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目的了解甘肃省崇信县乙型肝炎的发病情况,掌握其流行特征,为制定防控措施提供科学依据。方法依据疾病监测信息报告管理系统中网络直报数据及各类医疗机构上报的疫情报表,分析2004─2013年崇信县乙型肝炎疫情。结果 2004─2013年崇信县共报告乙型肝炎1 537例,平均发病率153.83/10万;发病最多为农民824例、占发病总数的53.61%,其次为学生302例、占19.65%;0~80岁均有发病,集中在15~20岁高中生和30~40岁青壮年两个年龄组,占发病总数的61.29%;男性895例,女性642例,男女性别比1.39∶1。结论甘肃省崇信县乙型肝炎发病总体呈下降趋势,但在不同地区、不同职业仍有较高的发病率,建议开展有针对性的健康教育,普及乙型肝炎的防治知识;提高新生儿乙肝疫苗首针接种率及全程免疫接种率;及早对孕产妇进行HBs Ag筛查,减少发病。
Objective To understand the incidence of hepatitis B in Chongxin County, Gansu Province, master its epidemiological characteristics and provide a scientific basis for the development of prevention and control measures. Methods Based on the data of network direct reporting in the disease surveillance information reporting management system and the reports of epidemics reported by various medical institutions, the epidemic situation of hepatitis B in Chongxin County from 2004 to 2013 was analyzed. Results A total of 1 537 cases of hepatitis B were reported in Chongxin County from 2004 to 2013, with an average incidence of 153.83 / 100 000. The incidence was up to 824 farmers, accounting for 53.61% of the total number of cases, followed by 302 students (19.65%), 0 ~ 80 years of age have been reported, concentrated in 15 to 20-year-old high school students and young adults aged 30 to 40 years of age, accounting for 61.29% of the total; 895 males and 642 females, male to female ratio of 1.39: 1. Conclusions The overall incidence of hepatitis B in Chongxin County, Gansu Province is decreasing. However, in different regions, there is still a high incidence of different occupations. It is suggested to carry out targeted health education to popularize the knowledge of prevention and treatment of hepatitis B and improve newborns Hepatitis B vaccine and the first vaccination coverage rate of the whole immunization; as early as possible HBsAg screening of pregnant women to reduce the incidence.