2007—2019年上海市崇明区农药中毒流行病学分析

Epidemiological analysis of pesticide poisoning in Chongming District of Shanghai from 2007-2019

目的了解2007—2019年上海市崇明区农药中毒流行病学特点,为今后制定农药中毒的防控策略提供依据。方法从中国疾病预防控制信息系统中导出2007—2019年上海市崇明区农药中毒数据,并对数据进行分析。结果2007—2019年上海市崇明区共报告农药中毒病例1182例,其中非生产性农药中毒982例,生产性农药中毒200例。2013年发病率达到历年最高,农药中毒多发于第3季度,男女性别比为0.88∶1。生产性和非生产性农药中毒性别分布不同,差异有统计学意义(χ2=15.63,P<0.05)。生产性农药中毒多发生在30~<70岁,非生产性农药中毒多发生在20~<60岁,各年龄组分布不同,差异有统计学意义(χ2=83.98,P<0.05)。病例主要分布在陈家镇、港沿镇、城桥镇和堡镇(14.13%、9.64%、8.63%和7.78%)。农药中毒种类中杀虫剂为最高(70.05%)。结论2007—2019年上海市崇明区以非生产性农药中毒为主,流行特征为女性、中青年及第3季度高发,应针对不同人群加强监督、宣传和干预等,引导农药正确规范使用,减少农药中毒的发生。

Objective To understand the epidemiological characteristics of pesticide poisoning in Chongming District of Shanghai from 2007-2019,provide a basis for the development of prevention and control strategies of pesticide poisoning in the future.Methods The data of pesticide poisoning in Chongming District of Shanghai from 2007-2019 were derived from China disease prevention and control information reporting system,and the data were analyzed.Results A total of 1 182 cases of pesticide poisoning were reported in Chongming District of Shanghai from 2007-2019,including 982 cases of non-productive pesticide poisoning and 200 cases of productive pesticide poisoning.The morbidity rate reached the highest in 2013.The pesticide poisoning mainly occurred in the third quarter.The ratio of male to female was 0.88 ∶1.The gender distribution of productive and non-productive pesticide poisoning was different,and the difference was statistically significant (χ2=15.63,P<0.05).The cases of productive pesticide poisoning mostly occurred in 30-<70 years old age group,while the cases of non-productive pesticide poisoning mostly occurred in 20-<60 years old age group,the distribution of different age groups was different,and the difference was statistically significant(χ2=83.98,P<0.05).The cases were mainly distributed in Chenjia Town,Gangyan Town,Chengqiao Town and Bao Town(14.13%,9.64%,8.63% and 7.78%).The insecticide was the main type caused the pesticide poisoning.Conclusion There is mainly non-productive pesticide poisoning in Chongming District of Shanghai from 2007-2019,which is characterized by the incidence is high in females,young and middle-aged people and in the third quarter,so it is necessary to strengthen the supervision,publicity and intervention for different groups,and guide the correct and standardized use of pesticides,to reduce the occurrence of pesticide poisoning.