1990年-2004年郑州市病毒性肝炎流行病学特征分析

Analysis OF Virus Hepatitis Epidemiological Characteristics in ZhengZhou from 1990 to 2004.

目的了解病毒性肝炎发病流行规律,制定有针对性的防治措施。方法采用描述流行病学方法,进行病毒性肝炎分型三间分布,发病趋势,疫苗效果等比较分析。结果病毒性肝炎年均发病率为133.78/10万,1992年起位居法定传染病的首位;全市甲肝发病占总发病报告总数的25.34%,总报告发病率为30.59/10万,0岁～9岁组发病率从181.44/10万下降到22.56/10万,地区分布以上街区为多,目前登封发病率超过15年均水平;使用乙肝疫苗接种后,相应年龄组的发病率从29.84/10万下降到15.85/10万。结论全市应进一步加强健康教育及食品卫生督管力度,加强重点人群的防治,预防控制甲肝流行,同时乙肝疫苗免疫和加强是控制乙肝急需解决的重要问题。

Objective To find out the epidemic regular of virus hepatitis and to make up the preventive strategy. Methods Descriptive epidemiology was used to analyze the three dimensional distribution of hepatitis and the effect of vaccine. Result the average incidence of virus hepatitis is 133.78per ten thousand per year. in the whole city, disease development of hepatitisa occupies 25.34 % of the total of overall disease development reports. The total of recorded morbidity ratio is 30. 59/100,000. the children＇s incidence of 0 -9 years old group from 181.44 per ten thousand to 22.56 per ten thousand, The region distribution is major on up block. Presently morbidity ratio in Dengfeng has exceeded the average level of the past 15 years;The use HB vaccine made the incidence of corresponding group decline from 29.84per ten thousand to 15.85 per ten thousand .Condusions we should prompt the whole city to strengthen health education and the superintendence power of food sanitation, and prevent and control the epidemic of hepatitisa,and Vaccination is a major measure to prevent virus hepatitis and HB immunity and enhancing immunity are important measure to control HB.