黑河口岸出入境人员3种传染病监测结果分析

Analysis of Surveillance Result of the Three Kinds of Infectious Diseases for Entry-Exit Persons at Heihe Port in 2000 to 2002

目的通过2000～2002年黑河口岸出入境人员传染病监测结果分析,了解黑河口岸出入境人员中乙型肝炎、梅毒、艾滋病的感染情况,为制订预防控制措施提供科学依据。方法采用传染病诊断国家标准对黑河口岸出入境人员进行了乙肝表面抗原(HBsAg)、梅毒、HIV抗体的血清学检测。结果3年共检测15148人次,检出HBsAg阳性1291例,检出率8.52%;梅毒41例,检出率0.27%;未检出HIV感染者。各类人员之间HBsAg阳性率比较差异具有显著性;男性HBsAg阳性率高于女性;20岁以下年令组HBsAg阳性率高于其它4个年龄组。各类人群中,交通员工、餐饮从业人员未检出梅毒感染者,其它人群间相比,归国人员梅毒感染率明显高于公务、商务和出国劳务人员;不同性别间梅毒检出率差异无显著性;20岁以下年龄组未检出梅毒感染者,其它4个年龄组梅毒感染率差异无显著性;2000～2002年,梅毒检出率无明显上升或下降趋势。结论20岁以下年龄组HBsAg阳性率最高,应在该人群中积极推广乙型肝炎疫苗接种,降低其感染率。应将归国人员作为梅毒检测的重点人群。

Purpose Analyzed the Surveillance results of entry-exit person's infectious disease at Heihe port in 2000 to 2002, understand the prevailing situations of hepatitis B, syphilis, AIDS, among entry and exit person at Heihe port, offer scientific basis for making and preventing the control measure. Method Adopt the state standard on the infectious disease to diagnose, to detect the serum which entry- exit persons at Heihe port has carried on HBsAg, syphilis , HIV antibody. Results 15 148 person altogether were detected in three years, which 1 291 HBsAg positive were found, detection rate 8.52%; The syphilis 41, detection rate 0.27%; have not detected out the HIV infected person. HBsAg positive rate difference is remarkable between all kinds of persons; Male HBsAg positive rate is higher than female; the under 20 years old age group HBsAg positive rate is highest; comparing in various years, HBsAg positive rate does not obviously have rising or dropping trend. Among all kinds of crowds, the traffic staff, employee have not examined out the infected of syphilis, comparing among other three kinds of crowds, the syphilis infection rate of people who return to homeland is obviously higher than common, commercial affair and labor service for export; the syphilis infection rate does not have remarkable difference among different sex; it makes the group not examine out the infected of syphilis every year at 20 years old that smaller than, other 4 age groups syphilis infection rate not have remarkable difference every year; form 2000, 2001comparing in 2002, the syphilis detection rate does not obviously have rising or dropping trend. Conclusion The HBsAg positive rate is highest under 20 years old age group, we should pay a great attention to it, and recommend hepatitis B vaccine, reduce the infection rate. People who return to homeland should be pay attention to detect the syphilis.