Zakrzewska Karolina, Stępień Małgorzata, Szmulik Katarzyna, Rosińska Magdalena
National Institute of Public Health - National Institute of Hygiene in Warsaw, Department of Epidemiology of Infection Disease and Surveillance
Przegl Epidemiol. 2018;72(2):157-167.
In 2016, the World Health Organization implemented a Global Strategy to eliminate viral hepatitis. For Hepatitis C, the goals of this Strategy include increased harm reduction coverage, improved safety of medical procedures and an increase the percentage of people diagnosed and treated.
This article aims are evaluating the epidemiological situation of HCV infections in Poland in 2016 in reference to the data from previous years.
Analysis of epidemiological situation of hepatitis C in Poland in 2016 was carried out on case-based data collected through routine surveillance system. Data on hepatitis C mortality from the Demographic Surveys and Labour Market Department of the Central Statistical Office were also included.
In 2016, a total of 4,261 cases were reported. Diagnosis rate was 11.09 per 100,000, on the similar level as in 2015 (1% decrease), but in comparison to the median for the years 2010-2014 it increased by 88%. The most common possible route of HCV infection were medical procedures accounting for 69.8% of all cases and for 58.2% of acute hepatitis C virus infection cases. In 2016, 224 deaths due to hepatitis C were registered. In 2016, a hepatitis C outbreak was reported in małopolskie voivodeship (11 patients of the Hemato-oncolology Department, 129 people exposed).
The increase of HCV diagnosis rate, which has been reported for last three years, is probably a consequence of improved the surveillance, including mandatory reporting of positive laboratory results, but also increased availability of HCV laboratory screening. Medical exposures are still an important route of transmission of HCV in Poland.
2016年，世界卫生组织实施了一项消除病毒性肝炎的全球战略。对于丙型肝炎，该战略的目标包括扩大减少危害措施的覆盖范围、提高医疗程序的安全性以及提高诊断和治疗人数的百分比。
本文旨在参照前几年的数据评估2016年波兰丙型肝炎病毒感染的流行病学情况。
对通过常规监测系统收集的基于病例的数据进行2016年波兰丙型肝炎流行病学情况分析。还纳入了中央统计局人口调查和劳动力市场部的丙型肝炎死亡率数据。
2016年共报告4261例病例。诊断率为每10万人11.09例，与2015年处于相似水平（下降1%），但与2010 - 2014年的中位数相比增加了88%。丙型肝炎病毒感染最常见的可能传播途径是医疗程序，占所有病例的69.8%，占急性丙型肝炎病毒感染病例的58.2%。2016年，登记了224例丙型肝炎死亡病例。2016年，小波兰省报告了一起丙型肝炎疫情（血液肿瘤学部门11名患者，129人暴露）。
过去三年报告的丙型肝炎诊断率上升可能是监测改善的结果，包括强制报告实验室阳性结果，同时丙型肝炎实验室筛查的可及性也有所提高。在波兰，医疗暴露仍是丙型肝炎病毒的重要传播途径。
