热带病与寄生虫学

热带病与寄生虫学 ›› 2024, Vol. 22 ›› Issue (1): 27-30.doi: 10.3969/j.issn.1672-2302.2024.01.006

• 防治研究 • 上一篇    下一篇

2011—2021年广西戊型病毒性肝炎流行病学特征分析

胡莉萍(), 方钟燎, 王学燕, 陈钦艳, 张陆娟, 蒋智华()   

  1. 广西壮族自治区疾病预防控制中心，广西病毒性肝炎防治研究重点实验室，广西 南宁 530028
  • 收稿日期:2023-08-08 出版日期:2024-02-20 发布日期:2024-03-15
  • 通信作者: 蒋智华, E-mail: gxcdcjzh@163.com
  • 作者简介:胡莉萍，女，硕士，主管医师，研究方向：病毒性肝炎防控研究。E-mail: wfhlp2007@163.com
  • 基金资助:
    国家自然科学基金项目(81703283);广西壮族自治区疾病预防控制中心青年科技工作者科研课题项目(202402)

Analysis on the epidemiological characteristics of hepatitis E in Guangxi, 2011-2021

HU Liping(), FANG Zhongliao, WANG Xueyan, CHEN Qinyan, ZHANG Lujuan, JIANG Zhihua()   

  1. Guangxi Center for Disease Control and Prevention, Guangxi Key Laboratory for the Prevention and Control of Viral Hepatitis, Nanning 530028, Guangxi Zhuang Autonomous Region, China
  • Received:2023-08-08 Online:2024-02-20 Published:2024-03-15
  • Contact: JIANG Zhihua, E-mail: gxcdcjzh@163.com

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摘要：

目的 分析广西戊型病毒性肝炎（简称戊肝）的发病情况和流行趋势，为制定戊肝防控策略提供依据。方法 通过中国疾病预防控制信息系统传染病监测系统，收集发病时间为2011—2021年、现住址为广西的戊肝病例资料，并采用描述流行病学方法对报告病例的时间、地区、人群等分布特征进行分析。结果 2011—2021年广西累计报告戊肝病例14 699例，年均报告发病率2.75/10万，2020年报告发病率最低，为1.73/10万，2016年报告发病率最高，为3.27/10万。年均报告发病率前5位的地区分别为玉林市（5.22/10万）、防城港市（4.23/10万）、梧州市（3.94/10万）、贵港市（3.93/10万）、桂林市（3.48/10万）。报告病例数最多的月份是3月（1 854例，占12.61%），上半年报告病例数（8 498例）稍多于下半年（6 201例）。男性病例10 309例，女性4 390例，性别比为2.35∶1；男性、女性的年均报告发病率分别为3.76/10万、1.73/10万。各年龄段均有发病，发病率随年龄的升高呈上升趋势，发病数最多的是50~59岁组（3 507例，占23.86%）。职业分布中，农民发病人数最多（9 726例，占66.17%）。结论 近年来广西戊肝发病率总体呈先上升后下降趋势，玉林等地是高发地区，男性、农民、中老年群体是高发人群。应进一步加强对重点地区和重点人群的监测，积极开展健康宣传，以降低戊肝对群众的危害。

关键词: 戊型病毒性肝炎, 流行病学特征, 广西壮族自治区

Abstract:

Objective To analyze the incidence and epidemic trend of hepatitis E in Guangxi for evidence to formulate prevention and control of hepatitis E in the future. Methods The data of reported cases of hepatitis E in Guangxi from 2011 to 2021 were collected through the Infectious Disease Surveillance System of China Information System for Disease Control and Prevention. The reported cases were defined as the population who were currently living Guangxi Zhuang Autonomous Region. Descriptive epidemiology was used to analyze the distribution characteristics of reported cases in region, time and population. Results A total of 14 699 cases of hepatitis E were reported in Guangxi from 2011 to 2021, with an average annual incidence of 2.75/100 000. The lowest reported incidence was 1.73/100 000 in 2020, and the highest reported incidence was 3.27/100 000 in 2016. The top five areas with higher average incidence were Yulin (5.22/100 000), Fangchenggang (4.23/100 000), Wuzhou (3.94/100 000), Guigang (3.93/100 000) and Guilin (3.48/100 000). The month with the highest number of reported cases was March (1 854 cases, 12.61%), and the number of reported cases in the first half of the year (8 498 cases) was slightly higher than that in the second half of the year (6 201 cases).There were 10 309 male cases and 4 390 female cases, with a male to female ratio of 2.35∶1, the average annual reported incidence rates of male and female were 3.76/100 000 and 1.73/100 000, respectively. The disease occurred in any age group, and with the increase of age, the incidence of hepatitis E in Guangxi showed a upward trend. The highest incidence was in the 50-59 age group (3 507 cases, 23.86%). In the occupational distribution, farmers had the largest number of cases (9 726 cases, 66.17%). Conclusion In recent years, the incidence of hepatitis E in Guangxi has generally increased first and then decreased. Yulin and other cities are the high-risk areas. Men, farmers, middle-aged and the old are the high-risk groups. These findings suggest that we should further strengthen the monitoring of key areas and key populations, and actively carry out health promotion to reduce the harm of hepatitis E to the masses.

Key words: Hepatitis E, Epidemiological characteristics, Guangxi Zhuang Autonomous Region

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