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唐山市2005-2022年丙型病毒性肝炎监测结果分析

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目的 分析研究唐山市丙型病毒性肝炎(以下简称丙肝)流行病学特征,为开展丙肝防治工作提供科学指导。方法 收集全民健康保障信息化系统中2005-2022年唐山市丙肝病例报告数据资料,采用描述流行病学的方法统计分析。结果 2005-2022年唐山市共报丙肝病例11 324例,死亡病例1例,年平均报告发病率为8。22/10万,2005-2014年发病率呈逐年上升趋势,2014年达到最高(15。18/10万),2015年之后发病率呈现波动下降的态势。报告病例男女性别比为1。25∶1;各年龄组均有病例报告,40~70岁年龄组报告病例数最多占63。42%;职业以农民为主占52。21%;14个县(市、区)均有病例报告,2005-2022年平均发病率前三位为迁西县(11。70/10万)、路北区(10。88/10万)、路南区(10。59/10万)。报告病例以确诊病例为主,占全部报告病例的66。90%,但报告数据质量需要进一步核查。结论 唐山市丙肝病例呈散发流行、无明显季节性。今后应加强对大众丙肝防治知识的健康教育,加大对重点地区、重点人群丙肝疫情的监测,提高医疗机构数据报告质量及抗病毒治疗能力,以有效降低丙型肝炎的传播风险。
Results of viral hepatitis C surveillance in Tangshan from 2005 to 2022
Objective To analyze and study the epidemiological characteristics of viral hepatitis C(hepatitis C)in Tangshan city,so as to provide scientific guidance for the prevention and control of hepatitis C.Methods The data of hepatitis C cases in Tangshan city from 2005 to 2022 were collected from National Health Insurance Information System and analyzed by descriptive epidemiology methods.Results From 2005 to 2022,a total of 11 324 hepatitis C cases and 1 death case were reported in Tangshan and the average annual reported incidence rate was 8.22/100 000.The annual incidence rates showed a trend of increase from 2005 to 2014 and reached the peak(15.18/100 000)in 2014 and started to decrease from 2015.The male-to-female ratio was 1.25∶1 and cases were reported in all age groups.The number of cases was the highest in 40-70 year old group,accounted for 63.42%.For the occupations,farmer was the predominant group,accounting for 52.21%.There were reports of cases in all 14 counties(cities,districts).The counties of top three average incidence rates from 2005 to 2022 were Qianxi county(11.70/100 000),Lubei district(10.88/100 000)and Lunan district(10.59/100 000).The reported cases were mainly confirmed cases,accounting for 66.90%of the total reported cases,but the quality of the reports data should be verified in further.Conclusions The cases of hepatitis C in Tangshan city were mainly sporadic without obvious seasonality.Enhanced health education of public on the prevention and control of hepatitis C,increased surveillance of hepatitis C epidemic in key areas and populations,improved the quality of reporting and the ability of antiviral treatment in medical institutions would be necessary for reducing the transmission risk of hepatitis C effectively.

Viral hepatitis CSurveillance resultsIncidence rate

蔡超、高婧、王晓红、王欣然、范月冬、张庆娟、柳建强

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唐山市疾病预防控制中心性病艾滋病防制所 063000

唐山市丰南区疾病预防控制中心性病艾滋病防制科 063000

丙型病毒性肝炎 监测结果 发病率

2024

国际病毒学杂志
中华医学会,北京市疾病预防控制中心

国际病毒学杂志

CSTPCD北大核心
影响因子:1.826
ISSN:1673-4092
年,卷(期):2024.31(4)