2005年全国淋病与梅毒病例报告覆盖情况分析

Coverage of gonorrhea and syphilis case reporting in 2005 in China

目的了解全国淋病与梅毒病例报告覆盖情况,为性病疫情管理、漏报调查和疫情估计提供依据。方法利用系统抽样的方法抽取2005年2、5、8和11月全国31个省份的淋病与梅毒病例网络直报数据,计算以县(区)为单位的病例报告覆盖率。结果2、5、8、11月全国淋病病例报告的平均覆盖率分别为56.66%、66.33%、68.90%和68.27%,梅毒的平均覆盖率分别为42.61%、55.56%、59.46%和60.59%。经济发达或东南沿海地区(如上海、北京、天津、重庆、浙江、江苏、广东、广西、海南和福建等)的病例报告覆盖率较高,一般在80%以上;经济落后或西部地区(如河北、山西、内蒙、陕西、甘肃、云南、贵州、青海和西藏等)的病例报告覆盖率较低,一般在50%以下。结论我国淋病与梅毒病例报告覆盖率总体上偏低,直接影响性病疫情的准确性,应进一步加强我国性病疫情报告的管理与督导工作,尤其应加强对经济落后及西部地区的支持。

Objeetlve To determine the coverage of gonorrhea and syphilis case reporting in China,and provide information for managing STD case-reporting,investigating under-reporting and evaluating STD epidemic. Methods The gonorrhea and syphilis ease-reporting data from 31 provinces in 2005 were collected with systematic sampling by months of February, May,August and November through National Information System for Disease Control and Prevention, and the coverage of the case-reportlng by county category in 31 provinces were analyzed. Results The average coverage of gonorrhea case-reporting were 56.66 96,66.33 %, 68.90 % and 68.27 % in February, May, August and November in 2005, rcspectivdy, while the average coverage of syphilis were 42.61%, 55.56 %, 59.46 % and 60.59 % in these months, respectively. The coverage of ease reporting in developed or southeast em areas, such as Shanghai, Beijing, Tianjin, Chongqi, Zhejiang,Jiangsu, Guangdong, Guangxi. Hainan, and Fujian provinces was higher by more than 80 %, However, the coverage in economically less-developed or west em areas, including. Hebei, Shanxi, Inner Mongolia, Shaanxi, Gansu, Yunnan, Guizhou, Qinghai and Tibet provinces, was lower by less than 50 %. Conclusions Overall, the coverage of gonorrhea and syphilis case reporting in the country is relatively low, which directly compromises the accuracy of STD case reporting data. It is suggested that management, surveillance and evaluation of STD case reporting should be strengthened, especially in economically less-developed or western areas.