沈阳市2011年—2016年病毒性肝炎流行特征分析

Epidemiological analysis of viral hepatitis in Shenyang 2011-2016

目的分析沈阳市2011年—2016年病毒性肝炎的流行现状,为病毒性肝炎防控策略提供参考。方法采用描述流行病学方法对沈阳市2011年—2016年的病毒性肝炎资料进行分析。结果 2011年—2016年共报告病毒性肝炎19 476例,乙肝最多,为11 253例,占57.78%。2011年—2016年发病率逐年上升,尤以甲肝和丙肝上升幅度最大。发病季节性不明显。20岁及以上人群占总病例数的98.59%。市区报告病例数和发病率最高,但近年农村地区发病率上升幅度最大。结论乙肝仍是沈阳市发病率最高的病毒性肝炎,但甲肝、丙肝和戊肝近年发病率上升,应加强病毒性肝炎的预防和控制工作,以有效控制其流行。

Objective To analyze the epidemiological characteristics of viral hepatitis from 2011-2016 in Shenyang,and to provide data reference for adjusting the prevention and control strategy on viral hepatitis.Methods Descriptive epidemiologic method was applied to analyze characteristics of viral hepatitis during 2011-2016.Results During 2011-2 016,19 476 cases of viral hepatitis were reported,and 11 253 cases of hepatitis B was accounting for 57.78%.The incidence of 2011-2016 was increasing year by year,especially for hepatitis A and hepatitis C.The seasonality of the disease was not obvious.People aged 20 and over accounted for 98.59%of the total number of cases.Reported cases were mainly distributed in urban areas,in recent years the incidence of rural areas has risen the most.Conclusions Viral hepatitis B in Shenyang was still the highest incidence among all kinds of the viral hepatitis.Hepatitis A,hepatitis C and hepatitis E,was rising in recent years.It is necessary to strengthen the analysis and prevention and control work,to effectively control the epidemic.