2006—2013年苏州市疾病预防控制中心职业病诊断分析

目的了解2006—2013年苏州市疾病预防控制中心职业病诊断现状、职业病发病数量、种类、分布及发展趋势。方法收集汇总2006—2013职业病网络报告系统的职业病病例及相关资料进行统计分析。结果 2006—2013年苏州地区5家诊断机构共诊断职业病1 615例,其中苏州市疾病预防控制中心诊断1 237例,占总病例的76.59%;除尘肺外的其他种类职业病384例,占89.71%。2006—2013年苏州市疾病预防控制中心共诊断尘肺853例,慢性职业中毒174例,急性职业中毒119例,物理因素所致疾病31例,职业性耳鼻喉疾病60例;经济类型分布：尘肺以集体企业为主,物理因素所致疾病以私营企业为主;急性中毒第1顺位为私营企业,慢性中毒第1顺位为港澳台企业,耳鼻喉疾病第1顺位为外资企业。行业类型分布：尘肺第1顺位为采矿业,急性中毒和慢性中毒的第1顺位均为电子信息类,中暑和噪声聋第1顺位均为制造业。急性职业中毒、慢性职业中毒、耳鼻喉疾病发病逐年上升,尘肺逐年下降。结论职业病诊断机构发展不均衡,职业病诊断机构亟待加强;产业结构的调整、转型升级对职业病的发病具有一定的影响。不同经济类型、不同行业存在不同的发病特征,职业病防治面临新的形势。

Analysis on occupational diseases cases diagnosed by Suzhou Center for Disease Control and Prevention from 2006-2013

Objective]To understand the present conditions of occupational diseases cases diagnosed by Suzhou Center for Disease Control and Prevention from 2006-2013,analyze the number of cases,disease category,distribution and development trend of occupational disease.Methods]The data of occupational disease cases and related information reported by the Occupational disease reporting network system from 2006-2013 were collected and analyzed statistically.Results]From 2006-2013,1 615 cases of occupational disease have been diagnosed by five occupational-disease-diagnosis institutions in Suzhou. Among them,1 237 case were diagnosed by Suzhou Center for Disease Control and Prevention,accounting for 76. 59% of total cases. Except pneumoconiosis,there were 384 cases of other occupational diseases,accounting for 89. 71%. Among the occupational disease cases diagnosed by Suzhou Center for Disease Control and Prevention from 2006-2013,there were 853 cases of pneumoconiosis,174 cases of chronic occupational poisoning,119 cases of acute occupational poisoning,31 cases of diseases caused by physical factors,and 60 cases of occupational otorhinolaryngologic diseases. The distribution of economic type showed that： pneumoconiosis cases occurred mainly in collectively-owned enterprises,the diseases caused by physical factors occurred mainly in private enterprises,the acute occupational poisoning occurred mainly in private enterprises,the chronic occupational poisoning occurred mainly in Hongkong-Macao-Taiwan invested enterprises,and otorhinolaryngologic diseases occurred mainly in foreign-funded enterprises. The distribution of industry type revealed that： pneumoconiosis cases were mainly reported in mining,acute and chronic occupational poisoning were mainly reported in electronic information industry,and the heat stroke and noise induced hearing loss were mainly reported in manufacturing.The incidence rates of acute occupational poisoning,chronic occupational poisoning and otorhinolaryngologic diseases showed a rising trend risi