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目的评估福建省监测试点急性乙型病毒性肝炎(乙肝)监测效果,为福建省控制乙肝疫情,完善监测系统提供依据。方法 2013~2014年在福建省6个县(市、区,下同)开展急性乙肝监测试点工作,收集和比较监测前后6个县的乙肝报告发病率。结果乙肝监测试点前后6个县报告急性乙肝发病率从31.56/10万下降到7.57/10万,而同在一个设区市的其他非试点急性乙肝报告发病率从26.38/10万上升到32.00/10万。结论从中国疾病监测信息报告管理系统得到的福建省急性乙肝报告发病率不能准确反映急性乙肝发病水平,开展急性乙肝监测工作是揭示急性乙肝发病准确情况的重要措施。
Objective To evaluate the surveillance effect of acute hepatitis B virus (HBV) in monitoring pilot projects in Fujian Province and provide the basis for controlling the epidemic situation of hepatitis B in Fujian Province and perfecting the monitoring system. Methods 2013 to 2014 in six counties in Fujian Province (cities, districts, the same below) to carry out pilot projects of hepatitis B monitoring to collect and compare the incidence of hepatitis B reported in six counties before and after monitoring. Results The incidence of acute hepatitis B in 6 counties before and after the hepatitis B monitoring pilot program dropped from 31.56 / 100000 to 7.57 / 100000 while the incidence of other non-experimental acute hepatitis B in the same district increased from 26.38 / 100000 to 32.00 / 100,000. Conclusion The incidence of acute hepatitis B in Fujian Province obtained from China Disease Surveillance Information Reporting Management System can not accurately reflect the incidence of acute hepatitis B, and carrying out monitoring of acute hepatitis B is an important measure to reveal the exact status of acute hepatitis B.