2016—2022年荆州市农药中毒流行病学分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (15): 2132-2136.

2016—2022年荆州市农药中毒流行病学分析

何诗琪^1,2, 纪天鹏^1,2, 贺勇^1,2, 王志成^1,2

1.荆州市疾病预防控制中心职业病防治所,湖北荆州 434000;
2.长江大学公共卫生研究中心,湖北荆州 434000

收稿日期:2023-12-14 修回日期:2024-01-08 发布日期:2026-03-17
作者简介:何诗琪,女,主管医师,主要从事职业病预防与控制工作。

Epidemiological analysis of pesticide poisoning in Jingzhou City from 2016 to 2022

HE Shiqi^1,2, JI Tianpeng^1,2, HE Yong^1,2, WANG Zhicheng^1,2

1. Occupational Disease Prevention and Control Institute, Jingzhou Center for Disease Contorl and Prevention, Jingzhou, Hubei 434000, China;
2. Public Health Research Center, Yangtze University, Jingzhou, Hubei 434000, China

Received:2023-12-14 Revised:2024-01-08 Published:2026-03-17

摘要/Abstract

摘要： 目的分析荆州市农药中毒流行病学特征,为农药中毒的防控提供依据。方法导出“职业病及健康危害因素监测信息系统”中荆州市2016—2022年农药中毒报告病例,对中毒病例进行三间分布等描述性统计分析。结果 2016—2022年荆州市累计报告农药中毒病例4 961例,死亡1 738例,死亡率为35.0%,以生活性中毒为主,其病例数占比为91.5%（4 538/4 961）。2016—2022年农药中毒报告病例数呈整体上升趋势;农药中毒高发于6—8月,其病例数占比为32.1%（1 594/4 961）。公安县报告病例数最多,其病例数占比高达68.8%（3 412/4 961）,中毒病例男女性别比为1 ∶ 0.99,生产性中毒中男性多于女性。中毒病例平均年龄为64.2岁,≥66岁年龄组中毒病例数占比[55.3%（2 744/4 961）]和死亡率[47.7%（1 310/1 738）]均最高。中毒农药类型以有机磷等杀虫剂为主,其病例数占比为40.0%（1 983/4 961）,但死亡率最高的农药类型为生物化学农药,为68.2%（533/781）。结论荆州市农药中毒以生活性中毒为主,有机磷等杀虫剂为高危毒物。建议管理部门根据农药中毒的高发时间、地区和人群特征制定针对性的防控措施,并加大农药监管力度。

关键词: 农药中毒, 网络直报, 流行病学分析

Abstract: Objective To analyze the epidemiological characteristics of pesticide poisoning in Jingzhou City,and provide evidence for the prevention and control of pesticide poisoning. Methods The reported cases of pesticide poisoning in Jingzhou City from 2016 to 2022 were extracted from the Occupational Disease and Health Hazard Monitoring Information System,and descriptive statistical analysis was made on the distribution of poisoning cases among three areas. Results From 2016 to 2022,a total of 4 961 cases of pesticide poisoning were reported in Jingzhou City,including 1 738 deaths,the fatality rate was 35.0%. The majority of cases were domestic poisoning,accounting for 91.5% of the cases（4 538/4 961）. The number of reported cases of pesticide poisoning showed an overall upward trend from 2016 to 2022,with the highest incidence of pesticide poisoning occurred from June to August,accounting for 32.1%（1 594/4 961） of the total cases. Gongan County reported the largest number of cases,accounting for 68.8%（3 412/4 961） of the total cases. The sex ratio of male to female was 1 ∶ 0.99,and there were more males than females in productive poisoning cases. The average age of poisoning cases was 64.2 years old,and the proportion of poisoning cases[55.3%（2 744/4 961）] and fatality rate[47.7%（1 310/1 738）] were the highest in the age group of ≥66 years old. The main types of toxic pesticides were organophosphorus and other insecticides,accounting for 40.0%（1 983/4 961） of cases. However,the type of pesticides with the highest mortality was biochemical pesticides,accounting for 68.2%（533/781）. Conclusion Domestic pesticide poisoning is the main pesticide poisoning in Jingzhou City,and organophosphorus and other insecticides are high-risk poisons. It is suggested that management department formulate targeted prevention and control measures based on the high incidence time,region and population of pesticide poisoning,and increase pesticide supervision efforts.

Key words: Pesticide poisoning, Network direct reporting, Epidemiological analysis

中图分类号:

R181.3⁺1

何诗琪, 纪天鹏, 贺勇, 王志成. 2016—2022年荆州市农药中毒流行病学分析. [J]职业与健康, 2024, 40(15): 2132-2136.

HE Shiqi, JI Tianpeng, HE Yong, WANG Zhicheng. Epidemiological analysis of pesticide poisoning in Jingzhou City from 2016 to 2022. [J]OCCUPATION AND HEALTH, 2024, 40(15): 2132-2136.

参考文献

[1] KONRADSEN F.Acute pesticide poisoning-a global public health problem-secongary publication[J].Dan Med Bull,2007,54(1):58-59.
[2] 蒋绍锋,尹萸,张驭涛,等.2011—2020年农药中毒咨询病例特征分析及控制策略探讨[J].职业卫生与应急救援,2023,41(1):33-36,42.
[3] 重塑江汉平原“鱼米之乡”——湖北荆州市以“双水双绿”引领乡村产业振兴纪实[J].农村科学实验,2018(10):1-2.
[4] 白晓飞. 农户在农药使用中存在的问题及对策建议[J].农技服务,2023,40(8):101-104.
[5] 郭冬梅,付文娟,廖永刚,等.2014—2017年武汉市农药中毒流行病学分析[J].公共卫生与预防医学,2018,29(2):55-57.
[6] 胡琼,陈葆春,徐艳龙,等.安徽省2006—2008年农药中毒报告资料流行病学分析[J].中国职业医学,2009,36(5):437-439.
[7] 何琳,王玉琼,阴旅宁,等.2006—2015年四川省农药中毒流行特征分析[J].现代预防医学,2017,44(8):1377-1380,1386.
[8] 田娇,谭聪,张勇兵,等.2007—2019年湖南省益阳市农药中毒流行病学分析[J].河南预防医学杂志,2021,32(12):956-958,961.
[9] 胡凤霞,杨跃新.2006—2017年苏州市农药中毒情况[J].职业与健康,2019,35(6):721-724.
[10] 何乾峰,张燕燕,苑静,等.人工智能辅助医护一体化模式对农药中毒患者的护理研究进展[J].中国医药指南,2023,21(22):66-68,75.
[11] 方鸽,周详,冯翠芸.2013—2022年成都市大邑县农药中毒流行病学特征分析[J/OL].预防医学情报杂志,2023:1-5(2023-08-07)[2023-12-04].http://kns.cnki.net/kcms/detail/51.1276.R.20230807.1338.003.html.
[12] 寇嘉宁,寇振霞,孟军龙.2006—2022年甘肃省女性农药中毒时空分布特征[J].中国工业医学杂志,2023,36(4):339-342.
[13] 高云,何芳,邢漪,等.云南省2007—2013年农药中毒流行病学分析[J].中国公共卫生,2016,32(8):1078-1081.
[14] 李虎. 劳动力市场表现的性别差异研究[D].长春:吉林大学,2023.
[15] 葛波,徐迪伟.2006年—2020年杭州市萧山区农药中毒流行病学分析[J].中国卫生检验杂志,2022,32(7):869-875.
[16] 陈晓喻,邹宇华,刘茂玲.广东省2003—2007年传染病流行病学分析[J].中国公共卫生,2009,25(7):838-839.
[17] 张景光. 土壤样品有机氯农药残留GC/MS测定研究[J].化工设计通讯,2023,49(8):186-188.
[18] 侯学文,李宁,姜程.2014—2018年淄博市农药中毒流行特征分析[J].职业与健康,2020,36(22):3104-3107.
[19] 曹钰,蒋臻.“后百草枯时代”除草剂中毒的现状与研究进展[J].西部医学,2021,33(12):1717-1720.
[20] 孙贵范,邬堂春,牛侨.职业卫生与职业医学[M].8 版.北京:人民卫生出版社,2017:165-180.