Analysis of Epidemiological Characteristics of Notifiable Diseases Reported in Children Aged 0⁻14 Years from 2008 to 2017 in Zhejiang Province, China.

Haocheng Wu,Junfen Lin,Qinbao Lu,Chen Wu,Zheyuan Ding

doi:10.3390/ijerph16020168

Abstract

This study aims to learn the characteristics of morbidity and mortality of notifiable diseases reported in children aged 0–14 years in Zhejiang Province in 2008–2017. We collated data from the China Information System for Disease Control and Prevention in Zhejiang province between 1 January 2008 and 31 December 2017 of children aged 0–14 years. From 2008 to 2017, a total of 32 types and 1,994,740 cases of notifiable diseases were reported in children aged 0–14 years, including 266 deaths in Zhejiang Province. The annual average morbidity was 2502.87/100,000, and the annual average mortality was 0.33/100,000. Male morbidity was 2886.98/100,000, and female morbidity was 2072.16/100,000, with the male morbidity rate higher than the female morbidity rate (χ2 = 54,033.12, p < 0.01). No Class A infectious diseases were reported. The morbidity of Class B infectious diseases showed a downward trend, but that of Class C infectious diseases showed an upward trend. There were 72,041 cases in 22 kinds of Class B infectious disease and 138 death cases, with a morbidity rate of 90.39/100,000, and a mortality rate of 0.17/100,000. There were 1,922,699 cases in 10 kinds of Class C infectious disease and 128 death cases, with a morbidity rate of 2412.47/100,000, and a mortality rate of 0.16/100,000. The main high-prevalence diseases included hand-foot-and-mouth disease (1430.38/100,000), other infectious diarrheal diseases (721.40/100,000), mumps (168.83/100,000), and influenza (47.40/100,000). We should focus on the prevention and control of hand-foot and mouth disease, other infectious diarrheal diseases, mumps and influenza in children aged 0–14 years in Zhejiang Province. It is recommended to strengthen epidemic surveillance and undertake early prevention and control measures in order to reduce the younger children incidence rate of infectious diseases. Immunization planning vaccines can help achieve a significant preventive decline of infectious diseases.

Highlights

For a long time, children’s infectious diseases have been the number one disease type to harm children’s health and threaten children’s lives [1]
The surveillance results showed that the average annual morbidity of children aged 0–14 years in Zhejiang Province in 2008–2017 was 2502.87/100,000, which was higher than the annual morbidity of notifiable diseases in the whole population in the same period (709.66/100,000)
The morbidity of influenza A (H1N1) in Zhejiang Province increased sharply in 2009 [25], this study showed that cases of influenza A (H1N1) were reported, ranking the first among Class B infectious diseases reported in the same year

Summary

Introduction

Children’s infectious diseases have been the number one disease type to harm children’s health and threaten children’s lives [1]. With the continuous development of medical undertakings, human beings have made brilliant achievements in controlling and defeating children’s infectious diseases, the harm and threat of children’s infectious diseases are still very serious today [2]. Children’s infectious diseases are prone to various complications threatening children’s lives; understanding the occurrence and changes of children’s infectious diseases. Res. Public Health 2019, 16, 168; doi:10.3390/ijerph16020168 www.mdpi.com/journal/ijerph

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