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目的 通过了解芜湖市传染病报告现状及传染病在居民中的漏报情况 ,推算出校正发病率水平 ,为制订防治规划 ,提出防治措施提供依据。方法 采取整群随机抽样 ,抽取 3县 4区共 35个街道、乡镇 2 0 0 1年 1～ 1 0月份发生的法定传染病及就诊 (或未就诊 )情况。结果 我市法定传染病总漏报率为 1 5 .81 % ,据此估算我市同期传染病校正发病率为 5 1 1 .6 1 / 1 0万 ,是报告发病率 4 30 .71 / 1 0万的 1 .1 9倍。城乡漏报率差异有显著性 (P <0 .0 5 )。漏报率较高的病种是痢疾、病毒性肝炎和肺结核。就诊漏报最高的是村级卫生室 (个体诊所 )达 1 0 0 %。结论 目前芜湖市传染病漏报情况还很严重 ,因此 ,今后迫切需要加强疫情报告系统的管理 ,尤其是提高乡村医生的报病意识 ,提高传染病报告质量
Objective To understand the status quo of infectious disease reports in Wuhu City and the incidence of communicable diseases among residents, calculate the corrected incidence rate for the formulation of prevention and control plans to provide the basis for prevention and control measures. Methods Randomized cluster sampling was adopted to collect statutory infectious diseases and their attending (or not) attending medical clinics from 35 streets in 4 districts of 3 counties and townships from January to October in 2001. Results The total omission rate of legal notifiable diseases in our city was 15.81%. Based on this, the corrected incidence rate of communicable diseases in our city was 51.161.1 million, which is the reported incidence of 4 30.71 / 1 One hundred and ninety-one times. There was a significant difference in missing rate between urban and rural areas (P <0.05). Lack of false positives are dysentery, viral hepatitis and tuberculosis. The highest reported omission is the village clinics (individual clinics) up to 100%. Conclusions The current situation of the omission of communicable diseases in Wuhu is still very serious. Therefore, it is urgent to strengthen the management of the epidemic reporting system in the future, especially to raise the awareness of reporting the disease among rural doctors and improve the quality of reporting of infectious diseases