Polański Piotr, Sadkowska-Todys Małgorzata
National Institute of Public Health – National Institute of Hygiene, Department of Epidemiology of Infectious Diseases and Surveillance
Przegl Epidemiol. 2018;72(4):433-439. doi: 10.32394/pe.72.4.18.
The aim of this article is to assess the epidemiological situation of Hepatitis A in Poland in 2016 with the regard to the recent years.
The assessment was conducted based on the results of the analysis of data from the bulletins “Infectious diseases and poisonings in Poland in 2016” and “Vaccinations in Poland in 2016”, as well as information from the individual case- questionnaires and reports from epidemiological investigations in outbreaks of hepatitis A, submitted by the sanitary-epidemiological stations to the Department of Epidemiology of Infectious Diseases and Surveillance in NIPH-NIH.
In 2016 in Poland there were 35 cases of hepatitis A registered. Incidence per 100 000 inhabitants in the whole country was 0.09, but in different voivodeships varied from 0.03 (in Wielkopolskie voivodeship) to 0.28 (in podkarpackie voivodeship). The incidence among male was slightly higher than women and was 0.11 and 0.08/100 000 respectively.
In 2016 a decrease in the incidence and percentage of imported cases was observed (comparing it to the previous year). Because of the increasing part of population prone to infection good epidemiological situation concerning HAV in Poland paradoxically increases the risk of an occurrence of HAV epidemic, especially in the scope of ongoing large multistate HAV outbreak among MSM. In relation to this situation the enhancement of surveillance over this disease and undertaking anti-epidemic actions gains particular importance, especially when it comes to promoting vaccinations among members of risk groups.
本文旨在评估2016年波兰甲型肝炎的流行病学情况，并与近年来的情况进行对比。
评估基于对“2016年波兰传染病与中毒情况”及“2016年波兰疫苗接种情况”公告中的数据分析结果，以及来自个别病例调查问卷的信息和甲型肝炎疫情流行病学调查的报告，这些报告由卫生流行病学站提交给国家公共卫生研究所 - 国家卫生研究院传染病流行病学与监测部。
2016年波兰登记了35例甲型肝炎病例。全国每10万居民的发病率为0.09，但在不同省的发病率从0.03（大波兰省）到0.28（喀尔巴阡省）不等。男性发病率略高于女性，分别为0.11和0.08/10万。
2016年观察到发病率和输入性病例百分比有所下降（与上一年相比）。由于易感染人群比例增加，波兰甲型肝炎良好的流行病学状况反而增加了甲型肝炎流行发生的风险，特别是在男男性行为者中正在发生的大型多国甲型肝炎疫情范围内。针对这种情况，加强对该疾病的监测并采取抗疫行动尤为重要，特别是在促进风险群体成员接种疫苗方面。
