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目的分析2003～2011年桂林市甲、戊型病毒性肝炎的流行病学特征,为甲、戊型病毒性肝炎预防控制策略制定提供依据。方法收集2003～2011年桂林市传染病监测网络直报系统甲、戊型病毒性肝炎病例资料,用Excel 2003建立数据库,使用SPSS 18.0进行统计分析。结果 2003～2011年,桂林市共报告甲肝2145例,年平均发病率4.82/10万,呈下降趋势,年平均下降速度10.06%;报告戊肝699例,年平均发病率1.57/10万,发病呈持续上升趋势,并在2011年发病率超过甲肝,年平均上升速度21.27%。集中度分析甲、戊肝分布均无明显季节性。甲肝发病县乡高于城区,而戊肝发病城区高于县乡。甲、戊肝发病均随年龄增加而上升,男性发病均高于女性。甲肝发病职业分布以农民、工人、学生为主,戊肝以农民、离退休人员、工人为主。结论农村地区青壮年甲肝防控是甲肝防控工作的重点,同时应加强对戊肝防控重视,积极遏制戊肝发病持续上升势头。
Objective To analyze the epidemiological characteristics of hepatitis A and E viral hepatitis in Guilin from 2003 to 2011 and provide the basis for the prevention and control strategies of A and E viral hepatitis. Methods The case reports of infectious diseases monitoring network in Guilin from 2003 to 2011 were collected from case A and type V hepatitis cases. The database was set up with Excel 2003 and analyzed by SPSS 18.0. Results From 2003 to 2011, a total of 2145 cases of hepatitis A were reported in Guilin City, with an average annual incidence of 4.82 / 100 000, showing a downward trend with an average annual rate of decrease of 10.06%. 699 cases of hepatitis E were reported with an average annual incidence of 1.57 / Showed a rising trend, and in 2011 morbidity than hepatitis A, the average annual growth rate of 21.27%. Concentration analysis of a, hepatitis E distribution no obvious seasonal. Hepatitis A incidence higher than urban areas, while the incidence of hepatitis E urban areas higher than the county. A, hepatitis E incidence increases with age, men were higher than the incidence of women. Hepatitis A occupational distribution of peasants, workers, students, hepatitis E to peasants, retired staff, mainly workers. Conclusion Prevention and control of young and middle-aged patients with hepatitis A in rural areas is the focus of hepatitis A prevention and control. At the same time, prevention and control of hepatitis E should be strengthened and the incidence of hepatitis E should be checked to keep on rising.