河南省西部某县2003年居民法定传染病漏报调查分析

目的　了解河南省非疾病监测点法定传染病的漏报情况 ,为疾病预防控制提供科学依据。方法　采用分层整群抽样的方法对河南省西部某县的 2个乡镇 2 0 0 3年度发生 (或疑似发生 )的全部法定传染病进行调查。结果　全部法定传染病总漏报率为 85 . 6 7% ,以此推算去年同期全省传染病校正报告发病率为 1344 1/ 10万 ,为报告发病率的 6 . 98倍。查出法定传染病 14种 ,包括腮腺炎、菌痢、水痘、甲肝、布病、麻疹、肺结核、乙肝等。其中腮腺炎的漏报病例数为 10 7例 ,漏报率 98. 17% ,细菌性痢疾漏报 92例 ,漏报率 98. 92 %。结论　目前河南省非疾病监测点传染病的漏报情况非常严重 ,应加大对疫情报告管理的力度 ,尤其增强村医的法定传染病报告意识和报告自觉性。

An Investigation of Missing Report on the Notifiable Diseases in a County in the West of Henan Province in 2003

Ojective The investigation was conduced to gain a better understanding of missing report on the notifiable diseases in non-disease surveillance points in henan Province and provide scientific data for disease prevention and control.Methods Stratified cluster sampling was used to investigate the total cases(including suspected cases)of all notifiable diseases in two villages and towns of a county in the west of Henan Province in 2003.Results The rate of missing report on all notifiable diseases was 85.67%,and by calculation the corrected report incidence of infectous diseases in henan Province at the same period last year was 13441/100,000,6.98 times of the reported incidence.14 notifiable diseases were detected,including epidemic parotitis,bacterial dysentery,varicella,hepatitis A brucellosis,meseales,pulmonary tuberculosis and hepatitis B,etc. The missing cases of epidemic parotitis were 107,with an unreported incidence of 98.17%;the missing cases of bacterial dysentery were 92,and unreported incidence of 98 92%.Conclusion Currently,the rate of missing report on infectious diseases in non-disease surveillance points in henan Province is alarmingly high.The management of report system of infectious disease should be strengthened,especially promoting awareness and consciousness of rural doctors in reporting notifiable diseases.