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目的分析上海市嘉定区流动人口肺结核流行特征,为制定流动人口结核病控制措施提供科学依据。方法对嘉定区2001-2011年流动人口结核病疫情资料进行统计和分析。结果嘉定区2001-2011年流动人口肺结核年平均登记率为45.07/10万,新涂阳肺结核年平均登记率为15.92/10万。流动人口肺结核病患者主要来自安徽,占20.86%。发病时间无明显季节性。男性多于女性,以青壮年为主,15~29岁及30~44岁各占50.80%和35.99%。职业分布以民工为多,占73.19%。年平均查痰率为82.24%,年平均菌阳率为42.40%,均逐年上升。结论嘉定区流动人口肺结核疫情严峻,尤其是新涂阳肺结核,结核病管理工作仍不能放松,重点应放在广大青壮年外来务工人员及学生等重点人群。
Objective To analyze the epidemiological characteristics of pulmonary tuberculosis among floating population in Jiading District of Shanghai and provide a scientific basis for the development of control measures for tuberculosis in floating population. Methods The data of TB epidemic in floating population from 2001 to 2011 in Jiading District were statistically analyzed. Results The average annual registration rate of TB in floating population was 45.07 / 100,000 in Jiading District during 2001-2011. The average registration rate of new smear-positive pulmonary tuberculosis was 15.92 / 100,000. Floating population of patients with tuberculosis mainly from Anhui, accounting for 20.86%. No significant seasonal onset time. More men than women, mainly young adults, 15 to 29 years old and 30 to 44 years old each accounted for 50.80% and 35.99%. Occupational distribution to more migrant workers, accounting for 73.19%. The average annual sputum rate was 82.24%, the average annual positive rate of bacteria was 42.40%, all increased year by year. Conclusion The outbreak of tuberculosis is very serious in the floating population of Jiading District. Especially for the new smear-positive pulmonary tuberculosis, tuberculosis management can not be relaxed. The emphasis should be placed on the key population of migrant workers and students in the vast majority of young adults.