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目的分析杭州市乙型病毒性肝炎发病特征和报告质量,提出监测和防控建议。方法采用描述流行病学方法对《疾病监测报告管理信息系统》报告的乙肝病例、乙肝病例报告质量调查资料进行分析。结果2005-2012年,杭州市乙肝发病率呈逐年下降,急性乙肝发病率呈稳中上升态势。急性乙肝男性发病高于女性,集中在20~49岁年龄段,15岁以下年龄段发病最少,占0.22%~0.96%。职业以农民、工人和民工为主,占50.83%~60.66%;学生发病逐年减少,占1.59%~6.16%。乙肝诊断符合率为90.88%。结论实施新生儿和学生乙肝疫苗接种后,儿童和学生发病得到有效控制。乙肝仍存在误报,应加强对临床医生乙肝诊断标准培训。乙肝防治应加强高危人群乙肝疫苗接种,弱势人群健康宣教。
Objective To analyze the incidence and quality of hepatitis B virus infection in Hangzhou and put forward suggestions for monitoring and prevention and control. Methods Descriptive epidemiological methods were used to analyze the hepatitis B cases and hepatitis B cases reported in the “Disease Surveillance Report Management Information System” report. Results From 2005 to 2012, the incidence of hepatitis B in Hangzhou showed a declining year by year. The incidence of acute hepatitis B showed a steady increase. Acute hepatitis B male incidence higher than women, concentrated in the 20 to 49 age group, the age of 15 years of age the least incidence, accounting for 0.22% to 0.96%. Occupation of peasants, workers and migrant workers, accounting for 50.83% ~ 60.66%; student incidence decreased year by year, accounting for 1.59% ~ 6.16%. The coincidence rate of diagnosis of hepatitis B was 90.88%. Conclusions After the hepatitis B vaccination of newborns and students is implemented, the incidence of children and students can be effectively controlled. Hepatitis B still exists false positives, should strengthen the clinical diagnosis of hepatitis B standard training. Prevention and treatment of hepatitis B should strengthen the high-risk population hepatitis B vaccination, health education for vulnerable groups.