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麻风病基本消灭阶段新发现病例分析
http://www.100md.com 《中国热带医学》 2006年第2期
麻风;新发病例;流行病学;分析,,麻风;新发病例;流行病学;分析,1资料与方法,2结果与分析,3讨论,参考文献:
     摘要:目的 探讨麻风病基本消灭后的流行病学特征,以指导麻风病防治。 方法 采用回顾性调查的方法对广东省湛江市基本消灭麻风病后的1997~2004年新发现病例进行分析。 结果 全市新发现病例186例,年均发现率为0.274/10万,以门诊等被动发现为主。少年儿童发病占新发现病人数的6.99%,未见明显下降。发病年龄显著增高,传染源不明者增多以及多菌型病人所占比例逐年升高是主要的流行特点。病期缩短,Ⅱ级畸残率下降。 结论 麻风病高流行区已达到基本消灭麻风病后,应根据其流行病学特征采取相应的防治对策,以确保达标后的防治成果。

    关键词:麻风;新发病例;流行病学;分析

    Analysis of newly occurred leprosy cases during the stage of basic elimination of the disease.

    YANG Xi,LIN Wei,LIN Ya-zhen,et al.

    (1.Zhanjiang Municipal Institute for Control of Chronic Diseases,Zhanjiang524037,Guangdong,P.R.China;2.The Wuchuan Municipal Center for Chronic Diseases,Wuchuan524500,Guangdong,P.R.China)

    Abstract:Objective To discuss epidemiological features of leprosy after basic elimination and provide guidance for controlling the disease. Methods Retrospective analysis was carried out and the new cases detected in1997~2004in Zhanjiang City were analyzed. Results There were one hundred and eighty-six new leprosy cases were discovered with and annual discovery rate of0.274per100000population.The infection rate in children was still as high as6.99%.The age of the cases was getting higher and characterized by the increase of unknown sources of infection and the annually increasing proportion of multiple bacterial strains.Pas-sive detection was the main way of discovery. Conclusion Appropriated control strategy be adopted for control of leprosy in places where leprosy has been basically eliminated. ......

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