机构地区:[1]北京市丰台区疾病预防控制中心,100071 [2]河北联合大学公共卫生学院
出 处:《职业与健康》2015年第4期445-448,452,共5页Occupation and Health
基 金:市委;市政府重点工作及区县政府应急项目预启动(项目编号:Z111107056811042)
摘 要:目的分析北京市丰台区尘肺病的重点行业、人群和工种等相关因素,为制定尘肺病预防控制对策及防治效果评价提供基础数据。方法将《北京市职业病信息网络直报系统》中丰台区2006年6月1日-2013年12月31日确诊的尘肺病例导出后,统计分析尘肺病报告病例所在企业的经济类型、行业和企业规模以及病例特征,包括性别、工种、尘肺种类、发病工龄、发病年龄、诊断时间、死亡原因和死亡时间等。结果丰台区2006年6月1日-2013年12月31日确诊尘肺病129例,其中男性110例,女性19例,男女之比为5.79∶1。病例主要集中在国有经济企业共116例,企业规模以大中型企业为主共106例,行业类型以制造业为主共103例。尘肺病病种以矽肺最多,共46例;电焊工尘肺和其他尘肺次之,各为20例;石棉肺和铸工尘肺各为17例。接尘工龄为20~29 a者居各接尘工龄组报告病例之首,共50例;其次是接尘30 a以上者,共31例;最短平均发病工龄为(7.38±2.05)a,最长为(35.58±3.59)a,平均为(22.54±10.03)a。发病年龄在70岁以上者最多,共61例;其次是50~59岁者,共31例;平均发病年龄为(67.90±12.69岁。结论丰台区尘肺病发病的工龄和发病年龄符合尘肺病发病规律,应抓住重点企业、重点行业、重点粉尘及主要岗位等关键环节,制定防治策略,使尘肺病的发生得到有效的控制,保护劳动者的健康。[Objective]To analyze the related factors of pneumoeoniosis in Fenglai District of Beijing, which included key industry, population and working types, provide basic data for development of pneumoeoniosis prevention and control measures, and evaluation of control effect.[Methods]The pneumoeoniosis cases diagnosed from June l, 2006 to December 31, 2013 in Fengtai District were collected from the Beijing occupational disease information network report system, to analyze the economic type, industry and scale of enterprises which the pneumoconiosis cases were detected, as well as the case characteristics, including gender, type of work, type of pneumoconiosis, service length of onset, onset age, diagnosis time, cause of death and death time.[Results]From June 1, 2006 to December 31, 2013, there were a total of 129 pneumoconiosis cases in Fengtai District, including 110 male cases and 19 female cases, and the ratio of male-to-female was 5.79:1. 116 cases were reported in state-owned enterprises, 106 cases occurred in the large and medium-sized enterprises, and 103 cases distributed in manufacturing industry. There were 46 cases of silicosis, which accounted for the greatest proportion of pneumoconiosis types, followed by the welders" pneumoconiosis and other pneumoconiosis, 20 cases for each, while the asbestosis and the foundry worker's pneumoconiosis were 17 cases respectively. Among exposure time groups, 50 cases were reported in 20-19 years group, and 31 cases were reported in over 30 years group. The shortest and longest service length of onset was (7.38~20.5) years and (35.58+3.59) years respectively, and the average value was (22.54+10.03) years. Most of patients got the disease over 70 years old, which were 61 cases, followed by 50-59 year-old (31 cases). The average onset age was (67.90+12.69) years old. [Conclusion]The service length and age of onset among pneumoconiosis cases in Fengtai District meet the epidemic characteristics of pneumoconiosis. It is necessary to develop th
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