北京市1990～1997年新生儿破伤风疫情监测分析

A Monitoring Analysis Of the incidence of Neonatal Tetanus during 1990 to 1997 in Beijing

对北京市１９９０～１９９７年新生儿破伤风（ＮＮＴ）疫情报告的分析表明，１９９０～１９９７年本市户籍ＮＮＴ的发病率为０．０４／１０００活产儿（‰）．１９９７年加上外省户籍病例，ＮＮＴ发病率≤０．１４‰，远低于世界卫生组织提出的发病率为１％的消除水平．本市ＮＮＴ疫情受外省来京人员的影响较大，１９９７年外省户籍病例占全年发病的８４６２％。加强ＮＮＴ疫情监测有重大意义，１９９７年开始将外省户籍病例纳人管理，ＮＮＴ升为乙类传染病进行报告处理，更实际地反映了北京市ＮＮＴ的疫情特点。外省户籍病例均为在家分娩，旧法接生，且放弃治疗的较多，因此加强外省来京育龄期妇女的卫生保健，对高危人群进行破伤风类毒素接种，是本市消除ＮＮＴ的关键。

An analysis was undertaken to describe the reported cases of neonatal tetanus(NNT) during 1990~1997 in Beijing. The incidence of neonatal tetanus had been below 0.14case per 1,000 live births for & years in Beijillg. World Health Organization (WHO) definedelimination of NNT as the reduction of incidence below 1 case per 1,000 live births. About84.62% of the cases in 1997 hadn't ensured hygienic childbirth. The measures for elidrinationof NNT in Beijing are to ensure hygienic health care of childbearing--aged women cobingfrom outside of Beting and n inoculation of high risk population.