盐城地区出国劳务人群梅毒感染状况及防制对策

Discussion on infection status of syphilis and its countermeasure of prevention and control in export labor workers in Yancheng area

目的根据盐城地区出国劳务人员传染病监测结果,探讨梅毒的防制对策。方法使用上海荣盛公司提供的TRUST诊断试剂初筛,日本富士公司TPPA试剂或ELISA试剂确认,技术操作及结果判断标准依据该试剂盒所附说明书,在有效期内使用,并结合流行病学调查。结果劳务体检一直占该局体检量的90%以上,性传播疾病(STD)是监测的重点疫病,梅毒又是近几年来发现的最主要的病种,共发现劳务人员中阳性感染者48人,占该局发现疫病总数的82.36%,隐性梅毒占91.2%,20-39岁占93.75%;男性阳性率为3.37‰,女性为2.93‰,混合感染率3.17‰;低滴度感染者为主,1:2-1:4占81.25‰。结论出国劳务是盐城地区的优势产业,应加强对出国劳务人员性传播疾病的检疫与监测工作,保证劳务输出人员无疫病出国,构筑严密的检疫体系,进行全面系统监测,加强防治常识的宣传教育,严禁卖淫、嫖娼以及积极治疗是梅毒病人预防的根本措施。

Objective According to contagion monitoring results of export labor workers in Yancheng region, discuss anti-syphilis measures. Methods Using TRUST diagnostic agent supplied by Shanghai Rongsheng Corp. & confirmation agent TPPA by Fuji Corp. of Japan, technical operation & result judgment as per the manuals within the validity of usage agent, and combining with epidemic surveillance. Results Labor worker physical exams make up 90% of our bureau health quarantine surveillance. Sexually transmitted disease (STD) is the important monitored disease, among which syphilis is the major one found in recent years. Among all labor workers of our bureau, syphilis test positive 41 persons which make up 82.36% of all quarantine diseases found, latent syphilis 91.2%, age 20 to 39 93.75%, male positive 3.37‰, female 2.93‰, mixed infection 3.17‰. low titration infection is the major part: 1:2-1:4 81.25%. Conclusion Export labor is a superior industry in Yancheng region. STD quarantine & monitoring of export labor workers should be strengthened so as to ensure export laborers to go abroad in good health. Construct a comprehensive quarantine system, strengthen health education and evaluation, prohibit prostitution & active medical care are key measures to prevent syphilis.