Zhao W L, Li H, Kou Z X, Liao P T, He X G, Shao G J, He Y H
Gansu Provincial Center for Disease Control and Prevention, Lanzhou730000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Oct 20;38(10):746-749. doi: 10.3760/cma.j.cn1210942-20190927-00405.
The epidemiological characteristics of occupational pneumoconiosis in Gansu Province from 2010 to 2018 were analyzed to provide a theoretical basis for the development of prevention and control strategies for pneumoconiosis in Gansu Province. In March 2019, the data of newly diagnosed occupational pneumoconiosis in 20102018 and the data of occupational pneumoconiosis as of December 31, 2018 in Gansu Province were collected by the Occupational Disease and Occupational Health Information Monitoring System. The stage, type of disease, time, enterprise information of newly diagnosed pneumoconiosis and the region, type of disease, enterprise information of existed pneumoconiosis were analyzed. From 2010 to 2018, a total of 1269 new cases of occupational pneumoconiosis were reported in Gansu Province, including 818 cases (64.46%) of stage I pneumoconiosis, 284 cases (22.38%) of stage II pneumoconiosis, 167 cases (13.16%) of stage III pneumoconiosis. Silicosis, coal worker's pneumoconiosis and cement pneumoconiosis ranks the top 3, accounting for 55.71% (707/1269) , 37.67% (478/1269) and 3.78% (48/1269) of the total number, respectively. The new cases of stage III pneumoconiosis were mainly distributed in private economy (58.09%, 79/136) and smallsized (59.88%, 97/162) enterprises. As of December 31, 2018, Gansu Province had reported a total of 12211 cases of occupational pneumoconiosis, of which 58.16% (7102/12211) were coal worker's pneumoconiosis and 28.15% (3438/12211) were silicosis. Mainly distributed in Baiyin city (21.63%, 2641/12211) , Lanzhou city (17.79%, 2172/12211) and Wuwei city (13.73%, 1676/12211) . The existed cases of pneumoconiosis are mainly distributed in stateowned economy (76.95%, 9396/12211) and largesized (54.23%, 6622/12211) enterprises. Silicosis and coal worker's pneumoconiosis are the main type of pneumoconiosis in Gansu Province. And the number of silicosis reported is on the rise, which should be taken seriously. Pneumoconiosis in Gansu Province is mainly distributed in stateowned economy and largesized enterprises. However, pneumoconiosis patients in private economy and smallsized enterprise is generally serious, so it should be the focus of supervision.
分析甘肃省2010年至2018年职业性尘肺病的流行病学特征,为制定甘肃省尘肺病防治策略提供理论依据。2019年3月,通过职业病与职业健康信息监测系统收集甘肃省2010 - 2018年新诊断职业性尘肺病数据以及截至2018年12月31日的职业性尘肺病数据。对新诊断尘肺病的分期、病种、时间、企业信息以及现存尘肺病的地区、病种、企业信息进行分析。2010年至2018年,甘肃省共报告新诊断职业性尘肺病1269例,其中一期尘肺病818例(64.46%),二期尘肺病284例(22.38%),三期尘肺病167例(13.16%)。矽肺、煤工尘肺和水泥尘肺位列前三位,分别占总数的55.71%(707/1269)、37.67%(478/1269)和3.78%(48/1269)。三期尘肺病新病例主要分布在民营经济(58.09%,79/136)和小型企业(59.88%,97/162)。截至2018年12月31日,甘肃省共报告职业性尘肺病12211例,其中煤工尘肺占58.16%(7102/12211),矽肺占28.15%(3438/12211)。主要分布在白银市(21.63%,2641/12211)、兰州市(17.79%,2172/12211)和武威市(13.73%,1676/12211)。现存尘肺病病例主要分布在国有经济(76.95%,9396/12211)和大型企业(54.23%,6622/12211)。矽肺和煤工尘肺是甘肃省尘肺病的主要类型。且报告的矽肺病例数呈上升趋势,应予以重视。甘肃省尘肺病主要分布在国有经济和大型企业。然而民营经济和小型企业的尘肺病患者病情普遍较重,应作为监管重点。