福建省急性乙型病毒性肝炎监测效果评价

Evaluation of Acute Hepatitis B Monitoring in Fujian Province

目的评估福建省监测试点急性乙型病毒性肝炎（乙肝）监测效果,为福建省控制乙肝疫情,完善监测系统提供依据。方法 2013~2014年在福建省6个县（市、区,下同）开展急性乙肝监测试点工作,收集和比较监测前后6个县的乙肝报告发病率。结果乙肝监测试点前后6个县报告急性乙肝发病率从31.56/10万下降到7.57/10万,而同在一个设区市的其他非试点急性乙肝报告发病率从26.38/10万上升到32.00/10万。结论从中国疾病监测信息报告管理系统得到的福建省急性乙肝报告发病率不能准确反映急性乙肝发病水平,开展急性乙肝监测工作是揭示急性乙肝发病准确情况的重要措施。

Objective To assess the effectiveness of a pilot monitoring acute hepatitis B in Fujian province,and to provide evidence for controlling hepatitis B epidemics and improving the monitoring system.Methods An acute hepatitis B surveillance pilot was implemented in 6 counties of Fujian province in 2013-2014.Data on reported incidences of acute hepatitis B in these 6 counties were collected before and after the pilot was implemented and were compared using epidemiological methods.Results The reported incidence of acute hepatitis B in pilot counties decreased from 31.56/100 000 to 7.57/100 000 after initiating the hepatitis B surveillance pilot,while the reported incidence of acute hepatitis B in non-pilot counties of the same region increased from 26.38/100 000 to 32.00/100 000.Conclusions The National Disease Reporting Information System does not accurately reflect the incidence of acute hepatitis B.Acute hepatitis B monitoring is important to determine accurate estimates of the incidence of acute hepatitis B.