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[2010年波兰的传染病]

[Infectious diseases in Poland in 2010].

作者信息

Zieliński Andrzej, Czarkowski Mirosław P

机构信息

Zakład Epidemiologii, Narodowego Instytutu Zdrowia Publicznego - Państwowego Zakładu Higieny w Warszawie.

出版信息

Przegl Epidemiol. 2012;66(2):175-84.

Abstract

UNLABELLED

The purpose of the study is assessment of the epidemiological condition of infectious diseases in Poland in 2010, especially in comparison with 2009 and the years 2004-2008.

MATERIAL AND METHODS

The evaluation of the epidemiological situation of infectious diseases in Poland was based on analysis of data: published in the annual bulletin "Infectious diseases in Poland in 2010" and "Vaccinations in Poland in 2010"/NIPH-NIH, GIS, 2011, the data contained in 27 articles prepared for publication in the Chronicle of epidemiology for 2010; data of Demographic Research Department of the central Statistical Office (GUS) for deaths from infectious and parasitic diseases registered in 2010 and selected earlier years.

RESULTS

The most common group of diseases were respiratory diseases--despite a significant relative to 2009, a decrease of 49.1% of cases of influenza and flu-like disease. Still a major epidemiological problem in Poland is food poisoning and foodborne infections--despite the downward trend in the incidence of salmonellosis. In 2010, 9 732 cases were reported, and the incidence of salmonellosis was 25.5 to 100 000. There was an increase of gastro-intestinal infections, caused by viruses, compared to the median of the years 2004-2008 by 58.1%. Particularly important is epidemiological surveillance of the diseases covered by the immunization program. Their situation can be assessed as satisfactory. However, special attention is paid to the spread of viral hepatitis B and C, in which there was an increased incidence, respectively, by 10% and 2%. Decreased by 5.3% the number of newly registered cases of HIV infection. In 2010, total 3 044 people died in Poland due to infectious and parasitic diseases. The share of deaths from these diseases in the total number of deaths in Poland (378 478) was 0.80% - 8 deaths per 100 000. and were comparable to the data for 2009 In the last decade increased mortality due to infectious diseases was observerd, mainly due to the increase in diagnosed cases of sepsis.

CONCLUSIONS

Infectious diseases, although a small part in the overall statistics of deaths, have not ceased to be a serious public health problem. As regards epidemiological surveillance is necessary to continue the legislative work on improving its sensitivity and increase microbiologically confirmed diagnoses.

摘要

未标注

本研究的目的是评估2010年波兰传染病的流行病学状况,特别是与2009年以及2004 - 2008年进行比较。

材料与方法

对波兰传染病流行病学状况的评估基于以下数据分析:发表在年度公报《2010年波兰传染病》和《2010年波兰疫苗接种》/国家公共卫生研究所 - 国家卫生研究院,地理信息系统,2011年;为发表在《2010年流行病学纪事》上准备的27篇文章中包含的数据;中央统计局(GUS)人口研究部提供的2010年及更早选定年份登记的传染病和寄生虫病死亡数据。

结果

最常见的疾病类别是呼吸道疾病——尽管相对于2009年流感和类流感疾病病例数显著下降了49.1%。食物中毒和食源性感染仍是波兰的一个主要流行病学问题——尽管沙门氏菌病发病率呈下降趋势。2010年报告了9732例病例,沙门氏菌病发病率为每10万人25.5例。与2004 - 2008年中位数相比,由病毒引起的胃肠道感染增加了58.1%。免疫规划涵盖疾病的流行病学监测尤为重要。其状况可评估为令人满意。然而,特别关注乙型和丙型病毒性肝炎的传播,其发病率分别上升了10%和2%。新登记的艾滋病毒感染病例数减少了5.3%。2010年,波兰共有3044人死于传染病和寄生虫病。这些疾病导致的死亡在波兰总死亡人数(378478人)中所占比例为0.80%——每10万人中有8人死亡,与2009年的数据相当。在过去十年中,观察到传染病导致的死亡率上升,主要是由于败血症确诊病例增加。

结论

传染病在总体死亡统计中虽占比小,但仍是一个严重的公共卫生问题。关于流行病学监测,有必要继续开展立法工作以提高其敏感性并增加微生物学确诊诊断。

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