文章摘要
常昭瑞,张静,李培龙,汪诚信,毛德强,贺圆圆,颜朝阳,江斌,王子军,杨维中.三峡库区监测点人群健康状况及其影响因素分析[J].中华流行病学杂志,2009,30(3):261-264
三峡库区监测点人群健康状况及其影响因素分析
Study on the health status and affecting factors among people living in the surveillance sites of Three Gorges Reservoir Areas. in 2007
投稿时间:2008-10-14  
DOI:10.3760/cma.j.issn.0254-6450.2009.03.015
中文关键词: 三峡库区;人群健康;监测点;影响因素
英文关键词: Three Gorges Reservoir Areas;People health;Surveillance sites;Affecting factors
基金项目:国务院三峡工程建设委员会资助项目(SX2001-013)
作者单位E-mail
常昭瑞 中国疾病预防控制中心, 北京 100050  
张静 中国疾病预防控制中心, 北京 100050 jkccde@vip.sina.com 
李培龙 中国疾病预防控制中心, 北京 100050  
汪诚信 中国疾病预防控制中心, 北京 100050  
毛德强 重庆市疾病预防控制中心  
贺圆圆 宜昌市疾病预防控制中心  
颜朝阳 重庆市万州区疾病预防控制中心  
江斌 重庆市丰都县疾病预防控制中心  
王子军 中国疾病预防控制中心, 北京 100050  
杨维中 中国疾病预防控制中心, 北京 100050  
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中文摘要:
      目的 了解三峡水库二期蓄水4年后库区人群健康状况及潜在影响因素. 方法 通过"三峡库区人群健康临测系统"收集三峡库区人群死亡资料、传染病和地方病流行情况以及媒介生物监测资料等信息, 对所收集资料进行综合分析. 结果 循环系统、肿瘤、呼吸系统、损伤中毒和消化系统疾病是引起三峡库区人群死亡的主要病因, 五种死因占总死亡例数的90. 94%. 与水库蓄水有关的介水传染病(甲型肝炎、痢疾和伤寒等)及与虫媒变化有关的自然疫源性疾病均处于较低发病水平. 2007年室内、户外鼠密度(3. 11%和3. 16%)均高于2006年, 低于二期蓄水前5年的平均值. 黑线姬鼠作为肾综合征出血热病毒和钩端螺旋体的宿主动物, 其构成比自2006年(8. 16%)起持续增加. 畜圈和人房蚊密度高于2006年, 但低于二期蓄水前5年的平均值. 结论 三峡库区蓄水后生态环境的改变尚未对人群健康产生明显影响, 应加强媒介生物的监测.
英文摘要:
      Objective To understand the health status and potential impact resulted in the second stage of Three Gorges Reservoir Areas sluicing. Methods Data were collected on deaths, prevalence rates of infectious and endemic diseases, as well as on vector surveillance through the project entitled 'Three Gorges Population Health Survey System'. Results The main causes of death in the population living in the Three Gorges Reservoir Areas would include: circulatory system diseases, tumors, respiratory system diseases, injuries/poison and digestive system diseases. The number of deaths caused by the above said five kind of diseases accounted for 90. 94% of the total number of deaths. The prevalence rates on Water-born diseases related to the sluicing of reservoir and zoonosis-bome diseases related to the changes of vectors were still low. The indoor and outdoor densities of rodents were 3. 11% and 3. 16%, both were higher than that in 2006 but lower than the average numbers in the five years prior to the sluicing. The constituent ratio of Apodemus agrarius had constantly risen since 2006. The density of mosquitoes found in livestock barns and human households was higher than that in 2006 but lower than the average number of the five-year studies prior to the sluicing. Conclusion Environment change after the sluicing of the Three Gorges Reservoir Areas did not seem to have obvious impact on the health status of the people living in the areas. However, to strengthen the surveillance on the biological features of the vectors which might have related to the transmission of diseases would be highly recommended.
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