Li X H, Wang A H, Leng P B, Mao G Z, Zhang D D
Environmental and Occupational Health Institute, Ningbo Municipal Center for Disease Control and Prevention, Ningbo 315010, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 May 20;40(5):354-358. doi: 10.3760/cma.j.cn121094-20210207-00092.
To understand the incidence of pneumoconiosis in Ningbo city from 1967 to 2019, and to analyze the distribution characteristics and change trend of pneumoconiosis. In February 2021, the data of pneumoconiosis patients in Ningbo city from 1967 to 2019 were sorted out. The data from 1967 to 1987 were from historical case files of Zhejiang Center for Disease Control and Prevention, the data from 1988 to 2005 were from the historical case files of Ningbo Center for Disease Control and Prevention, and the data from 2006 to 2019 were from the pneumoconiosis report card in China Disease Prevention and Control Information System; Followed up and supplement relevant information, including basic information, basic information of employers and information related to pneumoconiosis diagnosis, and comprehensively analyze the composition and development trend, population characteristics and industry characteristics of pneumoconiosis. From 1967 to 2019, a total of 1715 cases of pneumoconiosis were reported in Ningbo City, including 1254 cases of stageⅠpneumoconiosis, 258 cases of stageⅡpneumoconiosis, 172 cases of stage Ⅲpneumoconiosis. 1202 cases of silicosis (70.09%) , 296 cases of asbestosis (17.26%) , 40 cases of welder's pneumoconiosis (2.33%) , 32 cases of graphite pneumoconiosis (1.87%) were reported. There were 1296 male cases (75.57%) and 419 female cases (24.43%) were reported. Silicosis (91.15%, 1102/1209) and welder's pneumoconiosis (100.00%, 40/40) were the most common pneumoconiosis in males, while asbestosis (90.24%, 268/297) and graphite pneumoconiosis (87.50%, 28/32) were the most common pneumoconiosis in females. The average age was (49.71±10.90) years old and the average length of service was (10.98±6.96) years. The top three reported pneumoconiosis cases were construction industry (336 cases, 19.59%) , ferrous metal smelting and rolling industry (317 cases, 18.48%) and non-metallic mineral products industry (315 cases, 18.37%) . The top three reported pneumoconiosis cases were 414 cases (24.14%) in Ninghai County, 294 cases (17.14%) in Yuyao City and 272 cases (15.86%) in Yinzhou District. With the development of industries in Ningbo City, government departments should strengthen supervision and management of enterprises involving silica dust and welding fume to curb the high incidence of pneumoconiosis.
了解宁波市1967年至2019年尘肺病发病情况，分析尘肺病的分布特征及变化趋势。2021年2月，整理宁波市1967年至2019年尘肺病患者资料。1967年至1987年数据来源于浙江省疾病预防控制中心历史病例档案，1988年至2005年数据来源于宁波市疾病预防控制中心历史病例档案，2006年至2019年数据来源于中国疾病预防控制信息系统中的尘肺病报告卡；对相关信息进行随访补充，包括基本信息、用人单位基本信息及尘肺病诊断相关信息，综合分析尘肺病的构成及发展趋势、人群特征和行业特征。1967年至2019年，宁波市共报告尘肺病1715例，其中壹期尘肺病1254例，贰期尘肺病258例，叁期尘肺病172例。报告矽肺1202例（70.09%）、石棉肺296例（17.26%）、电焊工尘肺40例（2.33%）、石墨尘肺32例（1.87%）。报告男性病例1296例（75.57%），女性病例419例（24.43%）。矽肺（91.15%，1102/1209）和电焊工尘肺（100.00%，40/40）是男性最常见的尘肺病，而石棉肺（90.24%，268/297）和石墨尘肺（87.50%，28/32）是女性最常见的尘肺病。平均年龄为（49.71±10.90）岁，平均工龄为（10.98±6.96）年。报告尘肺病病例数排名前三的行业为建筑业（336例，19.59%）、黑色金属冶炼及压延加工业（317例，18.48%）和非金属矿物制品业（315例，18.37%）。报告尘肺病病例数排名前三的地区为宁海县414例（24.14%）、余姚市294例（17.14%）和鄞州区272例（15.86%）。随着宁波市产业发展，政府部门应加强对涉及矽尘和焊接烟尘企业的监督管理，遏制尘肺病高发态势。
