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[Evaluation on the effects of prevention and control programs regarding typhoid fever and paratyphoid fever in Guizhou province, from 2007 to 2012].
[typhoid]
This
study
was
to
evaluate
the
effects
of
prevention
and
control
regarding
programs
on
typhoid
fever
and
paratyphoid
fever
,
in
Guizhou
province
,
from
2007
to
2012
,
to
provide
evidence
for
the
improvement
of
related
programs
.
Data
on
typhoid
fever
and
paratyphoid
including
information
on
epidemics
,
individual
,
cases
,
measures
for
prevention
and
control
programs
taken
and
relative
government
documents
were
collected
and
analyzed
in
Guizhou
province
,
from
2007
to
2012
.
Information
related
to
the
average
annual
incidence
,
nature
of
outbreaks
,
time
span
before
confirmed
diagnosis
was
made
,
unit
which
carried
the
case
report
,
proportion
of
laboratory
confirmed
diagnosed
cases
and
case-management
were
compared
between
2007
-
2009
and
2010
-
2012
descriptively
while
chi
-square
test
with
Excel
and
EpiInfo
software
were
used
for
data
analysis
.
In
the
period
of
2007
-
2009
,
a
total
of
5
978
typhoid
fever
and
paratyphoid
fever
cases
were
reported
in
Guizhou
province
with
the
average
yearly
incidence
as
5
.
29
/
100
000
.
In
the
period
of
2010
-
2012
,
2
765
cases
were
reported
with
the
average
yearly
incidence
as
2
.
57
/
100
000
.
When
compared
to
the
former
,
data
from
the
latter
period
showed
that
the
average
yearly
incidence
had
declined
51
.
31
%
in
all
the
prefectures
.
There
were
still
some
outbreaks
appeared
but
the
total
number
of
cases
involved
reduced
87
.
50
%
.
The
time
span
before
the
confirmation
of
diagnosis
became
shorter
but
the
difference
was
not
statistically
significant
(
χ
²
=
0
.
08
,
P
=
0
.
99
)
.
Number
of
cases
reported
by
hospitals
at
county
or
above
had
11
.
51
%
of
increase
while
those
cases
reported
at
the
township
hospitals
or
below
decreased
for
61
.
47
%
.
The
proportion
of
laboratory
diagnosed
cases
increased
23
.
63
%
.
Rates
of
timeliness
on
cards
being
filled
in
,
inputted
and
audited
showed
increase
of
8
.
44
%
,
6
.
76
%
and
2
.
40
%
respectively
.
Successful
measures
for
prevention
and
control
on
typhoid
fever
and
paratyphoid
fever
had
been
remarkably
taken
in
Guizhou
province
,
but
the
potential
risk
of
outbreaks
still
existed
in
some
areas
,
suggesting
that
health
education
and
surveillance
programs
including
laboratory
diagnosis
,
should
be
strengthened
.
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