法定传染病报告发病第一位,但死亡率明显降低。鉴于Omicron变异株的快速传播,应强化防控工作,整合分析医疗数据,以便有效应对疫情[8]。虽然现有措施稳定了疫情,但其他传染病仍有反弹风险,卫生部门需采取针对性预防策略,科学分配医疗资源[9]
艾滋病的发病率整体呈下降趋势,这与北京市政府大力开展艾滋病防治工作密切相关,保持在全国低流行水平[10],死亡率为0.32/10万,低于陕西省某地区[11]及广州市白云区[12]等地,可能因为朝阳区老年人对自身健康更重视,感染发现早,用药依从性好,但鉴于老年人生理特殊性和治疗复杂性,国内缺乏专门治疗方案,亟需针对性研究以改善预后[13]
流感年均发病率为358.80/10万,但病死率却高达67.97/10万,虽然老年人群作为每年北京市流感疫苗的第一批免费接种者,但其接种意愿及成功率问题仍需重点关注。70~79岁发病明显低于上下几个年龄组,可能与60~69岁户外活动更多,80岁及以上免疫力更差,更容易受到流感病毒的侵袭有关。自2021年起,流感低水平流行造成群体预存免疫力下降,影响后疫情时期流感的流行水平。流感2019年高流行与全国发病情况一致,同时也导致了丙类传染病的高发[14]。75岁及以上死亡率较高,提示对该人群影响最大,需在疫苗注射及安全宣教上重点关注。虽然每年接种流感疫苗的“一刀切”方法是保护人群免受流感侵害的最佳选择,但给公共卫生资源带来了巨大负担,未来考虑到过去暴露史的个性化疫苗可能会更有效[15]
我国是全球第二大结核病高负担国家,肺结核的发病率和死亡率均处于法定传染病前五位,加之耐药菌株增多,防治形势十分严峻[16]。性别分析显示,朝阳区肺结核男性发病高于女性,男女性别比为2.02:1,这一结果低于全国第五次结核病流行病学抽样调查2.3:1[17],但并不能排除存在误差影响。肺结核潜伏期因人而异,短暂的隔绝传染源并不能有效降低发病率,2020和2021年发病率并无明显下降,直到2022年发病率显著降低,提示了肺结核防控是一项持久工作,要坚持注意环境卫生、提高免疫力,减少发病风险。
综上,2014—2023年北京市朝阳区60岁及以上人群传染病发病率较高,流感、COVID-19、艾滋病及肺结核是重点防控传染病。多数老年人免疫功能减弱并伴有慢性病,感染传染病后易造成更严重危害。因此,应更加关注老年人群的健康宣教和科普,加强对老年人的疾病监测和防控措施。
  • 2021年度北京市重大疫情防治重点专科项目
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2025年第52卷第4期
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doi: 10.20043/j.cnki.MPM.202409049
  • 接收时间:2024-09-03
  • 首发时间:2026-03-18
  • 出版时间:2025-02-25
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  • 收稿日期:2024-09-03
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2021年度北京市重大疫情防治重点专科项目
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    1.北京市朝阳区疾病预防控制中心,北京 100020
    2.内蒙古科技大学包头医学院

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2种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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