湖北省1997～2007年病毒性肝炎流行特征分析

Epidemiological analysis of viral hepatitis in Hubei province(1997-2007)

目的了解湖北省病毒性肝炎的流行病学特征,为制定防治策略提供依据。方法采用描述流行病学分析方法,对湖北省1997～2007年病毒性肝炎疫情资料进行统计分析。结果1997～2007年,湖北省病毒性肝炎发病率总体呈现上升的趋势,最低年份为2000年(58.7/10万),最高年份为2007年(151.7/10万);甲肝病例在病毒性肝炎中的构成比从1997年的30.6%下降到2007年的2.9%,乙肝则从1997年的51.4%上升到2007年的86.0%。病例中男性多于女性,主要为农民、学生与工人,15～44岁年龄段病例数占总报告病例数的64.3%。结论湖北省病毒性肝炎流行态势严峻,应重点强化甲肝,尤其是乙肝的防治工作,并对15～44岁年龄段人群采取有效的防控措施。

Objective To investigate the epidemiological status of virial hepatitis and provide evidence for the prevention strategy in Hubei province. Methods The viral hepatitis data from 1997 to 2007 in Hubei province were analyzed using the method of descriptive epidemiology. Results Since 1997,in Hubei province,morbidity of viral hepatitis had an increasing tendency, of which the highest was in 2000 （58.7/100 000 ）, and the lowest was in 2007 （ 151.7/100 000）. Percentage of Hepatitis A cases declined from 1997 （ 30. 6% ） to 2007 （2. 9% ）, and the percentage of Hepatitis B rose from 51.4% in 1997 to 86.0% in 2007. The majority of viral hepatitis case was peasants,students and workers. The morbidity in male was higher than that in female. And the number of cases aged 15 to 44 accounted for 64. 3% of the total. Conclusion The epidemiologieal status of virial hepatitis in Hubei province is quite serious. The effort for controlling and preventing Hepatitis A, especially Hepatitis B, should be intensified, and it is required to exploit more effective strategy to protect the group aged 15 to 44.