湖北省燃煤污染型氟中毒控制和消除考核验收调查结果分析  

Analysis of testing and acceptance results in controlling and eliminating coal--burning--borne endemic fluorosis in Hubei Province

作　　者：张碧云[1] 熊培生[1] 祝淑珍[1] 周素华[1] 陈致泽[1] 戴馨[1] 李明健[1] 

机构地区：[1]湖北省疾病预防控制中心慢病所地方病科,武汉430079

出　　处：《中华地方病学杂志》2015年第7期514-517,共4页Chinese Journal of Endemiology

基　　金：中央补助地方公共卫生专项资金地方病防治项目（2012、2013）

摘　　要：目的分析湖北省燃煤污染型氟中毒控制和消除考核验收情况。方法2012—2014年在湖北省6个县（市）501个历史燃煤污染型氟中毒病区村，对改良炉灶及使用情况、玉米辣椒正确干燥情况和8～12岁儿童氟斑牙患病情况进行县级自查和省级抽查复核，根据《地方性氟中毒病区控制标准》（GB17017—2010）和《燃煤污染型氟中毒病区消除标准》对病区进行判定。结果县级自查结果：合格改良炉灶率、合格炉灶正确使用率和供人食用玉米辣椒正确干燥率均在98％以上，儿童氟斑牙检出率为7．73％（2319／30003）。省级复核结果：合格改良炉灶率、合格炉灶正确使用率和供人食用玉米辣椒正确干燥率均在99％以上，儿童氟斑牙检出率为8．25％（353／4277）。县级自查与省级复核病区村判定结果一致率为88．89％（48／54）。湖北省5个病区县（市）达到病情控制或消除标准，1个病区县未达到控制标准。结论湖北省燃煤污染型氟中毒病区范围缩小，病情明显减轻。Objective To investigate and analyze the examination and acceptance results for coal- burning-borne endemic fluorosis control and elimination in Hubei Province. Methods A county-level self- inspection and a provincial-level spot-cheek were conducted to investigate the status of improved-stove usage, the situation of correctly drying corn and chili, and the dental fluorosis prevalence among children aged 8 to 12 in 501 historic coal-burning-borne endemic fluorosis villages of 6 counties （cities） in Hubei Province from 2012 to 2014. The endemic areas were selected according to the ＂Control Standards of Endemic Fluorosis in Endemic Areas＂ （GB 17017-2010） and ＂Eliminating Standards of Coal-burning Type Endemic Fluorosis＂. Results The results of county-level inspection showed that the qualified rates of improved stoves, the correct-usage rates of qualified stoves, and the correctly drying rates of corn and chili were all higher than 98% in targeted villages, and the prevalence rate of dental fluorosis of children was 7.73% （2 319/30 003）. The results of provincial-level recheck were more than 99% and 8.25% （353/4 277）, respectively. The results of county-level inspection were of good consistency with those of provincial-level recheck （88.89%, 48/54）. Five counties （cities） but one had met the standard of fluorosis control or elimination. Conclusion Coal-burning-borne endemic fluorosis scope in Hubei Province is narrowed greatly and the prevalence rates are decreased significantly.

关 键 词：氟 煤 环境污染 结果评价 

分 类 号：R599[医药卫生—内科学]