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作 者:蒋坪飞 陈梦馨[2] 张宏伟[2] JIANG Ping-fei;CHEN Meng-xin;ZHANG Hong-wei(Xinjiang Medical University,Urumqi,Xinjiang 830011,China;Xinjiang Production and Construction Corps Center for Disease Control and Prevention,Urumqi,Xinjiang 830002,China)
机构地区:[1]新疆医科大学,新疆乌鲁木齐830011 [2]新疆生产建设兵团疾病预防控制中心,新疆乌鲁木齐830002
出 处:《实用预防医学》2023年第6期707-710,共4页Practical Preventive Medicine
摘 要:目的分析新疆生产建设兵团病毒性肝炎流行病学特征,为肝炎预防控制策略调整提供科学依据。方法收集2010—2021年新疆生产建设兵团病毒性肝炎疫情资料,运用描述性流行病学方法对病毒性肝炎的流行病学特征进行分析。结果2010—2021年新疆生产建设兵团累计有40675例报告病例,死亡48例,年均发病率119.4/10万,总体呈现为下降趋势。乙型肝炎所占比例最高,占73.21%(29780例),其次为丙肝,占22.13%(9001例)。各个地区都有发病报告,其中位于前三位的分别是八师(11231例)、一师(5828例)和七师(4765例)。发病数居于前3位的年龄组依次为>45~50岁(6393例)、>50~55岁(5195例)、>40~45岁(4850例)。职业构成中农民发病数居首位(占24.54%)。结论近年来,新疆生产建设兵团病毒性肝炎发病率呈逐年下降趋势,但总体发病率还是居于较高水平。甲、乙肝发病的重点人群应该进一步加强其预防接种工作,而丙、戊肝应该采取加强食品安全监管、强化医院的消毒隔离、做好疫情的动态监测等针对性的综合措施。Objective To analyze the epidemiological features of viral hepatitis in Xinjiang Production and Construction Corps,and to provide a scientific basis for the adjustment of hepatitis prevention and control strategies.Methods Data about viral hepatitis epidemic in Xinjiang Production and Construction Corps from 2010 to 2021 were collected,and the epidemiological characteristics of viral hepatitis were analyzed using descriptive epidemiological methods.Results A total of 40,680 cases and 48 deaths were reported in Xinjiang Production and Construction Corps from 2010 to 2021,with an average annual morbidity of 119.4/100,000,showing an overall downward trend.Hepatitis B accounted for the highest proportion(73.21%,29,780/40,680),followed by hepatitis C(22.13%,9,001/40,680).Cases were reported in all regions,with the eighth division(11,231 cases),the first division(5,828 cases) and the seventh division(4,765 cases) topping the list.The age group with the largest number of cases was >45-50 years(6,393 cases),followed by >50-55 years(5,195 cases) and >40-45 years(4,850 cases).In occupational composition,most of the cases were farmers(accounting for 24.54%).Conclusion In recent years,the incidence rate of viral hepatitis in Xinjiang Production and Construction Corps has been decreasing year by year,but the overall incidence rate is still at a high level.Preventive vaccination against hepatitis A and B among the key groups should be further enhanced,while targeted comprehensive measures against hepatitis C and E infection like strengthening food safety supervision,intensifying disinfection and isolation in hospitals,and strengthening dynamic monitoring of the epidemic should be taken.
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