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目的探讨分析江苏省某地区1999—2009年艾滋病(AIDS)流行特征,为预防控制艾滋病工作提供科学依据。方法对该地1999—2009年以现住址报告的HIV感染者/AIDS病人疫情报告报表和流行病学个案调查表以及艾滋病常规监测资料进行流行病学分析。结果该地自1999年报告发现首例艾滋病毒感染者起,至2009年底已发现报告HIV感染者AIDS病人63例,死亡5例,其中HIV感染者56例,AIDS病人7例。感染者以男性(87.30%)、30～50岁青壮年为主(85.71%)。传播途径以注射吸毒为主,占79.37%。报告发病率呈明显上升态势,年均增长41.82%,2009年报告发病率达7.34/10万。2006—2009年报告的HIV/AIDS占报告总数的79.37%,流行传播速度明显加快,进入快速增长期。美沙酮药物维持治疗门诊宣传不到位,功能发挥不够充分。结论该地区艾滋病的预防控制正处于关键时期,需要出台更多政策和措施,加大控制艾滋病传播的力度。
Objective To analyze and analyze the epidemic characteristics of AIDS in a certain area of Jiangsu Province from 1999 to 2009, and provide a scientific basis for the prevention and control of AIDS. Methods Epidemiological analysis was conducted on the epidemiological report and epidemiological questionnaire of HIV / AIDS patients reported at the current address from 1999 to 2009 in this area and the routine surveillance data of AIDS. Results Since the first report of HIV infection in 1999, 63 AIDS cases and 5 deaths were reported by the end of 2009 in HIV-infected patients, including 56 HIV-infected patients and 7 AIDS-infected patients. Infected mainly male (87.30%), young adults aged 30 to 50 (85.71%). The main route of transmission to inject drug abuse, accounting for 79.37%. The incidence of the report showed a clear upward trend, with an average annual increase of 41.82%, the incidence in 2009 was 7.34 / 100000. HIV / AIDS reported in 2006-2009 accounted for 79.37% of the total number of reports, the spread of epidemic significantly accelerated, into a period of rapid growth. Methadone maintenance drug out-patient advocacy is not in place, the function is not fully demonstrated. Conclusion The prevention and control of AIDS in the area is at a critical period, requiring more policies and measures to be put in place to step up control of the spread of AIDS.