普陀区宜川社区2001～2005年肺结核流行趋势分析

Epidemiological Analyze on Tuberculosis from 2001 to 2005 in Yichuan Community

目的分析宜川社区2001年～2005年肺结核的流行现状以及探讨社区防治对策。方法根据日常新病例登记报告进行描述流行病学分析。结果2001～2005年登记在册的肺结核病人中,本社区177例,外来人口9例。男女之比为1.6∶1。2001～2004年,全社区肺结核新登记率和菌阳新登记率有所递减,2005年疫情有所波动,肺结核新登记率和菌阳新登记率均有上升;5年来,65岁及以上老年人肺结核新登记率逐年递增。治疗期内共死亡10例,其中2例死于肺结核,8例死于其他并发症。结论加大对《上海市菌阳肺结核病政府减免治疗办法实施细则(试行)》的宣传力度,开展老年人群和外来人口的健康教育,提高社区DOTS督导管理的质量。

Objective To analyze epidemiological situation of tuberculosis from 2001 to 2005 in Yichuan community and to explore community control and prevention countermeasure. Methods According to daily new case registration report, we performed descriptive epidemiological analysis. Results Among all registered TB patients between 2001 and 2005, 177 cases lived in Yichuan community, 9 cases were rural floating persons, sex ratio was 1.6 (male):1 (female). Both new case registration rate and TB positive new case registration rate had a downward tendency between 2001 and 2004 in the community. But in 2005 both above-mentioned rates rose. In the past 5 years TB new case registration rate among above 65 years old persons had risen year by year. During the treatment 10 patients died, 2 of them died of TB, the rest died of other complications. Conclusion We should strengthen publicizing Shanghai government free treatment program for TB positive patients, perform health education to old people and rural floating people, and improve management quality of DOTS in community.