2016-2020年天津口岸出入境人员传染病流行特征分析

Prevalence Characteristics of Infectious Diseases for Entry-exit Personnel at Tianjin Port from 2016 to2020

目的了解天津口岸出入境人员传染病的感染现状,探索其分布规律和流行趋势,为口岸在传染病监测及防控工作中的卫生检疫决策提供科学依据。方法本研究对2016-2020年天津口岸68 742名出入境人员的乙肝、丙肝、疟疾、梅毒和艾滋病感染情况进行统计学分析及流行病特征研究。结果 2016-2020年期间,天津口岸出入境人员传染病监测共计68 742人,共检出5种756例传染病,检出率为1.10%,其中梅毒抗体阳性检出率最高(0.43%),其次为乙肝表面抗原阳性检出率(0.41%)。入境人员传染病总检出率(1.82%)明显高于出境人员(0.80%)。男性传染病总检出率(1.34%)明显高于女性(0.51%)。不同人员类别中,以其他人员(17.78%)、外籍商务(1.30%)和外籍定居(1.23%)的传染病检出率最高。随着年龄增长传染病检出率呈上升趋势,其中以50~59岁年龄段的传染病检出率最高(2.48%)。结论为有效开展传染病防控工作,天津口岸应重点加强对梅毒和乙肝的监测,重点关注外籍人员、人员类别为其他的人员及40岁以上男性人群。

Objective This study focuses on understanding the current status of infectious diseases among entry-exit personnel,and exploring the distribution patterns and epidemic trends of infectious diseases at Tianjin Port.It also provides a scientific basis for the health and quarantine decision-making of the port in the monitoring and prevention of infectious diseases.Methods This study investigated and analyzed hepatitis B,hepatitis C,malaria,syphilis and AIDS infections including 68 742 entry-exit personnel at Tianjin Port from 2016 to 2020.Results The infectious diseases of 68 742 entry-exit personnel at Tianjin Port were monitored from 2016 to2020.Five categories of infectious diseases including 756 cases were detected,and the detection rate was 1.10%.In addition,the positive rate of syphilis antibody detection was the highest(0.43%),followed by hepatitis B surface antigen positive(0.41%).The entry personnel’s overall detection rate of infectious diseases(1.82%) was significantly higher than that of exit personnel(0.80%).The overall detection rate of infectious diseases in men(1.34%) was significantly higher than that in women(0.51%).Among different categories of personnel,other personnel(17.78%),foreign businessmen(1.30%) and foreign residents(1.23%) showed the high infectious disease detection rate.The detection rate of infectious diseases was increased with growing age,and the age between50 and 59 showed the highest detection rate(2.48%).Conclusion Tianjin Port should pay attention to the monitoring of syphilis and hepatitis B,foreign personnel,personnel in other categories,and men over the age of 40 to effectively improve the prevention and control of infectious diseases.