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目的了解成都市农药中毒流行病学现状,为降低农药中毒发生率的干预措施提供科学依据。方法通过中国疾病预防控制信息报告网络平台,选取健康危害因素监测系统职业卫生子系统中成都市2010-2012年农药中毒报告卡进行统计分析。结果 2010-2012年成都市累计上报农药中毒总数4 134例,年均发病率为9.81/10万,死亡321例,病死率7.76%;农药中毒中,非生产性农药中毒占中毒比例的94.29%。女性发病率高于男性(P<0.05)。农药中毒平均年龄39.56岁,中青年发病率较高。农药中毒发病率从高到低依次为远郊、近郊、城市建成区。杀虫剂、除草剂是引起农药中毒的主要毒物,分别占总中毒例数的49.31%和36.08%。百草枯病死率最高(15.2%)。结论成都市农药中毒情况值得关注,特别是郊县农村、女性、非生产性自服农药中毒情况严重,应积极采取并落实有效的控制措施。
Objective To understand the epidemiological status of pesticide poisoning in Chengdu and to provide a scientific basis for interventions to reduce the incidence of pesticide poisoning. Methods Through the network platform of China Disease Prevention and Control Information Report, we selected the pesticide poisoning report card of Chengdu City from 2012 to 2012 in the occupational health subsystem of Health Hazard Monitoring System for statistical analysis. Results A total of 4 134 cases of pesticide poisoning were reported in Chengdu from 2010 to 2012, with an average annual incidence of 9.81 / 100 000 and 321 deaths with a case fatality rate of 7.76%. Among pesticide poisoning, 94.29% of unproductive pesticide poisoning accounted for the proportion of poisoning, . The incidence of women was higher than that of men (P <0.05). The average age of pesticide poisoning 39.56 years old, a higher incidence of middle-aged. The highest incidence of pesticide poisoning followed by suburbs, suburbs, urban built-up area. Pesticides and herbicides are the major poisoning agents that cause pesticide poisoning, accounting for 49.31% and 36.08% of the total poisoning cases, respectively. Paraquat has the highest case fatality rate (15.2%). Conclusion The situation of pesticide poisoning in Chengdu deserves our attention. Especially in the countryside and females in suburban counties, the incidence of unproductive self-service pesticide poisoning is serious, and effective control measures should be actively taken and implemented.