重庆市2008年克山病病情监测结果分析

目的掌握重庆市克山病病情现状，为制定防治对策提供科学依据。方法根据《克山病监测》WS／T78—1996及《克山病诊断标准》（GB17021—1997）对监测点居民进行普查和发病相关因素调查。结果共检出克山病29例，其中检出潜在型克山病15例，检出率为0．28％，慢型克山病14例，检出率为0．26％，14岁以下儿童检出率为0．19％。头发硒均数为0．2182mg／kg，粮食硒均数为0．0169mg／kg。结论重庆市仍有潜在型、慢型克山病病例发生，且有儿童新病例检出，环境硒含量属低硒水平。克山病仍然是一个严重的地方性公共卫生问题。

Surveillance of Keshan Disease in Chongqing City in 2008

Objective To understand the present condition of Keshan disease （KD） in Chongqing, so as to provide the basis for the prevention and control of KD. Method According to the Standard of Keshan Disease Surveillance （WS/T 78-1996） and the Standard of Diagnosis of Keshan Disease （GB 17021-1997 ）, the residents in the surveillance sites were surveyed and the factors potentially related to KD were investigated. Results 29 cases of KD were found in the surveillance sites. The prevalence of latent and chronic KD was 0.28% （15/5 353） and 0.26% （14/5 353）, respectively. The rate of children aged 〈14 years was 0.19%.The average concentration of selenium in hair of the individuals being surveyed was 0.2182 mg/kg,while it was 0.0169 mg/kg in food. Conclusions Latent and chronic KD were still found in Chongqing.The new cases were found in the children.The level of environmental selenium content was low.Endemic Keshan disease is still a serious public health issue.