Kuszewski Krzysztof, Czarkowski Mirosław P
Zakład Epidemiologii Państwowego Zakładu Higieny ul. Chocimska 24, 00-791 Warszawa.
Przegl Epidemiol. 2004;58(1):123-9.
Noticeable downward trend of hepatitis B incidence in Poland continued in 2002. In total 2,021 new cases were reported, 84 (4.2%) of which concerned people co-infected with HBV and HCV. The registered incidence, 5.3 per 100,000 population, was 15% lower then in 2001. As in previous years, the incidence in the urban areas (5.7) exceeded the incidence in the rural areas (4.6) and it was higher in men (6.6) then in women (4.0). Comparing the incidence across the regions, the rate ratio between the voivodeship with the highest and the lowest incidence (respectively 13.2 in kujawsko-pomorskie and 2.1 in podkarpackie) was 6.3. In the voivodeships with the highest incidence the age distribution differed significantly from the rest of the country suggesting the necessity of appropriate modifications in the national prevention program. Overall the most affected age groups were the elderly (incidence 8.1 in persons over 74 years of age, 7.9 in 65-74 year olds and 7.3 in 60-64 year olds) and young adults (incidence 6.5 among 20-24 year olds). Approximately 96% of cases were hospitalized. According to preliminary data there were 100 deaths due to acute of chronic hepatitis B in Poland in 2002.
2002年，波兰乙型肝炎发病率持续呈现明显下降趋势。共报告了2021例新病例，其中84例（4.2%）为乙肝和丙肝合并感染患者。登记发病率为每10万人5.3例，比2001年低15%。与前几年一样，城市地区的发病率（5.7）高于农村地区（4.6），男性发病率（6.6）高于女性（4.0）。比较各地区的发病率，发病率最高和最低的省（库亚维-波美拉尼亚省为13.2，喀尔巴阡省为2.1）之间的率比为6.3。发病率最高的省的年龄分布与该国其他地区有显著差异，这表明有必要对国家预防计划进行适当调整。总体而言，受影响最大的年龄组是老年人（74岁以上人群发病率为8.1，65 - 74岁人群为7.9，60 - 64岁人群为7.3）和年轻人（20 - 24岁人群发病率为6.5）。约96%的病例住院治疗。根据初步数据，2002年波兰有100人死于急性或慢性乙型肝炎。
