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目的了解广东省2001~2005年新生儿破伤风(Neonatal Tetanus,NT)流行病学特征及其影响因素,探讨消除NT策略及措施。方法对NT监测系统数据进行描述流行病学分析。结果广东省2001~2005年共报告NT 2832例,主要集中在珠江三角洲和粤西地区,流动人口的NT病例数约占总病例数的72.04%,根据2004~2005年数据分析,73.81%的流动人口NT发生在珠江三角洲地区,占该地区NT总病例数的90.18%;粤西地区本地NT最多,占全省本地NT的39.04%。全年都有发病,6~8月多发,主要发病日龄是2~10d。患儿男性多于女性,男女性别比为2.08∶1。患儿以在家由未经培训的人员接生为主,患儿母亲未接受破伤风疫苗免疫或免疫史不详者占99.75%。结论广东省消除NT面临艰巨任务,针对当前情况,在实施有关策略时应进一步加强宣传教育工作,同时注意落实有关措施时的联防联动。
Objective To understand the epidemiological characteristics of neonatal tetanus (Neonatal Tetanus, NT) in Guangdong Province from 2001 to 2005 and its influencing factors, and discuss the strategies and measures to eliminate NT. Methods To describe the epidemiological analysis of NT monitoring system data. Results A total of 2832 NT cases were reported in Guangdong Province from 2001 to 2005, mainly in the Pearl River Delta and western Guangdong. The number of NT cases in floating population was about 72.04% of the total cases. According to the data from 2004 to 2005, 73.81% Population NT occurred in the Pearl River Delta region, accounting for 90.18% of the total number of NT cases in the region; the most local NT in western Guangdong accounted for 39.04% of the province’s local NT. The incidence throughout the year, 6 to 8 months, the main onset of age is 2 ~ 10d. There were more males than females, with a male / female ratio of 2.08: 1. Children born at home with untrained persons mainly gave birth, and their mothers did not receive tetanus vaccine or history of immunization unknown accounted for 99.75%. Conclusions Guangdong Province faces the arduous task of eliminating NT. In response to the current situation, it is necessary to further strengthen publicity and education in the implementation of relevant strategies and pay attention to the joint defense and prevention at the implementation of relevant measures.