2011-2017年浙江省新发现麻风病例流行特征分析

Epidemiological characteristics of leprosy cases newly detected in Zhejiang during 2011-2017

目的分析2011—2017年浙江省新发现麻风病例的流行特征,为今后制定麻风病防治对策提供依据。方法回顾性分析2011—2017年浙江省11个市在全国麻风病防治管理信息系统中上报的麻风新发现病例资料,进行描述和比较性分析。结果新发现麻风病例145例,男性94例,女性51例;年龄(38.64±15.14)岁;136例为皮肤病就诊发现(占93.79%);2级畸残20例(占13.79%),早期发现比例逐年提高,由2011年的45.16%上升到了2017年的86.67%;全省除舟山市外,其余10个市均有新发现病例报告;本省病例35例(占24.14%),外省流动人口病例110例(占75.86%)。结论 2011—2017年浙江省新发现麻风病例呈现稳中有降的趋势,大多数病例得到早期发现。加强对外省流动人口病例的早期发现和规范管理是浙江省下阶段的重点防控工作之一。

Objective To understand the epidemiological characteristics of the leprosy cases newly detected in Zhejiang province from 2011 to 2017 and provide evidence for the development of control strategy.Methods The incidence data of leprosy in Zhejiang from 2011 to 2017 were collected from National Leprosy Prevention Management Information System for a descriptive and comparative analyses.Results A total of 145 leprosy cases were reported in Zhejiang during this period,including 94 cases in males and 51 cases in females.The average age the cases was 38.64±15.14,and 93.79% of the cases were detected through the examination at dermatology clinics.There were 20 cases with grade 2 disability,and the rate of early detection increased from 45.16% in 2011 to 86.67% in 2017.Except Zhoushan,leprosy cases were reported in all the prefectures of Zhejiang.The cases in local population accounted for 24.14%(35 cases),and the cases in floating population accounted for 75.86%(110 cases).Conclusion The newly detected leprosy case 4 number declined steadily in Zhejiang from2011 to 2017.Most cases were detected in an early time.It is necessary to strengthen the early detection and standard management of the leprosy cases in floating population in Zhejiang.