丹东市2016-2018年丙型病毒性肝炎流行病学分析

Epidemiological Analysis of Viral Hepatitis C in Dandong from 2016 to 2018

目的:了解丹东市2016-2018年丙型病毒性肝炎(丙肝)疫情概况及流行特征,探索有效的防控策略及措施。方法:通过中国疾病预防控制信息系统收集2016-2018年丹东市新报告的丙肝病例疫情数据,采用描述流行病学方法进行分析。结果:丹东市2016-2018年累计报告丙肝病例1900例,年均发病率为26.28/100000,各年发病率分别为19.76/100000、29.72/100000和29.35/100000。全年各月均有病例报告。报告病例数居前3位的县(市)区依次为东港市占38.26%、凤城市占22.74%和振兴区占18.95%。男女性别比为1.22∶1。发病年龄主要集中在40~79岁,占总病例数的87.37%;职业分布以农民为主,占43.47%,其次为家务及待业占33.26%。结论:2016-2018丹东市丙肝报告发病率总体呈上升趋势,但各县(市)区间存在差别,东港市应作为防控重点地区。应加强疫情监测和丙肝防控宣传,促进医疗安全措施的落实。

Objective:To understand the epidemic situation and epidemic characteristics of viral hepatitis C(HCV)in Dandong from 2016 to 2018,and explore effective prevention and control strategies and measures.Method:Data of newly reported hepatitis C cases in Dandong City from 2016 to 2018 were collected through the China Disease Prevention and Control Information System and analyzed by descriptive epidemiological methods.Result:A total of 1900 cases of hepatitis c were reported in Dandong from 2016 to 2018,the average annual incidence was 26.28/100000,and the annual incidence was 19.76/100000,29.72/100000 and 29.35/100000,respectively.Cases have been reported monthly throughout the year.Donggang city accounted for 38.26%,Fengcheng city for 22.74%and Zhenxing district for 18.95%.The ratio of male to female was 1.22 to 1.The age of onset mainly ranged from 40 to 79 years,accounting for 87.37%of the total cases.The occupation distribution was mainly farmers,accounting for 43.47%,followed by household chores and unemployment,accounting for 33.26%.Conclusion:From 2016 to 2018,the reported incidence of hepatitis C in Dandong is on the rise,but there are differences among counties(cities).Donggang should be regarded as a key area for prevention and control.Epidemic surveillance and publicity on prevention and control of hepatitis C should be strengthened,and promote the implementation of medical safety measures.