北京市昌平区2004—2008年食品与公共场所从业人员HBsAg携带情况

Carrying Status of HbsAg among Employees from Catering and Public Places in Changping District of Beijing City during 2004—2008

目的掌握2004—2008年北京市昌平区食品与公共场所从业人员HBsAg携带情况的动态变化,为卫生监督部门对食品与公共场所的管理工作提供依据。方法分析2004—2008年间昌平区食品与公共场所从业人员健康检查资料。结果2004—2008年昌平区食品与公共场所从业人员健康检查共计344 295人,HBsAg携带者总检出7175人,平均阳性率为2.08%。5年昌平区HBsAg阳性率分别为1.52%、2.37%、2.32%、2.12%、1.99%;HBsAg阳性率呈逐年上升趋势(χ2=123.48,P<0.01);该区本地与外埠从业人员HBsAg阳性率均随年度增长则呈上升趋势,(本地χ2=89.24,P<0.01;外埠χ2=54.97,P<0.01)。但外埠人员携带率高于本地人员携带率(χ2=565.63,P<0.01)。结论为保证昌平区公共卫生安全,应坚持该人群一年一次的健康检查及调离工作,同时加强该人群的乙型肝炎防治工作。

[ Objective ] To understand the dynamic changes of carrying status of HbsAg among employees from catering and public places in Changping District of Beijing City during 2004-2008, and provide evidence for the management of catering and the public place by sanitary supervision department. [ Methods] The health examination data of employees from catering and public places in Changping District during 2004-2008 were analyzed. [ Results] During 2004-2008, a total of 344 295 employees were conducted health examination, 7175 were detected as HBsAg carriers, the average positive rate was 2.08%. The positive rate of HBsAg was 1.52% ,2.37%, 2.32%, 2.12%, 1.99% respectively in 5 years; and it increased annually（ X^2 = 123.48 ,P 〈0.01 ） ; moreover, HBsAg positive rate among the local and migrant employees grew along with the annual growth （local X^2 = 89.24, P 〈 0.01 ; migrant X^2 = 54.97,P 〈0.01 ）. However, the carrying rate of the migrant was higher than that of the local（ X^2 =565.63,P 〈0.01 ）. [ Conclusion] Inorder to guarantee the public health security in Changping, it is necessary to persist the annual health examination and work transfer of this population, and to simultaneously strengthen hepatitis B prevention and control.