江苏口岸2004—2009年出入境人员传染病流行病学分析

    吴海磊1，钱吉生1，张纯1，丁永健2，陆永昌2，尹军2，罗岚3

    1.南京出入境检验检疫局卫食处，江苏 南京 211106；2.江苏出入境检验检疫局

    3.江苏国际旅行卫生保健中心

    摘要：目的分析江苏口岸出入境人员传染病的流行病学特征及变化，为口岸传染病监测和防控提供科学依据。方法 对2004—2009年江苏口岸800838名出入境人员的传染病监测结果进行流行病学描述，并使用χ2检验等方法进行统计学分析。结果研究对象以劳务人员为主（56.16%），年度职业构成差异有统计学意义（P＜0.001）。传染病检出率分析表明近2年较2007年以前有增加的趋势，疟疾以2008年最高，艾滋病病毒（HIV）感染2006年后不断增加，梅毒、开放性肺结核、病毒性肝炎总体呈增长趋势，乙肝表面抗原（HBsAg）阳性呈波浪形趋势。病例构成比分析表明，疟疾以2008年最高，病毒性肝炎以2007年最高，HIV感染、梅毒近3年持续增长，开放性肺结核呈波浪形趋势。不同年度病例年龄构成差异有统计学意义（P＜0.001），呈年轻化；国籍（地区）分布越来越广，特别是非洲和东南亚国家（地区）。结论口岸传染病防控应关注劳务人员等重点人群，关注HIV感染等近年来上升趋势明显的疾病。

    关键词：传染病；监测；出入境人员；流行病学；分析

    中图分类号：R51　文献标识码：B

    Epidemic study of infectious diseases forentry-exit persons at ports of Jiangsu province from 2004 to2009

    WU Hai-lei*, QIAN Ji-sheng, ZHANG Chun, DINGYong-jian, LU Yong-chang, YIN Jun, LUO Lan

    *Department of Public Health,NanjingExit-Entry Inspection and Quarantine Bureau,Nanjing,Jiangsu211106,China

    Abstract:   Objective  To study the epidemic change of infectious diseases for entry-exitpersons, and to provide scientific basis for surveillance andprevention of infectious diseases.  Methods    The data of infectious diseasessurveillance among 800 838 persons at ports of Jiangsu provincefrom 2004-2009 were analyzed by epidemiologic descriptivestudy.   Results    Most of entry-exitpersons were labors (56.16%). The distribution of the occupationshad difference in different years(P＜0.001). The detection rates ofall infectious diseases in recent 2 years had increased trend, thedetection rates of malaria in 2008 was maxlmum, the detection ratesof HIV antibody positive had increased continuously after 2006, thedetection rates of syphilis, active pulmonary tuberculosis andvirus hepatitis had increased in recent years, and the change curveof detection rates of HBsAg positive was wave. For all infectiousdiseases patients, the proportion of different disease wasdifferent in different year, the age distribution was different andbecome young, and the nationality distribution was also differentand more and more countries were involved in.Conclusions   The surveillance for the infectiousdiseases in entry-exit persons at ports should pay more attentionto emphasis, such as labors and AIDS.

    Key words:   Infectious disease;Surveillance; Entry-exit person; Epidemiology; Analysis

    《中国国境卫生检疫杂志》