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南京市艾滋病监测与控制现状
引用本文:朱宁,殷晓梅,夏理评,王春衔.南京市艾滋病监测与控制现状[J].医学研究杂志,2003,32(2):7-10.
作者姓名:朱宁  殷晓梅  夏理评  王春衔
作者单位:江苏省南京市疾病预防控制中心性病艾滋病科,210003
摘    要:目的作者分析了南京地区HIV/AIDS感染现状,为制定控制HIV/AIDS增长的合理性对策提供依据。方法 HIV/AIDS疫情来自我市20余所医院HIV初筛实验室、市艾滋病检测初筛中心实验室、省、市血液中心、血站及国际卫生检疫局等HIV检测网络的报告,艾滋病检测初筛中心实验室设在南京市疾控中心,对全市发现报告的HIV抗体初筛阳性标本进行复检,若是复检HIV-抗体阳性,即送往江苏省疾病预防控制中心艾滋病确认实验室,确认后由市疾控中心性病艾滋病防制科对感染者进行流行病学个案调查、分析。结果从1991~2001年发现HIV感染者54例,含10例AIDS现症病人。其中6例为本市户口。男性47例,女性7例;男:女之比为6.71:1。年龄分布在10~67岁之间;高峰年龄段是20~34岁之间,共40例占74.07%。54例HIV感染者中,经静脉吸毒、共用注射器途径感染28例占51.85%;检测献血员途径发现5例占9.26%;同性或异性接触途径感染9例占16.67%;不详12例占22.22%。南京市自1991年检出首例HIV感染者,以后年发现HIV感染者人数呈现快速增长趋势,人群分布由涉外劳务,新疆籍的外地流动人口,向本地人口转移;由静脉吸毒人群向输、受血、性乱转移,由发现HIV感染者向AIDS病人转移。仅2001年1月至12月底市艾滋病检测初筛中心及23家初筛实验室上报检测各类高危人群149689人份,发现HIV-抗体阳性27人,与去年同期(7例)相比增长286%。结论南京市的HIV/AIDS感染现状为广大卫生工作者提出了严峻挑战,迫切需要加强对各类高危人群HIV-抗体的主动检测,同时加强人群HIV/AIDS防治知识的健康教育,以预防HIV/AIDS通过无保护性性接触途径扩散。

关 键 词:HIV/AIDS  人类免疫缺陷病毒/艾滋病病人  监测
修稿时间:2002年9月16日

Situation of HIV/AIDS Survdllance and Control in Nanjng, Jiangsu Province.
Zhu Ning et al.Situation of HIV/AIDS Survdllance and Control in Nanjng, Jiangsu Province.[J].Journal of Medical Research,2003,32(2):7-10.
Authors:Zhu Ning
Institution:Zhu Ning et al. Department of STD/AIDS Control,Nanjing Center for Disease Control,210003
Abstract:Objective To analyze the situation of HIV/AIDS infection in Nanjing area and to offer a basis for developing the reasonable countermeasures to HIV/AIDS control. Methods The network of HIV/AIDS surveillance is established in various medical units in Nanjing for early case detection of HIV infection. Any cases with initial HIV positive antibody would be reported and sent to Nanjing CDC. If re - examation is positive, the sample would be sent to Jiangsu CDC and confirmed in its HIV laboratory.Every HIV/AIDS infection file was through epidemiologi-cally surveyed and keeped in the Department of SID/AIDS Control of Nanjing CDC. Results A total of 54 cases with HIV positive were registered from 1991 to 2001 in Nanjing, east China s Jiangsu province. Among them, 47 were male and 7 were female. The peak age range for most cases is 20-34 years old (74.07%) Among the 54 cases, 28 cases contracted HIV through sharing the same needle with the other drug abuscrs (51.85%), 5 cases through commercial donation of blood (9.26%), 9 cases through sexually contact (16.7%) and the other 12 cases with unknown reason (22.22%) .Since the first cases with HIV infection was detected in 1991 in Nanjing, the number of cases detected with HIV/ AIDS positive significantly increased in recent years.There were 27 cases detected with HIV positive in 2001 alone that was 285% .Irigher than that of last year. The HIV infected population now spread from foreign students and returned Chinese labors worked in foreign countries to drug abusers, persons with unprotected sex intercourse or the history of infusion or commercial donation of blood. Conclusions The situation of HIV/ AIDS infection in Nanjing is a severe challenge to health workers.The active HIV antibody test should be strengthened in the population with high risk factors.Meanwhile, the health education on HIV/AIDS prevention to the public should also be strengthened to prevent the HIV/AIDS transmission from the route of unprotected sexual contact.
Keywords:HIV/AIDS Surveillance
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