2006—2011年福州口岸出入境人员传染病监测结果分析

    史灵梅1，张述铿1，蔡怡珊1，林少炜2

    1.福建国际旅行卫生保健中心，福建 福州350001；2.福建医科大学公共卫生学院

    摘要：目的掌握福州口岸各类出入境人员中传染病分布的特点，正确评估出入境人员健康风险，为传染病监测工作提供科学依据。方法对2006—2011年福州口岸出入境人员的传染病监测结果进行全面的统计分析。结果6年间在福建国际旅行卫生保健中心进行传染病监测体检共80 465人，共检出各种传染病11503例，总检出率14.30%，各年度检出率呈逐年下降趋势；按检出率从高到低排序：乙肝表面抗原（HBsAg）阳性13.40%，梅毒抗体阳性0.52%，丙型肝炎抗体(抗-HCV)阳性0.21%，乙型肝炎0.09%，肺结核0.06%，艾滋病病毒抗体阳性0.01%。不同性别、年龄组、人员类别以及不同年份传染病合计感染率有统计学意义（P< 0.01）。结论HBsAg阳性、梅毒和抗-HCV阳性是福州口岸出入境人员的主要传染病，应做好来华定居、涉外婚姻、劳务和交通员工（主要是船员）重点人群的监测体检，加强健康教育和增强公共意识，从而有效地防止传染病的发生与流行。

    关键词：出入境人员；疾病；监测；分析

    中图分类号：R51　文献标识码：B

    Analysis on surveillance results ofinfectious diseases among entry-exit personals at Fuzhou ports

    SHI Ling-mei*, ZHANG Shu-keng, CAI Yi-shan，LIN Shao-wei

    *Fujian International Travel HealthCareCenter, Fuzhou, Fujian 350001,China

    Abstract:   Objective  To understand the disease distribution characteristics of entry andexit personnel at Fuzhou ports，to evaluate the entry and exitpersonnel health risks rightly and provide a scientific basis fordisease surveillance at ports.  Methods   Theresults of medical examination of 80 465 subjects werecomprehensive statistical analyzed from 2006 to 2011.  Results   A total of 80 465 persons have been medicaltested in past six years, many kinds of infectious disease amongthem, 1 1503 cases were be found, total detection rate was 14.30%.But total detection rate was reduced trend year by year, Accordingto the detection rate from high to low order：HBsAg positive,syphilis, anti-HCV positive, chronic hepatitis B, active pulmonarytuberculosis, HIV-antibody positive, the detection rate were13.40%, 0.52%, 0.21%, 0.09%, 0.06%, 0.01%, respectively. Differentsex, age, occupation and different years in infectious diseasedetection rate were statistically significant (P < 0.05 or P< 0.01).  Conclusion   HBsAg positive, syphilisand anti-HCV positive are major infectious diseases of entry andexit personnel at Fuzhou ports. Do it well for the people whichsettled in China, foreign marriage, labor and transportationemployees (mainly crew), It is necessary to enhance healthmanagement in key crowd monitoring medical examination, and todevelop health education compaign，and increase public awareness, inorder to effectively control and prevent infectious diseasesoccurrence and popular at ports.

    Key words:   Entry and exitpersonnel; Disease; Surveillance; Analysis

    《中国国境卫生检疫杂志》2013年第1期