伤害预防:21世纪上海疾病控制的重要任务

Important Task for Disease Control in Shanghai in 21^(st) Century:Injury Prevention

[目的 ]为上海预防控制损伤和意外中毒 (下称伤害 )提供科学的决策依据。 [方法 ]收集WHO报告、全国监测资料和上海市死亡统计资料及有关文献 ,计算上海的死因顺位、疾病负担、寿命损失 ,并与国外资料及上海资料进行比较分析。 [结果 ]上海 1999年因伤害 (1～ 70岁 )死亡的人数占总死亡人数的 11 0 3 % ,死因顺位升至第 3位 ,平均死亡年龄为 5 7 78岁 ,男性减少期望寿命 1 0 2岁 ,女性减少 0 77岁 ,潜在减寿年 (PYLL)占 2 0 75 % ;人均 2 6 85年为第 1位 ,大于肿瘤 (12 97年 )与循环系疾病 (9 5 9年 )之和。 [结论 ]伤害对社会危害日趋加重 ,是上海重要公共卫生问题 ,是 2

To study the impairment and unintentional poisoning (injury in brief)--an important task for disease control and prevention making policy on science in Shanghai. After collecting the data from WHO reports,national surveillances and death statistic information in Shanghai as well as some related documents,the ranking for death cause, disease burden and years of life lost were calculated,meanwhile the comparison and analysis were made. About 11% of the total death were due to injury,which went up to rank fourth in the ranking for death cause. The average age of death was 57 78 years,cutting down 1 02 years in male expectation of life,and 0 77 in female. Injuries constitute 20 75% (1～70 years old) of the total years of potential life lost (YPLL),average 26 85 years per person,it was higher than tumor and circulatory system diseases did. [Conclusion] The harmful effect of injury on the society has become more and more serious. The injuries control and prevention,a more important public health problem in Shanghai,has turn out to be a more crucial task in 21st century.