ANALYSIS OF EPIDEMIC CEREBROSPINAL MENINGITIS DEATHS IN HEBEI PROVINCE DURING 2005-2009

[Objective]The study was conducted to make a preliminary analysis of deaths of epidemic cerebrospinal meningitis for the prevention and control of ECM and to provide bases for clinical diagnosis in Hebei Province during 2005-2009.[Methods]Analysed the epidemiological,clinical and laboratory-related features of meningitis deaths,analyzed the time of diagnosis on epidemic cerebrospinal meningitis and the time from the onset to the death in Hebei Province from 2005 to 2009.[Results]In Hebei,the death time of meningitis occurred in December and from January to May,and the percent in all death cases was 89.47%.ECM mainly occurred in children under 5 years,especially in children with scattered living,and the percent was 76.30% in all death cases,there was no gender differences between males and females;ECM with strong regional differences and obvious clinical features;A group was found more in laboratory tests,but the C group with an upward trend;only one meningitis outbreak occurred in the province.[Conclusion]In Hebei Province,the incidence of meningitis is with a downward trend,but the fatality rate increases.Death cases have long average diagnosis time,un-vaccinated children and the difference region are found more in death cases.The above characteristics are related with delayed clinical diagnosis,low vaccination rate and differences of regional living and health habits,etc.