疾病预防控制通报2024,Vol.39Issue(1) :16-19.DOI:10.13215/j.cnki.jbyfkztb.2308004

武威市乙型病毒性肝炎防治示范区建设对其流行特征的影响

Influence of construction of demonstration area for viral hepatitis B prevention and treatment on epidemiological characteristics in Wuwei city

叶淑鸿 郭致文 吉兆华
疾病预防控制通报2024,Vol.39Issue(1) :16-19.DOI:10.13215/j.cnki.jbyfkztb.2308004

武威市乙型病毒性肝炎防治示范区建设对其流行特征的影响

Influence of construction of demonstration area for viral hepatitis B prevention and treatment on epidemiological characteristics in Wuwei city

叶淑鸿 1郭致文 1吉兆华2
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作者信息

  • 1. 武威市疾病预防控制中心,甘肃武威 733000
  • 2. 空军军医大学,西安 710032
  • 折叠

摘要

目的 分析甘肃省武威市乙型病毒性肝炎(简称乙肝)防治示范区建设14年(2009-2022年)的乙肝流行特征,为进一步制定乙肝防治策略提供科学依据.方法 收集整理疾病监测报告管理信息系统中2009-2022年武威市乙肝报告数据以及示范区乙肝血清流行病学调查资料,采用描述流行病学方法分析数据.结果 乙肝发病率由2009年的637.70/10万下降至2022年的66.58/10万,呈逐年下降趋势(Z=-66.897,P<0.001);其中,强化干预示范区(凉州区)下降了91.66%,年均降低17.39%;病例以20岁~组为主、占24.48%.人群乙肝表面抗原阳性率由2010年的7.31%降至2020年的4.08%.结论 示范区建设14年来,乙肝发病率和表面抗原阳性率大幅度下降,乙肝病例在各型病毒性肝炎病例的构成比明显下降,形成了适合我国西部贫困地区乙肝防治的"武威模式".

Abstract

Objective To analyze the epidemiological characteristics of viral hepatitis B(hepatitis B for short)during the 14 years(2009-2022)construction of demonstration area for hepatitis B prevention and control inn Wuwei city,and provide scientific basis for further formulating hepatitis B prevention and control strategies.Methods The reported data of hepatitis B and seroepidemiological survey in Wuwei city from 2009 to 2022 were collected from disease monitoring report management information system,and analyzed with the descriptive epidemiology method.Results The incidence rate of hepatitis B decreased from 637.70/100 000 in 2009 to 66.58/100 000 in 2022,and showed decreasing trend(Z=-66.897,P<0.001).The incidence rate of hepatitis B decreased by 91.66%in the enhanced intervention demonstration area(Liangzhou district),with average annual decrease of 17.39%.The cases aged 20-29 year old were the main,accounting for 24.48%.The incidence rate of hepatitis B in2022 decreased by 41.02%compared with 2009.The positive rate of hepatitis B surface antigen decreased from 7.31%in 2010 to 4.08%in 2020 in the population.Conclusions After 14 years of the construction of demonstration area,the incidence rate of hepatitis B and positive rate of surface antigen significantly decrease.The proportion of hepatitis B cases significantly decreases in the viral hepatitis cases.The"Wuwei model"that is suitable for hepatitis B prevention and treatment in the western depressed area of China is formed.

关键词

乙型病毒性肝炎/示范区/流行特征

Key words

Hepatitis B/Demonstration area/Epidemiological characteristics

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基金项目

国家传染病防治科技重大专项(2009ZX10002-027)

国家传染病防治科技重大专项(2012ZX10004907)

国家传染病防治科技重大专项(2017ZX10105011)

出版年

2024
疾病预防控制通报
新疆疾病预防控制中心

疾病预防控制通报

ISSN:1000-3711
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