中国2006年流行性脑脊髓膜炎早死所致疾病负担分析

Analysis of Years of Life Lost with Premature Death Due to Meningococcal Meningitis Death in China

目的分析中国(未包括香港、澳门特别行政区和台湾地区,下同)2006年流行性脑脊髓膜炎(流脑)早死所致健康生命损失(Years of Life Lost with Premature Death,YLLs),探知流脑死亡导致的疾病负担,为预防控制流脑死亡制定有效措施提供依据。方法采用世界银行全球疾病负担(Globe Burden of Disease,GBD)评价指标体系及世界卫生组织推荐计算方法,利用2006年法定传染病网络直报系统的数据资料,分析中国居民因流脑死亡造成的生命损失。结果中国2006年流脑报告死亡率为0.0119/10万,病死率为9.35%;流脑死亡引起的<20岁人群的YLLs占总YLLs的98.77%;≥50岁人群的YLLs占总YLLs的0.04%。农村人群每千人口的YLLs高于城市;2006年流脑死亡引起的每千人口的YLLs仅低于肺结核。结论流脑死亡导致儿童和青年生命损失最大,对男性身体健康危害相对略高于女性。在农村地区造成的危害高于城市地区。

Objective To provide the theory basis and warrant for prevention and cure the meningococcal meningitis and explore effective strategy on controling and prevention by analyzing the years of life lost with premature death （YLLs） of Meningococcal meningitis death in China （not include Hong Kong, Macao Special Administrative Region and Taiwan Region） in 2006. Methods Employ the index system of the globe burden of disease that comes from the World Bank and the formula of YLL recommonded by WHO,and data from National Notifiable Diseases Registry System （NNDRS） during 2006,and analyzed by Excel 2000. Results The proportion ported mortality and fatality of meningitis disease was 0. 0119/100000 and 9.35% in 2006; The ratio of YLLs for 〈20 years old due to meningococcal disease death occupy 98.77% and 0.04% for ≥50 years old. The YLLs/1000 for urban higher than country. YLLs/1000 for meningococcal meningitis was lower than tuberculosis in 2006. Conclusion The life lost by meningococcal meningitis mostly happened in children,middle age and youth,health harm for male was higher than female. The harm to country area was higher than urban area.