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目的分析徐州市铜山区艾滋病病毒(HIV)感染者和艾滋病病人(AI DS)病人的流行病学特征和变化趋势。方法对铜山区1998年至2011年上报的HIV和AIDS流行病学资料进行分析。结果铜山区1988—2011年累计报告HIV和AIDS 270例,感染途径以采供血为主,占56.67%,其次是性途径传播,占36.30%,母婴垂直传播13例,占4.81%,途径不详5例,占1.85%。疫情从2004年进入增长期,2006年达到高峰,最近几年疫情在谷峰波动。结论铜山区是苏北艾滋病疫情较为严重的地区,早期以受血感染为主,近2年逐步转变为以家庭夫妻2代传播和非婚性行为传播为主。存在疫情向一般人群蔓延的危险。加强监测和在重点人群开展防治艾滋病宣传工作,应是本地区艾滋病防治工作的重点。
Objective To analyze the epidemiological characteristics and trends of AIDS patients and AIDS patients in Tongshan District of Xuzhou City. Methods Epidemiological data of HIV and AIDS reported in Tongshan District from 1998 to 2011 were analyzed. Results A total of 270 cases of HIV and AIDS were reported from 1988 to 2011 in Tongshan District. The main route of infection was blood supply and blood collection, accounting for 56.67%, followed by sexual transmission, accounting for 36.30% and vertical transmission from mother to child, accounting for 4.81% 5 cases, accounting for 1.85%. The epidemic has entered a period of growth since 2004 and peaked in 2006. The outbreak has fluctuated in Gufeng in recent years. Conclusion Tongshan District is a serious epidemic of AIDS in northern Jiangsu Province. In the early years, blood-borne infections were the mainstay. In the recent two years, the epidemic was mainly the second generation of family couples and the spread of non-marital sexual behaviors. There is a danger that the outbreak will spread to the general population. Strengthening monitoring and conducting AIDS prevention and treatment work in key populations should be the focus of AIDS prevention and control work in the region.