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目的了解湖北省学校结核病疫情特征并进行分析,为制定湖北省学校结核病防治对策提供依据。方法收集2009-2013年“传染病报告信息管理系统”和“突发公共卫生事件管理信息系统”中有关学生结核病疫情资料,统计分析学生肺结核报告发病率及其变化趋势,分析学生肺结核聚集性疫情的分布特征。结果 2013年全省报告学生肺结核患者1 984例,报告发病专率为22.04/10万,与2009年(3 556例,33.54/10万)相比,下降了34.29%。第二季度报告患者所占比率较高(27.10%~31.97%)。2012年3月湖北省发生两起学校结核病聚集性疫情,发现方式均为高考健康体检,共发现51例肺结核患者。结论近年来湖北省学生肺结核疫情呈逐年下降趋势,病例以初高中学生为主,全年第二季度报告发病数明显增多。学校的聚集性结核病疫情反映了学校结核病防治工作的不足,还需要进一步提高认识,加强学校结核病防控工作。
Objective To understand and analyze the characteristics of tuberculosis in schools in Hubei Province and provide the basis for making countermeasures against tuberculosis in schools in Hubei Province. Methods The data of TB epidemics among students in 2009-2013 Infectious Disease Reporting Information Management System and Public Health Incident Management Information System were collected. The incidence and trend of TB cases were statistically analyzed and analyzed. Distribution characteristics of pulmonary tuberculosis epidemic. Results In 2013, a total of 1 984 cases of students with pulmonary tuberculosis were reported in the province, with a reported incidence rate of 22.04 / 100000, a decrease of 34.29% compared with 2009 (3 556 cases, 33.54 / 100000). The second quarter reported a higher proportion of patients (27.10% ~ 31.97%). In March 2012, two school-borne tuberculosis epidemic cases occurred in Hubei Province. All of them were found to have taken physical examination in the college entrance examination. A total of 51 cases of tuberculosis were found. Conclusions In recent years, the epidemic situation of pulmonary tuberculosis among students in Hubei Province has been declining year by year. The cases were mainly high school students and middle school students. The number of reported cases in the second quarter of the year increased significantly. The epidemic of tuberculosis in schools reflects the inadequacy of tuberculosis prevention and control work in schools. It is also necessary to further raise awareness and strengthen the prevention and control of tuberculosis in schools.