2011-2020年云南省麻风流行特征及防治效果分析

目的:对2011-2020年云南省麻风流行特征及防治效果进行分析,为制定下一步麻风防治规划提供依据。方法:收集2011-2020年全国麻风防治管理信息系统(LEPMIS)中的病例个案资料,以及《云南省消除麻风病危害规划(2011-2020年)》终期评估相关数据。利用SPSS统计软件进行差异性检验,对2011-2020年云南省麻风主要流行特征和防治工作指标进行分析。结果:2020年麻风患病率为0.62/105,比2011年(2.72/105)下降了77.21%;发现率为0.25/105,比2011年(0.61/105)下降了59.02%。2020年新发患者2级畸残比10.08%,比2011年(29.33%)减少19个百分点。全省已无麻风中流行地区,有116个县达到国家基本消灭麻风标准,中流行县比2010年减少11个,达标县比2010年增加了61个。结论:通过《消除麻风病危害规划(2011-2020年)》的实施,2011-2020年云南省麻风疫情总体下降明显,消除麻风危害工作成效显著。

Analysis on epidemic characteristics and control effect of leprosy in Yunnan Province from 2011 to 2020

Objective: To analyze the epidemic characteristics and control effect of leprosy in Yunnan Province from 2011 to 2020, so as to provide basis for making the next leprosy control plan. Methods: From 2011 to 2020,the data of cases were collected from LEPMIS, the final evaluation data of Yunnan leprosy elimination plan (2011-2020) were collected from prefecture,and the indicators of epidemic characteristics and work were analyzed by SPSS. Results: In 2020, the prevalence rate of leprosy was 0.62/10⁵, a decrease of 77.21% compared with that in 2011 (2.72/10⁵).The discovery rate was 0.25/10⁵, a decrease of 59.02% compared with that in 2011 (0.61/10⁵). The grade 2 deformity rate of new patients was 10.08%, 19 percentage points lower than that in 2011 (29.33%). There are no moderate endemic counties, and 116 counties have reached the national standard for eliminating leprosy hazards. There are 11 moderate endemic counties less than that in 2010, and 61 standard counties more than that in 2010. Conclusion: Through the implementation of the plan for the elimination of leprosy hazards (2011-2020), the leprosy epidemic situation appears to be in decline in Yunnan Province.