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标题：Meningococcal disease in the North ?East region of Romania
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作者：Angela Romaniuc ; Anca Nistor, Michaela,Scripcaru ; Dana Zagnat 等
期刊名称：Journal of Preventive Medicine
印刷版ISSN：1582-5388
出版年度：2007
卷号：15
出版社：Institute of Public Health, Iasi
摘要：The meningococcal disease represents a priority in epidemiological surveillance; mortality remains high ?10.39 %000 as well as neurological complications are severe. Since 2006 it had been benefiting by a methodology of surveillance at the national level. Objective . The knowledge of the evolutionary specific features of meningococcal disease after the introduction of the standardized surveillance for optimization of control strategies. Material and methods. A descriptive study using regional database (EPIDATA) containing meningococcal disease cases reported between 2002 and 2006. The processing and analyzing data was achieved with EPI INFO and Health Mapper programmes. Results. The average of incidence rate in the North-East region of Romania, in last 25 years, was equal to 3.4 per 100,000 populations with two epidemical increases: one between 1985 and 1987 ?16.2%000 (in years 1986) and another between 1998 and 1999 ?3.1%000. In the last years (2002- 2006) the average of incidence rate decreased at 1.35%000. The highest incidence rates were observed in the <5 years age group (12.56%000) followed by the 5-9 years age group and 10-14 years age group. The average of mortality was 0.17 %000 with a case fatality ratio equal to 11.9 %.The highest case fatality ratio was observed in the 0-5 years age group (15.28%) (IC95%:10.08-21.86). The epidemiological indicators of meningococcal disease surveillance evidenced low precocious detection (30.5 %) with the reporting in time of the cases at the Authority of Public Health. Conclusions. The meningococcal disease is a priority because of its severity. There are necessary efforts for early detection, reporting in time, optimization of the criterias for confirmation and the introduction of definition of surveillance for invasive meningococcal disease.
关键词：meningococcal disease, epidemiology, standards of surveillance