2011-2017年浙江省新发现麻风病例流行特征分析
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摘要
目的分析2011—2017年浙江省新发现麻风病例的流行特征,为今后制定麻风病防治对策提供依据。方法回顾性分析2011—2017年浙江省11个市在全国麻风病防治管理信息系统中上报的麻风新发现病例资料,进行描述和比较性分析。结果新发现麻风病例145例,男性94例,女性51例;年龄(38.64±15.14)岁;136例为皮肤病就诊发现(占93.79%);2级畸残20例(占13.79%),早期发现比例逐年提高,由2011年的45.16%上升到了2017年的86.67%;全省除舟山市外,其余10个市均有新发现病例报告;本省病例35例(占24.14%),外省流动人口病例110例(占75.86%)。结论 2011—2017年浙江省新发现麻风病例呈现稳中有降的趋势,大多数病例得到早期发现。加强对外省流动人口病例的早期发现和规范管理是浙江省下阶段的重点防控工作之一。
Objective To understand the epidemiological characteristics of the leprosy cases newly detected in Zhejiang province from 2011 to 2017 and provide evidence for the development of control strategy.Methods The incidence data of leprosy in Zhejiang from 2011 to 2017 were collected from National Leprosy Prevention Management Information System for a descriptive and comparative analyses.Results A total of 145 leprosy cases were reported in Zhejiang during this period,including 94 cases in males and 51 cases in females.The average age the cases was 38.64±15.14,and 93.79% of the cases were detected through the examination at dermatology clinics.There were 20 cases with grade 2 disability,and the rate of early detection increased from 45.16% in 2011 to 86.67% in 2017.Except Zhoushan,leprosy cases were reported in all the prefectures of Zhejiang.The cases in local population accounted for 24.14%(35 cases),and the cases in floating population accounted for 75.86%(110 cases).Conclusion The newly detected leprosy case 4 number declined steadily in Zhejiang from2011 to 2017.Most cases were detected in an early time.It is necessary to strengthen the early detection and standard management of the leprosy cases in floating population in Zhejiang.
Objective To understand the epidemiological characteristics of the leprosy cases newly detected in Zhejiang province from 2011 to 2017 and provide evidence for the development of control strategy.Methods The incidence data of leprosy in Zhejiang from 2011 to 2017 were collected from National Leprosy Prevention Management Information System for a descriptive and comparative analyses.Results A total of 145 leprosy cases were reported in Zhejiang during this period,including 94 cases in males and 51 cases in females.The average age the cases was 38.64±15.14,and 93.79% of the cases were detected through the examination at dermatology clinics.There were 20 cases with grade 2 disability,and the rate of early detection increased from 45.16% in 2011 to 86.67% in 2017.Except Zhoushan,leprosy cases were reported in all the prefectures of Zhejiang.The cases in local population accounted for 24.14%(35 cases),and the cases in floating population accounted for 75.86%(110 cases).Conclusion The newly detected leprosy case 4 number declined steadily in Zhejiang from2011 to 2017.Most cases were detected in an early time.It is necessary to strengthen the early detection and standard management of the leprosy cases in floating population in Zhejiang.
引文
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[9]刘洁,周莉,杨梨丽,等.贵州省2011-2015年麻风病新病例发现情况分析[J].中国公共卫生,2017,33(8):1239-1241.DOI:10.11847/zgggws2017-33-08-21.Liu J,Zhou L,Yang LL,et al.Detections of new leprosy cases in Guizhou province,2011-2015[J].Chin J Public Health,2017,33(8):1239-1241.DOI:10.11847/zgggws2017-33-08-21.
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[11]余美文,张国成,严良斌,等.2001-2010年中国麻风病流行病学特征分析[J].中华皮肤科杂志,2012,45(6):381-383.DOI:10.3760/cma.j.issn.0412-4030.2012.06.001.Yu MW,Zhang GC,Yan LB,et al.Epidemiological analysis on leprosy in China,2001-2010[J].Chin J Dermatol,2012,45(6):381-383.DOI:10.3760/cma.j.issn.0412-4030.2012.06.001.
[12]沈云良,吴李梅,孔文明,等.麻风病可疑症状监测系统在早期发现工作中的作用[J].中国预防医学杂志,2015,16(11):862-864.DOI:10.16506/j.1009-6639.2015.11.019.Shen YL,Wu LM,Kong WM,et al.Comparison of different detection methods for leprosy The role of monitoring system for suspicious leprosy in early detection[J].Chin Prev Med,2015,16(11):862-864.DOI:10.16506/j.1009-6639.2015.11.019.
[13]苏婷,王晓华,沈鸿程,等.广东省2004-2013年麻风病流行病学分析[J].皮肤性病诊疗学杂志,2014,21(5):418-422,430.DOI:10.3969/j.issn.1674-8468.2014.05.021.Su T,Wang XH,Shen HC,et al.Epidemiological analysis of leprosy in Guangdong China from 2000 to 2014[J].J Diagn Ther Dermato-Venereol,2014,21(5):418-422,430.DOI:10.3969/j.issn.1674-8468.2014.05.021.
[14]袁建源.麻风病各种调查方法的效果分析[J].皮肤病与性病,1992(2):32.Yuan JY.Effect analysis of different survey methods of leprosy[J].J Dermatol Venereol,1992(2):32.
[15]胡永葵,周志光.麻风病发现方法的比较[J].职业与健康,2007,23(20):1837-1838.DOI:10.3969/j.issn.1004-1257.2007.20.032.Hu YK,Zhou ZG.Comparison of different detection methods of leprosy[J].Occupat Health,2007,23(20):1837-1838.DOI:10.3969/j.issn.1004-1257.2007.20.032.
[16]吴李梅,沈云良,潘美儿,等.自我护理小组促进麻风病人畸残康复的效果评价[J].预防医学,2017,29(1):60-62,65.DOI:10.19485/j.cnki.issn1007-0931.2017.01.015.Wu LM,Shen YL,Pan ME,et al.Eveluation of the disability rehabilitation effect of“Self care group”of Leprosy patients[J].Prev Med,2017,29(1):60-62,65.DOI:10.19485/j.cnki.issn1007-0931.2017.01.015.
[2]潘美儿,王景权,沈建平,等.麻风病防治研究进展[J].中国预防医学杂志,2013,14(5):391-395.DOI:10.16506/j.1009-6639.2013.05.022.Pan ME,Wang JQ,Shen JP,et al.Advances in leprosy control and research[J].Chin Prev Med,2013,14(5):391-395.DOI:10.16506/j.1009-6639.2013.05.022.
[3]赵辩.临床皮肤病学[M].3版.南京:江苏科学技术出版社,2001:364-365.Zhao B.Clinical dermatology[M].3rd ed.Nanjing:Jiangsu Science and Technology Publishing House,2001:364-365.
[4]Blok DJ,De Vlas SJ,Richardus JH.Global elimination of leprosy by 2020:are we on track?[J].Parasit Vectors,2015,8:548.DOI:10.1186/s13071-015-1143-4.
[5]Bratschi MW,Steinmann P,Wickenden A,et al.Current knowledge on Mycobacterium leprae transmission:a systematic literature review[J].Lepr Rev,2015,86(2):142-155.
[6]White C,Franco-Paredes C.Leprosy in the 21st century[J].Clin Microbiol Rev,2015,28(1):80-94.DOI:10.1128/CMR.00079-13.
[7]沈云良,许亚平,吴李梅.浙江省麻风病流行情况分析[J].中国预防医学杂志,2010,11(5):478-480.DOI:10.16506/j.1009-6639.2010.05.034.Shen YL,Xu YP,Wu LM.Epidemiological analysis of leprosy in Zhejiang province,China[J].Chin Prev Med,2010,11(5):478-480.DOI:10.16506/j.1009-6639.2010.05.034.
[8]王耀斐,蔺兆星,陈平.陕西省2002-2013年新发麻风297例流行病学分析[J].中国皮肤性病学杂志,2014,28(5):501-502,512.DOI:10.13735/j.cjdv.1001-7089.2014.0501.Wang YF,Lin ZX,Chen P.Analysis of epidemiology characteristics of 297 new leprosy cases in Shaanxi Province from2002 to 2013[J].Chin J Dermatovenereol,2014,28(5):501-502,512.DOI:10.13735/j.cjdv.1001-7089.2014.0501.
[9]刘洁,周莉,杨梨丽,等.贵州省2011-2015年麻风病新病例发现情况分析[J].中国公共卫生,2017,33(8):1239-1241.DOI:10.11847/zgggws2017-33-08-21.Liu J,Zhou L,Yang LL,et al.Detections of new leprosy cases in Guizhou province,2011-2015[J].Chin J Public Health,2017,33(8):1239-1241.DOI:10.11847/zgggws2017-33-08-21.
[10]李志诚,冯淑梅,张宏茂,等.甘肃省117例新发麻风流行病学分析[J].中国麻风皮肤病杂志,2012,28(2):95-96.DOI:10.3969/j.issn.1009-1157.2012.02.011.Li ZC,Feng SM,Zhang HM,et al.Analysis of epidemiology characteristics of 117 new leprosy cases in Gansu Province[J].China J Lepr Skin Dis,2012,28(2):95-96.DOI:10.3969/j.issn.1009-1157.2012.02.011.
[11]余美文,张国成,严良斌,等.2001-2010年中国麻风病流行病学特征分析[J].中华皮肤科杂志,2012,45(6):381-383.DOI:10.3760/cma.j.issn.0412-4030.2012.06.001.Yu MW,Zhang GC,Yan LB,et al.Epidemiological analysis on leprosy in China,2001-2010[J].Chin J Dermatol,2012,45(6):381-383.DOI:10.3760/cma.j.issn.0412-4030.2012.06.001.
[12]沈云良,吴李梅,孔文明,等.麻风病可疑症状监测系统在早期发现工作中的作用[J].中国预防医学杂志,2015,16(11):862-864.DOI:10.16506/j.1009-6639.2015.11.019.Shen YL,Wu LM,Kong WM,et al.Comparison of different detection methods for leprosy The role of monitoring system for suspicious leprosy in early detection[J].Chin Prev Med,2015,16(11):862-864.DOI:10.16506/j.1009-6639.2015.11.019.
[13]苏婷,王晓华,沈鸿程,等.广东省2004-2013年麻风病流行病学分析[J].皮肤性病诊疗学杂志,2014,21(5):418-422,430.DOI:10.3969/j.issn.1674-8468.2014.05.021.Su T,Wang XH,Shen HC,et al.Epidemiological analysis of leprosy in Guangdong China from 2000 to 2014[J].J Diagn Ther Dermato-Venereol,2014,21(5):418-422,430.DOI:10.3969/j.issn.1674-8468.2014.05.021.
[14]袁建源.麻风病各种调查方法的效果分析[J].皮肤病与性病,1992(2):32.Yuan JY.Effect analysis of different survey methods of leprosy[J].J Dermatol Venereol,1992(2):32.
[15]胡永葵,周志光.麻风病发现方法的比较[J].职业与健康,2007,23(20):1837-1838.DOI:10.3969/j.issn.1004-1257.2007.20.032.Hu YK,Zhou ZG.Comparison of different detection methods of leprosy[J].Occupat Health,2007,23(20):1837-1838.DOI:10.3969/j.issn.1004-1257.2007.20.032.
[16]吴李梅,沈云良,潘美儿,等.自我护理小组促进麻风病人畸残康复的效果评价[J].预防医学,2017,29(1):60-62,65.DOI:10.19485/j.cnki.issn1007-0931.2017.01.015.Wu LM,Shen YL,Pan ME,et al.Eveluation of the disability rehabilitation effect of“Self care group”of Leprosy patients[J].Prev Med,2017,29(1):60-62,65.DOI:10.19485/j.cnki.issn1007-0931.2017.01.015.