摘要
目的评价“十三五”期间四川省肺结核报告发病情况及防控效果,为“十四五”期间全省肺结核的防控重点提供参考。方法利用传染病监测系统报告的肺结核疫情资料,描述四川省2016—2020年肺结核流行病学特征。结果2016—2020年,四川省肺结核报告发病数和报告发病率均逐年下降,年均下降率为5.35%,2020年降至55.19/10万;肺结核患者的病原学阳性报告比例持续上升,至2020年已超过50%。2020年上半年的波动较大,2月较1月下降了20.76%,3月较2月上升了30.87%。2020年,成都市等12个地市的肺结核报告发病率在55/10万以下,甘孜藏族自治州、凉山彝族自治州、阿坝藏族羌族自治州的肺结核报告发病率均在100/10万以上。2016—2020年,报告发病数的男女性别比均在7∶3左右,年龄分组以15~59岁为主,但<15岁的构成比持续增加。学生人群发现水平上升,2020年报告发病数较2016年增加了52.99%,构成比从2016年的5.61%上升到2020年的10.47%。结论“十三五”期间,全省肺结核报告发病率、病原学阳性率达到“十三五”规划目标。“十四五”期间,应进一步加强漏报漏登管理工作,并继续加强学校结核病防控工作。
Objective To evaluate the reported incidence and prevention and control effect of tuberculosis(TB)in Sichuan province during the 13^(th) five-year plan period,and provide reference for the key prevention and control points of TB in Sichuan during the 14^(th) five-year plan period.Methods The reported incidence data of TB in Sichuan from 2016 to 2020 were collected from the Surveillance System for Infectious Diseases for a descriptive statistical analysis.Results From 2016 to 2020,both the number of reported cases and the reported incidence of TB in Sichuan decreased year by year,with an average annual decrease rate of 5.35%.The reported TB incidence in 2020 was 55.19/100000.The proportion of TB cases with sputum etiological positive results continued to increase,reaching more than 50%in 2020.The number of reported TB cases fluctuated obviously around the Spring Festival period,especially in 2020 with a decrease of 20.76%in February compared with January and an increase of 30.87%in March compared with February.In 2020,the reported incidence of TB in 12 prefectures(municipality)s,including Chengdu,was below 55/100000,and it was more than 100/100000 in Garze,Liangshan and Aba autonomous prefectures.From 2016 to 2020,the male to female ratio of the reported TB cases was about 7∶3,and the cases were mainly aged from 15 to 59 years,but the proportion of the TB cases aged less than 15 years old continued to increase.The reported TB cases in students increased by 52.99%in 2020 compared with 2016,and the constituent ratio increased from 5.61%in 2016 to 10.47%in 2020.Conclusion During the 13^(th) five-year plan period,the reported incidence of TB and the proportion of TB cases with sputum etiological positive results in Sichuan achieving the goals of TB control.During the 14th five-year plan period,we should continue to further strengthen the management of missing report,and the prevention and control of TB in schools.
作者
逯嘉
李婷
王丹霞
夏勇
肖月
陈闯
何金戈
张灵麟
夏岚
Lu Jia;Li Ting;WangDanxia;Xia Yong;Xiao Yue;Chen Chuang;He Jinge;Zhang Linglin;Xia Lan(Sichuan Provincial Center for Disease Control and Prevention,Chengdu 610041,Sichuan,China)
出处
《疾病监测》
CAS
CSCD
北大核心
2021年第11期1147-1151,共5页
Disease Surveillance
关键词
肺结
核
流行病学特征
四川省
Tuberculosis,Pulmonary
Epidemiological characteristic
Sichuan province
