摘要
目的了解2016—2020年湖州市疑似职业病病例特征,分析职业病报告工作质量,为职业病监测及预警提供依据。方法通过中国疾病预防控制信息系统职业病及健康危害因素监测信息系统收集2016—2020年湖州市报告的疑似职业病病例资料,包括性别、年龄、工种、行业、企业规模和诊断等,计算发现率、诊断率和确诊率,描述性分析不同地区、行业和企业规模的疑似职业病病例分布与诊断情况。结果2016—2020年湖州市参加职业健康检查264398人,发现疑似职业病病例322例,发现率为12.18/万。其中,疑似尘肺病179例,占55.59%;疑似职业性耳鼻喉口腔疾病78例,占24.22%;疑似职业性中毒54例,占16.77%;疑似职业性皮肤病6例,占1.86%;疑似物理因素所致职业病3例,占0.93%;疑似其他呼吸系统疾病2例,占0.62%。男性290例,占90.06%;女性32例,占9.94%。年龄为(53.28±9.20)岁。进行职业病诊断207例,诊断率为64.29%;确诊155例,确诊率为74.88%。不同地区、企业、行业比较,长兴县报告疑似职业病病例数较多,101例占31.37%,诊断率较高,为88.12%;小型企业报告疑似职业病病例数较多,220例占68.32%,诊断率为68.64%;制造业报告疑似职业病病例数较多,228例占70.81%,诊断率为56.14%;农、林、牧、渔业,批发和零售业,公共管理、社会保障和社会组织诊断率均为0。结论2016—2020年湖州市报告疑似职业病以尘肺病为主,诊断率偏低,应重点加强对小型企业职业病防治的监管,规范疑似职业病报告制度。
Objective To investigate the epidemiological characteristics of suspected cases with occupational diseases and analyze the quality of occupational diseases report in Huzhou City from 2016 to 2020,so as to provide insights in⁃to supervision and early warning of occupational diseases.Methods The epidemiological data pertaining to suspected cases with occupational diseases reported in Huzhou City from 2016 to 2020 were retrieved from the Occupational Dis⁃ease and Health Risk Factors Monitoring Information System of China Disease Prevention and Control Information Sys⁃tem,including gender,age,type of job,industry category,enterprise size and diagnosis.The percentages of identifica⁃tion,diagnosis and definitive diagnosis were calculated,and the distribution and diagnosis of suspected cases with occu⁃pational diseases were descriptively analyzed among different regions,industry categories and enterprise sizes.Results A total of 264398 people underwent occupational health examinations in Huzhou City from 2016 to 2020,and 322 sus⁃pected cases with occupational diseases were detected(12.18/104),including 179 cases with suspected pneumoconiosis(55.59%),78 cases with suspected occupational ear,nose,throat and oral diseases(24.22%),54 cases with suspected oc⁃cupational poisoning(16.77%),6 cases with suspected occupational skin diseases(1.86%),3 cases with suspected occu⁃pational diseases caused by physical factors(0.93%)and 2 cases with other suspected respiratory diseases(0.62%).The 322 cases with suspected occupational diseases included 290 men(90.06%)and 32 women(9.94%),and had a mean age of(53.28±9.20)years.A total of 207 cases underwent occupational diseases diagnosis(64.29%),and 155 cases were definitively diagnosed with occupational diseases(74.88%).Among different counties(districts)in Huzhou City,the highest number of suspected cases with occupational diseases was reported in Changxing County(101 cases,31.37%),with a diagnostic rate of 88.12%,and among all enterprises,the highest number of suspected
作者
刘弢
张鹏
张传会
李辉
LIU Tao;ZHANG Peng;ZHANG Chuanhui;LI Hui(Department of Environmental and Occupational Health,Huzhou Center for Disease Control and Prevention,Huzhou,Zhejiang 313000,China)
出处
《预防医学》
2022年第7期696-699,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
湖州市科技计划项目(2015GYB01)。
关键词
疑似职业病
职业病诊断
职业健康检查
suspected occupational disease
occupational disease diagnosis
occupational health examination
