秦康. 泗阳县1998~2003年肺结核疫情特征报告[J]. 疾病监测, 2005, 20(1): 20-23. DOI: 10.3784/j.issn.1003-9961.2005.1.20
引用本文: 秦康. 泗阳县1998~2003年肺结核疫情特征报告[J]. 疾病监测, 2005, 20(1): 20-23. DOI: 10.3784/j.issn.1003-9961.2005.1.20
QING Kang. A Report on the Epidemic Characteristics of Pulmonary Tuberculosis in the period of 1998-2003 in Siyang County[J]. Disease Surveillance, 2005, 20(1): 20-23. DOI: 10.3784/j.issn.1003-9961.2005.1.20
Citation: QING Kang. A Report on the Epidemic Characteristics of Pulmonary Tuberculosis in the period of 1998-2003 in Siyang County[J]. Disease Surveillance, 2005, 20(1): 20-23. DOI: 10.3784/j.issn.1003-9961.2005.1.20

泗阳县1998~2003年肺结核疫情特征报告

A Report on the Epidemic Characteristics of Pulmonary Tuberculosis in the period of 1998-2003 in Siyang County

  • 摘要: 目的 分析泗阳县结核病流行特征 ,为控制结核病传播提供科学依据。方法 对泗阳县1998~ 2 0 0 3年新登记肺结核疫情资料进行统计分析 ,年龄人数按 2 0 0 0年全国人口普查资料年龄比例推出。结果 泗阳县 1998~ 2 0 0 3年新登记活动性肺结核 2 90 3例 ,年均新登记率 4 1 .82 / 10万 ,新登记率趋势有所上升 ;2 0 0 1年 9月实施结核病控制项目以来的三年 ,年均涂阳新登记率显著高于前三年 ;年均新登记率和涂阳登记率男性均非常显著高于女性 ,新登记率随着年龄上升而增高 ;新登记病例数构成比 ,自第一季度起呈下降趋势 ;活动性肺结核与涂阳肺结核农民占构成比最高。结论 肺结核流行疫情加重 ,自 2 0 0 1年 9月 1日起 ,实施江苏省CIDA- WHO结核病控制项目以来 ,我县发现涂阳病人成绩显著 ,具有年龄、性别、季节、职业分布特征 ,呈散发性 ;青壮年活动范围大 ,结核杆菌对干燥环境抵抗力强 ,农民经济水平及卫生保健意识差 ,治疗不规范 ,是引起流行的主要因素 ;提请政府和社会各界重视 ,落实现代结核病控制策略 (DOTS策略 ) ,控制结核病传播。

     

    Abstract: Oojective The purpose of this report was to analyze the epidemic characteristics of pulmonary tuberculosis in Siyang Conunty to offer a scientific basis for controlling the transmission of TB.Methods Statistical analysis was made on the newly registered epidemic data of pulmonary tuberculosis from 1998-2003 in Siyang County and the numbers at different ages were induced according to the ratio of ages in 2000 nationlal population census. Results In the period of 1998 to 2003,there were 2 903 cases of newly registered active TB in Siyang County with an annual average new registration rate of 41.82 per 100 thousnand,indicting a increasing tendency.In the last three years since TB control project was implemented in spet,2001,the annual average smear-positive new registration rate was remarkably higher than that in the previous 3 years. The number of male patients was signifcantly higher than the femle as for annual average new registration rate and smear positive registration rate,and the rate of new registra-tion increased with age. The ratio of composition for newly registered eases displayed a down trend since the first quarter.The highest ratio in active and smear positive TBs esisted in farmers. Conclusion The epidernic situation of TB was turning worse Since Sept 1st,2001 when Jiangsu CIDA-WHO-TB control project was first commenced,we had obtained remarkable grades in detecting smear positive patients It had features in distribution of age,sex,season and occupation,being sporadic in occurrence It was found that the major factors contributing to the epidernic include expanded scope of activity among young adults,strong resistance of bacillus tuberculosis to dry environments,poor economic condition and sanitatbn and health care sense for farmers and substandard therapy,etc. The government and social depart ments should be appealed to put emphasis on and fulfill modern TB control strategies(DOTS)so as to prevent the transission of tuberculosis.

     

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