Epidemiological characteristics of viral hepatitis in Yangpu district of Shanghai from 2012-2021

Abstract

Abstract: Objective To analyze the epidemiological characteristics and trends of viral hepatitis in Yangpu District of Shanghai from 2012 to 2021,and provide scientific evidence for developing the control and prevention measures. Methods A descriptive epidemiological method was used to analyze the data of viral hepatitis reported in Yangpu District from 2012 to 2021. Results From 2012 to 2021,the incidence rate of viral hepatitis in Yangpu District of Shanghai fluctuated,with the incidence falling first,then rising and falling again,and the annual average incidence rate was 64.43/1 000 000. Among all kinds of viral hepatitis,hepatitis B had the highest annual incidence（43.26/1 000 000） . The incidence of hepatitis B had dropped sharply and then increased a little in the past decade. Hepatitis A and hepatitis E occurred sporadically. The incidence of hepatitis C had increased slightly in the past decade,and the incidence of unidentified hepatitis decreased. Most cases of viral hepatitis in Yangpu District of Shanghai were the adults aged 50-<70 years old,and the male had the higher incidence with the average annual incidence rate of 82.37/1 000 000. The occupational division was mainly composed of retired and domestic unemployed people. Conclusion The overall incidence rate of viral hepatitis in Yangpu District has declined in recent ten years,but hepatitis B and hepatitis C have increased in recent years. The disease monitoring of viral hepatitis should not be slackened. In the future,we should strengthen the vaccination of hepatitis B vaccine and the vaccination of hepatitis A and E vaccine for key posts,and control the spread of hepatitis B and hepatitis C by strengthening publicity and education,avoiding high-risk behaviors,and preventing iatrogenic infections,etc. Strengthen the prevention and control of hepatitis E by doing a good job in environmental hygiene and other related work.

Key words: Viral hepatitis, Incidence, Epidemiological characteristics, Trends in time

CLC Number:

R181.8⁺1

ZHANG Zhen, HOU Yun, TANG Hui, BI Yatao, TAN Xiaojie. Epidemiological characteristics of viral hepatitis in Yangpu district of Shanghai from 2012-2021. [J]OCCUPATION AND HEALTH, 2024, 40(1): 46-49.

References

[1] ASRANI S K,DEVARBHAVI H,EATON J,et al.Burden of liver diseases in the world[J].J Hepatol,2019,70(1):151-171.
[2] STANAWAY J D,FLAXMAN A D,NAGHAVI M,et al.The global burden of viral hepatitis from 1990 to 2013:Findings from the global burden of disease study 2013[J].Lancet,2016,388(10049):1081-1088.
[3] 李立明. 流行病学[M].6版.北京:人民卫生出版社,2007:449.
[4] 贺淑萍. 我国病毒性肝炎发病数和发病率的变化过程及发展趋势[J].中国中医药图书情报杂志,2014,38(4):16-21.
[5] 李燕婷. 上海市甲型和乙型病毒性肝炎防治工作回顾[J].上海预防医学,2019,31(1):41-45.
[6] 金必红,李燕婷,顾宝柯,等.1990—2006年上海市急性病毒性肝炎流行特征及趋势分析[J].上海预防医学杂志,2008,20(10):485-487.
[7] 万秋萍,祝军玲,黄瑾,等.上海市静安区1976—2015年病毒性肝炎死亡率和潜在寿命损失年变化趋势分析[J].上海预防医学杂志,2021, 33(7):593-598.
[8] 郭琪,张悦,苏华林,等.2010—2020年上海市闵行区病毒性肝炎流行病学特征分析及预测[J].公卫卫生与预防医学,2021,32(5):88-92.
[9] 杨吉星,于晓楠,汤显.上海市虹口区1956—2015年急性病毒性肝炎发病趋势分析[J].上海预防医学,2017,29(2):120-123.
[10] 孔园园,张清慧,郭晓芹.2005—2015年上海市松江区甲乙类传染病流行特征分析[J].现代预防医学,2016,43(24):4432-4436.
[11] 刘小畅,赵婷,赵志梅,等.中国居民病毒性肝炎流行趋势分析[J].预防医学,2018,30(5):433-437.
[12] 王琳,蒋昱伟,胡进.1994—2005年上海市杨浦区急性病毒性肝炎流行特征及趋势分析[J].预防医学论坛,2008,4,14(4):289-292.
[13] 吴晓宁,尤红,贾继东.迈向再无病毒性肝炎威胁的2030[J].肝脏,2023,28(1):28-30.
[14] 牟文,周建军,宿飞,等.上海市黄浦区新生儿两种乙肝疫苗免疫后16年免疫效果[J].职业与健康,2017,33(6):760-763.
[15] 王学燕,陈钦艳,张陆娟,等.广西隆安县新生儿乙肝疫苗长期免疫效果研究[J].应用预防医学,2020,26(6):458-462.
[16] 黄娇凤,林苏,王挺,等.2004—2015年我国病毒性肝炎发病及季节性趋势分析[J].中国人兽共患病学报,2017,33(12):1144-1148.
[17] 吴景涛,宇传华,王雷,等.2004—2018年湖北省丙型肝炎流行特征与趋势[J].中华疾病控制杂志,2020,24(4):451-455.
[18] 辛隽,李文俊,罗瑶.成都地区人群丙型肝炎病毒感染及危险因素分析[J].公共卫生与预防医学,2021,32(3):84-88.
[19] 陈园生,李黎,崔富强,等.中国丙型肝炎血清流行病学研究[J].中华流行病学杂志,2011,32(9):888-891.
[20] 史宏博,洪航,张良,等.宁波市全民健康信息平台在“四位一体”丙型病毒性肝炎随访治疗管理工作模式中的应用探索[J].中国公共卫生管理,2023,39(1):138-140.
[21] 王洁,向伦辉,金凯,等.上海市宝山区医务人员丙型病毒性肝炎防治知识知晓情况及相关态度[J].职业与健康,2018,34(14):1942-1945.
[22] 舒敏,王怡珺,沈福杰,等.上海市黄浦区2012—2018年丙型病毒性肝炎流行特征分析[J].健康教育与健康促进,2020,15(5):564-568.
[23] WOOD R C,MACDONALD K L,WHITE K E.Risk of factors for lack of detectable antibody following hepatitis B vaccination if minnesota health care workers[J].JAJM,1993,270(24):2935-2939.
[24] 康怀雄,刘趋振,刘世日.韶关市2000—2004年病毒性肝炎流行特征分析[J].华南预防医学,2005,31(3):17-18.
[25] 邵杏芳,田建国,黎桂福,等.上海市青浦区2007—2012年监测点医院病毒性肝炎流行病学分析[J].上海预防医学,2013,25(10):548-550.
[26] WHO.2016—2021年全球卫生部门病毒性肝炎战略[EB/OL].(2016-04-22)[2020-11-18].https://apps.who.int/iris/handle/10665/253511.
[27] JEFFERIES M,RAUFF B,RASHID H,et al.Update on global epidemiology of viral hepatitis and preventive strategies[J].World J Clin Cases,2018,6(13):589-599.