李燕婷. 上海市甲型和乙型病毒性肝炎防治工作回顾[J]. 上海预防医学, 2019, 31(1): 41-45. DOI: 10.19428/j.cnki.sjpm.2019.19242
引用本文: 李燕婷. 上海市甲型和乙型病毒性肝炎防治工作回顾[J]. 上海预防医学, 2019, 31(1): 41-45. DOI: 10.19428/j.cnki.sjpm.2019.19242
LI Yan-ting. Review of prevention and treatment of viral hepatitis A and B in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2019, 31(1): 41-45. DOI: 10.19428/j.cnki.sjpm.2019.19242
Citation: LI Yan-ting. Review of prevention and treatment of viral hepatitis A and B in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2019, 31(1): 41-45. DOI: 10.19428/j.cnki.sjpm.2019.19242

上海市甲型和乙型病毒性肝炎防治工作回顾

Review of prevention and treatment of viral hepatitis A and B in Shanghai

  • 摘要: 甲型病毒性肝炎(甲肝)和乙型病毒性肝炎(乙肝)是上海市重点防治的传染性疾病。1988年,上海市发生引起近30万人患病的甲型肝炎暴发流行事件。本文回顾分析当年各级卫生、医疗等部门积极开展流行病学调查及病原学检测,证实食用污染甲型肝炎病毒的毛蚶是疾病暴发的原因。及时采取消毒处理和禁食毛蚶,隔离治疗病人等预防控制措施,有效终止了甲肝流行,促进了全社会大卫生的观念。上海市于1986年开展新生儿乙肝疫苗试点接种,扩大免疫人群,逐渐推广应用,近年来乙肝的新发感染和报告发病率下降明显,免疫持久性观察表明疫苗的保护期已达23年。该文总结了上海市在病毒性肝炎预防领域取得的成效,并针对病毒性肝炎防治的新形势提出相关建议。

     

    Abstract: As nationally notifiable infectious diseases, viral hepatitis A and B have been major infectious diseases for prevention and treatment in Shanghai.In 1988, an epidemic of hepatitis A virus occurred with nearly 300 000 residents affected.This paper aims to retrospectively analyze the then control and prevention measures such as investigation, pathogen detection, disinfection, quarantine and treatment of patients.The cause of the outbreaks proved to be the eating of clams contaminated with hepatitis A virus.Then were soon carried out prevention and control measures as timely disinfection, fasting clams, isolation treatment of patients and others, which effectively ended hepatitis A epidemic, greatly promoting the concept of public health in the whole society.In addition to hepatitis A, a pilot project of free hepatitis B vaccination for newborns has been implemented since 1986.As the coverage rates of hepatitis B vaccination gradually increased, the new infection rate and reported incidence of acute viral hepatitis B have significantly decreased.Immunization persistence study showed that the effectiveness of hepatitis B vaccine in newborn could last for 23 years.The paper sums up the achievements in the prevention and treatment of viral hepatitis A and B in Shanghai and makes relevant proposals towards the new situation in this regard.

     

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