首页|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

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

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

Hepatitis BDemonstration areaEpidemiological characteristics

叶淑鸿、郭致文、吉兆华

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武威市疾病预防控制中心,甘肃武威 733000

空军军医大学,西安 710032

乙型病毒性肝炎 示范区 流行特征

国家传染病防治科技重大专项国家传染病防治科技重大专项国家传染病防治科技重大专项

2009ZX10002-0272012ZX100049072017ZX10105011

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
年,卷(期):2024.39(1)