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目的了解凌云县艾滋病流行现状,为制定预防控制措施提供科学依据。方法对凌云县疾病预防控制中心HIV/AIDS大疫情系统及流行病学个案随访所得的资料进行人群分布、传播途径等流行病学分析。结果凌云县2003年报告首例HIV感染者。2003~2012年10年间,累计报告HIV/AIDS病例42例,死亡7例。报告感染率从2003年的0.54/10万上升到2012年的5.35/10万。农民及农民工病例的比例为59.24%;性传播病例的比例为91.67%;发病年龄主要为20~45岁的青中年,占90.48%,女性感染率稍高于男性。结论凌云县艾滋病疫情快速增长,感染率不断上升;传播途径以异性性传播为主;外出务工的农民和农民工感染率高;感染者以青中年为主,女性感染率稍高于男性。因此,采取综合防控措施,加大“防艾”知识宣传力度,是预防与控制艾滋病扩散的有效途径。
Objective To understand the current situation of HIV / AIDS in Lingyun County and provide a scientific basis for making prevention and control measures. Methods Epidemiological analysis of population distribution and transmission route was conducted on the follow-up data of major epidemic situation and HIV / AIDS epidemic situation in the Center for Disease Control and Prevention of Lingyun County. Results Lingyun County in 2003 reported the first case of HIV infection. Between 2003 and 2012, 42 cases of HIV / AIDS and 7 deaths were reported. The reported infection rate rose from 0.54 / 100,000 in 2003 to 5.35 / 100,000 in 2012. The proportion of cases of peasants and peasant workers was 59.24%. The proportion of sexually transmitted cases was 91.67%. The age of onset was mainly middle-aged aged 20-45 years, accounting for 90.48%. The female infection rate was slightly higher than that of males. Conclusions The outbreak of AIDS in Lingyun County increased rapidly and the infection rate kept on rising. The main route of transmission was heterosexual transmission. The infection rate of peasants and migrant workers who went out to work was high. Infection was mainly young and middle-aged, with the infection rate slightly higher than that of men. Therefore, to take comprehensive prevention and control measures to increase “AIDS prevention” knowledge of publicity is an effective way to prevent and control the spread of AIDS.