1997-2012年吉林省丙型病毒性肝炎流行病学特征分析

Epidemic situation of hepatitis C in Jilin Province,1997-2012

目的通过描述1997-2012年吉林省丙型病毒性肝炎的流行病学特征,探讨吉林省丙型病毒性肝炎的发病变化趋势,为丙型肝炎防控工作的开展提供科学依据。方法使用法定传染病监测系统资料,采用描述流行病学方法对1997-2012年吉林省丙型病毒性肝炎发病情况进行分析。结果 1997-2012年吉林省丙型病毒性肝炎发病率从1997年的2.32/10万,上升到2011年的33.06/10万,2012年有所下降。年均发病率最高的是延边州(42.15/10万),最低四平市(6.56/10万)。男女性别比1.40∶1。≥40岁病例占总发病数的86.56%。病例中农民所占比例最多(26.64%)。结论 1997-2012年吉林省丙肝报告发病率总体上呈上升趋势。丙肝尚无疫苗预防,加强健康教育,提高全人群丙肝认知率,早发现、早诊断、早治疗,是目前针对丙肝最有效的干预措施。

Objective To describe the epimiology of Hepatitis C in Jilin Province from 1997 to 2012 and provide scientific basis for hepatitis C prevention and control. Methods Data from the infectious disease surveillance system was used and a descriptive analysis of hepatitis C in Jilin Province from 1997 to 2012 was performed. Results The incidence of Hepatitis C was 2. 32 /10^5in 1997,increased to 33. 06 /105in 2011,and then decreased in 2012. Yanbian City had the highest averrage incidence（ 42. 15 /10^5） and Siping had the lowest（ 6.56/10^5）. Sex ratio in the patients was 1.40 ∶ 1.86. 56% of the patient were 40 years old and over. Farmer accounted for the largest proportion of patients（ 26. 64%）.Conclusions The incidence of hepatitis C in Jilin Province increased during the past years. As no hepatitis C vaccine is available,the most effective intervention measures are to strengthen health education and to improve the recognition rate of hepatitis C. Early discovery,diagnosis and treatment of HCV is very important.