中蒙边境口岸出入境人员传染病监测情况分析

Analysis on infectious diseases surveillance among entry-exit personnels at Sino-Mongolia boundary ports

目的明确中蒙边境口岸出入境人员中的常见传染病和需要重点监测的人群,为有效开展口岸传染病监测及防控提供科学依据。方法对2007—2011年中蒙边境口岸62 397名出入境人员的传染病监测数据进行流行病学描述,并使用χ2检验方法进行统计学分析。结果62 397名出入境人员中,共检出各种传染病5 054例,总检出率为8.10%。在监测的传染病中,梅毒螺旋体抗体阳性检出率最高,为4.51%;其次为乙肝表面抗原(HBsAg)阳性检出率3.06%。2011年传染病检出率为14.43%,明显高于2010年以前的检出率。商务人员的传染病总检出率最高,为11.32%,其次是劳务人员,为10.45%。蒙古国籍入境人员HBsAg阳性、HCV-Ab阳性、HIV感染、肺结核的检出率均高于中国,中国籍出境人员梅毒的检出率高于蒙古国。结论商务人员、劳务人员是中蒙口岸出入境人员中传染病监测的重点人群,应加强对出入境人员的传染病监测工作,制定有效的防治对策,以防止传染病通过国境口岸传入、传出。

Objective To make sure the common infectious diseases of entry-exit people and the key monitoring crowds at Si- no-Mongolia boundary ports, and to provide scientific evidence for infectious diseases monitoring and prevention. Methods A total of 62 397 entry-exit persons were descripted by epidemiologic study at Sino-Mongolia boundary ports from 2007 to 2011, and the data were analyzed by X2 test. Results A tatal of 5 054 cases of infectious diseases were found among 62 397 entry-exit people at Sino-Mongolia boundary ports from 2007 to 2011, the detection rate was 8.10%. The detection rate of syphilis was 4.51%. The detection rate HBsAg positive was 3.06%. The detection rate of all infectious diseases in 2011 was maxi- mum（14.43%）. The detection rate of infectious diseases in businessmen was maximum（11.32%）, and then the rate of labor was in 10.45%. The rate of HBsAg positive, HCV-Ab positive, HIV-Ab positive, active pulmonary tuberculosis in Mongolia entry-exit personnels were higher than that of China. The syphilis detection rate of Chinese nationality was higher than that of Mongolian. Conclusion Businessmen and labors are the key monitoring population at Sino-Mongolia boundary ports. It is very important to strengthen infectious diseases surveillance among entry - exit personnels, to establish effective measure,and to prevent the further spread of infectious diseases.