当前全省地方病防治工作中的重点问题  

The key issues confronted in the Prevention and Control of endemic Diseases in Henan

作　　者：郑合明[1] 李小烽[1] 余波[1] 岳义田[1] 张莉[1] ZHENG Heming;LI Xiaofeng;YU Bo;YUE Yitan;ZHANG Li(Institute of Endemic Disease,Henan.Province center for Disease prevention and control,Zhengzhou 450016,China)

机构地区：[1]河南省疾病预防控制中心地方病预防控制所

出　　处：《河南预防医学杂志》2019年第12期962-966,共5页Henan Journal of Preventive Medicine

摘　　要：目的分析全省地方病防治现况,探讨今后防治工作的重点问题。方法按照国家卫计委发布的《重点地方病控制和消除评价办法》对全省地方病防治情况进行评估。结果全省以县为单位地方病控制和消除数量明显低于"十二五"末。2018年碘缺乏病达到消除的县为90个;饮水型氟中毒达到控制的县为48个;高碘危害地区无碘食盐食用率严重下滑,全省儿童家中无碘食盐率31.6%;孕妇家中无碘食盐率37.3%。结论可持续消除地方病的工作机制不健全,防治措施落实不到位及后期管理不规范成为妨碍全省地方病消除与控制的主要难点。Objective To analyze the current situation of endemic disease prevention and control in Henan, and to discuss the key issues confronted. Methods To evaluate the status of prevention and control of endemic diseases in Henan province, according to the Evaluation method for Control and Elimination of key endemic Diseases issued by National Health and Family Planning Commission. Results The number of counties of control and elimination of endemic diseases in the whole province is obviously lower than that at the end of the 12 th five-year Plan. There are 90 counties achieved elimination standard of iodine deficiency disorders in 2018, and 48 counties with drinking water fluorosis reached control standard. The consumption rate of iodine-free salt in Hi-iodine areas declined seriously, The non-iodized salt rate was 31.6 % in children’s homes and 37.3 % in pregnant women’s homes in Hi-iodine areas of the whole province. Conclusions The main issues confronted to the elimination and control of endemic diseases are that the mechanisms are unsound for sustainable elimination of endemic diseases, the measures are not in place and later management is not standardized for prevention and control.

关 键 词：地方病 防治 问题 

分 类 号：R599[医药卫生—内科学] R123[医药卫生—临床医学]