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目的:了解光泽县2011年度从业人员甲肝、戊肝感染状况,为制定光泽县病毒性肝炎防治策略和预防措施提供依据。方法:以光泽县2011年公共场所从业人员健康体检为对象,检测他们血清中的甲肝病毒IgM抗体和戊肝病毒IgM抗体,并对结果进行分析。结果:全年共体检从业人员2938人(食品加工企业一家:508人,全县其他公共场所2430人)。2938人中甲肝抗HAV-IgM阳性率0.48%,戊肝抗HEV-IgM阳性率0.75%。食品加工企业508人中,甲肝抗HAV-IgM阳性率1.7%,戊肝抗HEV-IgM阳性率0.60%,光泽县从业人员甲肝、戊肝感染率均比较高,戊肝感染率明显高于甲肝。人口密集的企业从业人员甲肝感染率高于全县从业人员甲肝感染率。结论:光泽县甲肝、戊肝感染率明显高于国内平均水平,形势严峻,应加强对甲肝、戊肝疫情的监测;同时,卫生监督部门加强对企业内部监管,采取相应措施,防止甲肝、戊肝的暴发与流行。
Objective: To understand the status of Hepatitis A and Hepatitis E infection in employees in 2011 in Guangze County, and to provide the basis for the prevention and treatment of viral hepatitis in Gansu Province. Methods: The health examination of employees in public places in Guangze County was conducted in 2011, and their serum anti-Hepatitis A virus and hepatitis E virus IgM antibodies were detected and the results were analyzed. Results: The year a total of 2938 employees in physical examination (food processing enterprises: 508, the county’s other public places 2430). In 2938 people, the positive rate of anti-HAV-IgM was 0.48%, and the positive rate of HEV-IgM was 0.75%. Among the 508 food processing enterprises, the positive rate of anti-HAV-IgM of hepatitis A virus was 1.7% and the positive rate of HEV-IgM of hepatitis E virus was 0.60%. The infection rates of hepatitis A and hepatitis E were all higher in Guangze County, and the infection rate of hepatitis E was significantly higher than that of hepatitis A . Hepatitis A infection rate of employees in densely populated enterprises is higher than that of Hepatitis A workers in this county. Conclusion: The infection rate of hepatitis A and hepatitis E in Guangze County is obviously higher than the national average level, and the situation is grim. The surveillance of hepatitis A and hepatitis E should be strengthened. At the same time, the health supervision department should strengthen the internal supervision and take corresponding measures to prevent hepatitis A and E Liver outbreaks and epidemics.