2004-2008年浙江省湖州市梅毒流行特征分析

Epidemiology of syphilis in Huzhou during 2004-2008 and prevention and control strategy

目的了解浙江省湖州市梅毒的流行病学特点。方法采用2004-2008年湖州市《疾病监测信息报告管理系统》报告的数据进行趋势及描述性分析。结果 2004-2008年,湖州市梅毒报告发病率由2004年的23.79/10万上升至2008年的88.95/10万,年均增幅为39.06%,5个县（区）中,年均报告发病率最高的为安吉县（66.75/10万）,发病数年均增幅最高的为安吉县（70.59%）;报告病例以Ⅰ期、Ⅱ期和隐性梅毒为主,占96.72%;5年来隐性梅毒和胎传梅毒增幅较大;女性患者多于男性,男女性别比为0.90∶1;高发年龄组为20-39岁的性活跃期青壮年,占54.27%;重点人群以农民为主,占45.37%。结论湖州市梅毒疫情呈现持续上升趋势,需加大梅毒防制力度,积极开展有效的干预措施控制梅毒流行。

Objective To investigate the epidemiological characteristics of syphilis in Huzhou and provide evidence to develop prevention and control strategy.Methods Descriptive epidemiological analysis was conducted on the data of syphilis epidemic in Huzhou obtained from the disease surveillance information reporting system.Results The incidence of syphilis increased from 23.79/lakh in 2004 to 88.95/lakh in 2008,the average annual increase was 39.06%.The average annual incidence of syphilis in Anji county（66.75/lakh） was much higher than other counties,and the average annual increase was 70.95%.Most cases were primary and secondary syphilis and latent syphilis,accounting for 96.72%.Latent syphilis and congenital syphilis showed rapid increase during the five years.More cases occurred among females than among males with the gender ratio of 0.90∶1.The sexual active adults aged 20 to 39 years were affected seriously,the cases among them accounted for 54.27%.The mostly affected population was farmers,the cases among them accounted for 45.37%.Conclusion The incidence of syphilis increased in Huzhou,it is necessary to strengthen the prevention and control of syphilis by effective intervention measures.