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目的分析铁路职工甲乙类传染病的流行趋势,为铁路传染病防治提供科学依据。方法对2000～2010年间南宁铁路局职工甲乙类传染病资料进行分析。结果 2000～2010年间南宁铁路局职工甲乙类传染病累计报告9种4 012例,年平均发病率355.37/10万,总体呈下降趋势(χ2=2.76,P﹤0.01);呼吸道传染病、血源及性传播传染病、肠道传染病、虫媒及自然疫源性传染病分别报告1 632例、1 804例、575例、1例,年均发病率分别为144.56/10万、159.79/10万、50.93/10万、0.09/10万;报告发病率前5位为肺结核、病毒性肝炎、梅毒、痢疾、淋病,年均发病率分别为144.12/10万、116.13/10万、36.23/10万、21.70/10万、5.58/10万。结论铁路职工法定传染病报告率呈下降趋势;传染病构成发生变化,铁路职工传染病防治策略有待调整。
Objective To analyze the epidemic trend of Class A and B infectious diseases among railway workers and provide a scientific basis for the prevention and control of railway infectious diseases. Methods The data of A and B infectious diseases among workers in Nanning Railway Bureau from 2000 to 2010 were analyzed. Results A total of 4 012 cases of 9 012 species were reported in Nanning Railway Bureau between 2000 and 2010, with an average annual incidence of 355.37 / 100 000, showing an overall downward trend (χ2 = 2.76, P <0.01). Respiratory infectious diseases, blood And 1 632 cases, 1 804 cases, 575 cases and 1 case of sexually transmitted infections, gut infections, zoonoses and natural foci of infectious diseases were reported, with an average annual incidence of 144.56 / 100,000 and 159.79 / 10, respectively 50.93 / 10 million and 0.09 / 10 million respectively. The top 5 reported cases were tuberculosis, viral hepatitis, syphilis, dysentery and gonorrhea with an average annual incidence of 144.12 / 100,000, 116.13 / 100,000, 36.23 / 10 Million, 21.70 / 100,000, 5.58 / 100,000. Conclusion The reporting rate of legal infectious diseases of railway workers is on the decline. The composition of infectious diseases is changing, and the prevention and control strategies for infectious diseases of railway workers need to be adjusted.