2004—2013年淮安市病毒性肝炎的流行病学特征

Epidemiological characteristics of viral hepatitis in Huai'an City from 2004-2013

目的分析淮安市各型病毒性肝炎流行特征,完善病毒性肝炎防治对策和措施。方法采用描述流行病学方法,对淮安市2004—2013年肝炎疫情资料进行统计分析。结果 2004—2013年,淮安市共报告病毒性肝炎24 464例,其发病率为34.67/10万-60.93/10万,总体呈下降趋势,其中甲型肝炎、乙型肝炎及未分型肝炎发病率下降显著,丙型肝炎、戊型肝炎发病率呈上升趋势,乙型肝炎是病毒性肝炎的主要型别,20-55岁年龄组为乙型肝炎的发病高峰。结论该市应继续实施以免疫预防为主导的综合性防治措施,落实儿童免疫规划,实施成人免疫策略,规范管理慢性感染者。加大健康教育力度,减少医源性感染,探讨丙型肝炎、戊型肝炎的综合性防治措施和规划。

[Objective]To analyze the epidemiological characteristics of viral hepatitis in Huai＇an City,provide a support for improving the prevention and control measures. [Methods]The epidemic data of viral hepatitis in Huai＇an City from 2004-2013 were statistically analyzed by the descriptive epidemiological method. [Results]A total of 24 464 viral hepatitis were reported in Huai＇an City from 2004-2013,and the incidence rates were between 34. 67 / lakh and 60. 93 / lakh. The overall incidence rate of viral hepatitis showed a downtrend,the incidence rates of hepatitis A,hepatitis B and unclassified hepatitis significantly decreased,while the incidence rates of hepatitis C and hepatitis E presented the rising trend. Hepatitis B was the major type,and most of hepatitis B cases occurred in people aged 20-55 years old. [Conclusion]It is necessary to continue to carry out the comprehensive prevention and control measures which were dominated by immunization,implement child immunization programs and adult immunization strategy,improve the standardized management of chronic infections,strengthen the health education,reduce the iatrogenic infection,explore and carry out the comprehensive prevention and control measures and strategies for hepatitis C and hepatitis E.