英山县基本消灭头癣病后期病例监测结果分析

Analysis of the Monitoring Data of the Later Cases After Basically Eliminating Favus of the Scalp in Yingshan County

目的分析英山县基本消灭头痛癣后近6年监测结果,探讨今后预防对策。方法近6年来,采用纵向、横向、线索3种方法进行监测,对可疑病人作临床诊断和实验室确诊。结果累计查出头癣共84例,平均患病率为0.37/万,其中横向监测查出病例占90.5％(76/84),线索监测查出病例占8.3％(7/84);6～7岁儿童病例占71.4％(60/84);男性多于女性(1.6:1);其传播方式为通过理发工具(57.1％)、长期密切接触(23.8％)及共用木梳(7.1％)。结论英山县头癣患病率降至0.5/万以下,现患病多为10岁以下儿童,今后应以横向监测及线索监测为主,预防以管理理发工具及对在校小学生、托幼机构开展卫生保健教育尤为重要。

Objective To analyse the monitoring results of six years and explore the future prevention countermeasure after basically eliminating favus of the scalp in Yingshan County. Methods We adopted vertical,horizontal and clue ways to monitor, and made clinical and lab diagnosis of the dubious patients. Results 84 cases of favus of the scalp were found in all, the average rate was 0.37 per ten thousand, 90. 5% (76/84) of which were found by means of horizontal monitoring and 8. 3% (7/84) through clues. Children 6 - 7 years account for 71. 4% (60/84) ,males were more than females. The ways of transmitting were through tools of haircut(57.1 %),long-term close contact(23.8%) and wooden comb(7.1%).Conclusion The rate of favus of the scalp decreased by 0.5 per ten thousand and below, the current patients are mainly children under the age of ten. We will continue to adopt the horizontal and clue ways to monitor,meanwhile,it is essential to manage tools of haircut as well as launch an educational program of health care in primary schools and kindergartens.