云南省大理市2009-2014年病毒性肝炎流行特征分析

发布时间：2018-06-12 20:44

本文选题：病毒性肝炎 + 流行特征分析　；参考：《疾病监测与控制》2016年02期

【摘要】：目的了解云南省大理市2009-2014年病毒性肝炎流行特点和发病趋势,并提出有针对性的预防控制措施。方法采用描述性流行病学方法分析。结果 2009-2014年云南省大理市累计报告病毒性肝炎病例2 507例,无聚集性暴发疫情,年均发病率为68.25/10万,报告病例数居我市乙类传染病报告发病总数的第一位。发病年龄集中在20~59岁人群;报告病例中男女性别比为2.24:1。全市11个乡镇及1个开发区均有病例报告,下关镇报告人数居首,占总报告病例的53.93%。职业以农民为主,占总报告病例的43.84%。甲肝、未分型肝炎逐年减少;丙肝和戊肝除2011年外均逐年增加,丙肝增幅高于戊肝;乙肝发病数先降低后增高,每年乙肝发病数远高于其他类型;乙肝、丙肝报告病例分别占总报告病例的63.34%、31.79%。结论 2009-2014年我市病毒性肝炎发病率无下降趋势,乙型肝炎发病率仍维持在较高水平,丙型肝炎的发病率呈显著上升趋势,因此,乙、丙型肝炎是我市病毒性肝炎防控工作的重点。
[Abstract]:Objective to understand the epidemic characteristics and incidence trend of viral hepatitis in Dali, Yunnan Province from 2009 to 2014, and to put forward some preventive and control measures. Methods descriptive epidemiological analysis was used. Results A total of 2 507 cases of viral hepatitis were reported from 2009 to 2014 in Dali, Yunnan Province. There were no aggregated outbreaks. The average annual incidence rate was 68.25% / 100 000. The number of reported cases ranked first among the total reported cases of class B infectious diseases in our city. The age of onset was 20 to 59 years old, and the sex ratio of male to female was 2. 24: 1. Cases were reported in 11 towns and 1 development zone in the city, and the number of reported cases in Xiaguan Town was the highest, accounting for 53.93% of the total reported cases. The occupation was mainly farmers, which accounted for 43.84% of the total reported cases. Hepatitis A, unclassified hepatitis decreases year by year; hepatitis C and E increase year by year except for 2011, the increase of hepatitis C is higher than that of hepatitis E; the incidence of hepatitis B decreases first and then increases, and the annual incidence of hepatitis B is much higher than that of other types. The reported cases of hepatitis C accounted for 63.34% and 31.79% of the total reported cases respectively. Conclusion there is no downward trend in the incidence of viral hepatitis in our city from 2009 to 2014, but the incidence of hepatitis B is still at a high level, and the incidence of hepatitis C is increasing significantly. Hepatitis C is the focus of prevention and control of viral hepatitis in our city.
【作者单位】：大理市疾病预防控制中心;
【分类号】：R512.6

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