俞顺章. 甲型肝炎流行促进了“大卫生”的诞生[J]. 上海预防医学, 2017, 29(1): 1-3. DOI: 10.19428/j.cnki.sjpm.2017.01.001
引用本文: 俞顺章. 甲型肝炎流行促进了“大卫生”的诞生[J]. 上海预防医学, 2017, 29(1): 1-3. DOI: 10.19428/j.cnki.sjpm.2017.01.001
Shun-zhang YU. Hepatitis A contributed to the birth of the "public health at large"[J]. Shanghai Journal of Preventive Medicine, 2017, 29(1): 1-3. DOI: 10.19428/j.cnki.sjpm.2017.01.001
Citation: Shun-zhang YU. Hepatitis A contributed to the birth of the "public health at large"[J]. Shanghai Journal of Preventive Medicine, 2017, 29(1): 1-3. DOI: 10.19428/j.cnki.sjpm.2017.01.001

甲型肝炎流行促进了“大卫生”的诞生

Hepatitis A contributed to the birth of the "public health at large"

  • 摘要: 我国一贯重视卫生工作,但长期局限于狭义卫生,缺乏全社会大卫生的概念。1988年上海30万人的甲型肝炎(甲肝)流行,经过系统调查,确定为一次由生食带甲肝病毒毛蚶引起的暴发流行。通过长期禁食毛蚶、接种甲肝疫苗后,甲肝发病率已降到1/10万以下的水平。甲肝防治和毛蚶控制与环保、水产、商业、卫生、防疫、食品安全等各个行业有关,上海在甲肝疫情控制中实施了“大卫生”。上海市通过重视“大卫生”,加强了公共卫生体系的建设,提高了市民卫生意识,促进了全社会的卫生水平。

     

    Abstract: China has consistently attached importance to health work. However, this health work has been limited to the health work in a narrow sense for long and people lack a sense of the public health at large for the whole society. In 1988, Hepatitis A broke out and brought disaster to 300 thousand people in Shanghai. After completing systematic investigations, it was ascertained that this outbreak arose from eating raw clams contaminated by Hepatitis A virus. After prohibiting eating clams and implementing Hepatitis A vaccination over a long period, the incidence rate of Hepatitis A has been reduced to below 1/100 000. The prevention and treatment of Hepatitis A and the control of clams are related to the environment control, aquaculture, commerce, sanitation, epidemic prevention, food safety and other related industries. In the course of controlling the outbreak of Hepatitis A, Shanghai managed to implement the "public health at large". By attaching importance to the "public health at large", Shanghai has strengthened the construction of its public health system, improved citizens'sense of health and promoted the health level for the whole society.

     

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