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流行病学视角:沙特阿拉伯王国丙型肝炎监测的四年洞察

Epidemiological Perspectives: A Four-Year Insight Into Hepatitis C Surveillance in the Kingdom of Saudi Arabia.

作者信息

Almajid Ali, Albarbari Hassan, Bazroon Ali, Al-Awami Hashim, Aljurayyad Rahaf, Albadran Razan, Alkhamis Zainab, Alomair Haider, Aljishi Yamama

机构信息

Department of Internal Medicine, King Fahad Specialist Hospital, Dammam, SAU.

College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

出版信息

Cureus. 2024 Jan 20;16(1):e52646. doi: 10.7759/cureus.52646. eCollection 2024 Jan.

Abstract

Introduction Hepatitis C is a viral disease caused by the hepatitis C virus (HCV), a member of the family. This compact, enveloped RNA virus possesses a positive single-stranded genome and can be transmitted through various means, including blood exposure, sexual contact, and vertical transmission. The disease is associated with significant morbidity and mortality, imposing substantial costs on the healthcare system. In Saudi Arabia, HCV is a notifiable disease; however, there is a scarcity of recent reports on HCV trends in the country. This study aims to provide updated insights into the infection patterns of HCV across demographics, regions, and genders in Saudi Arabia. Methods A retrospective analysis was conducted to investigate the epidemiological trends of HCV infection in Saudi Arabia. Data were obtained from the Saudi Ministry of Health (MOH), encompassing the timeframe from 2019 to 2022. A descriptive analysis of HCV infection, organized by year, age group, and gender, was conducted using the data reported to the MOH. Results Between 2019 and 2022, there was a significant decrease of 56.9% in the overall rate of hepatitis C cases in Saudi Arabia. The rate dropped from 9.94 to 4.29 cases per 100,000 people during this period. Males consistently had higher reported cases compared to females, although there was a notable decline in cases for both genders from 2019 to 2022. The highest incidence of HCV was found in individuals aged 45 years and above. However, there was a decline in cases among this age group, with the number dropping from 2,195 cases in 2019 to 946 cases in 2022. In terms of regional variations, Riyadh, Makkah, Jeddah, Alsharqiya, and Taif had the highest incidence of HCV cases. Some regions experienced an increase in cases between 2021 and 2022, particularly Jeddah, Taif, and Al-Ahsaa. Conclusion This study reveals a significant reduction in reported HCV cases in Saudi Arabia from 2019 to 2022. However, gender disparities persist, with males having a higher number of reported cases. There is also a notable decline in HCV cases among children and adolescents, which can be attributed to preventive measures. The findings emphasize the importance of region-specific strategies, as certain areas, such as Riyadh, Makkah, Jeddah, Alsharqiya, and Taif, continue to have a high number of reported cases. Proactive measures, surveillance, and public awareness campaigns remain crucial in addressing HCV as a significant public health challenge in the Kingdom.

摘要

引言 丙型肝炎是一种由丙型肝炎病毒(HCV)引起的病毒性疾病,HCV属于该病毒家族的一员。这种紧凑的包膜RNA病毒拥有正单链基因组,可通过多种途径传播,包括血液暴露、性接触和垂直传播。该疾病与显著的发病率和死亡率相关,给医疗系统带来了巨大成本。在沙特阿拉伯,丙型肝炎是一种应报告的疾病;然而,该国近期关于丙型肝炎趋势的报告较少。本研究旨在提供关于沙特阿拉伯不同人口统计学特征、地区和性别的丙型肝炎感染模式的最新见解。

方法 进行了一项回顾性分析,以调查沙特阿拉伯丙型肝炎感染的流行病学趋势。数据来自沙特卫生部(MOH),涵盖2019年至2022年的时间段。使用向MOH报告的数据,按年份、年龄组和性别对丙型肝炎感染进行了描述性分析。

结果 在2019年至2022年期间,沙特阿拉伯丙型肝炎病例的总体发生率显著下降了56.9%。在此期间,发病率从每10万人9.94例降至4.29例。男性报告的病例数一直高于女性,尽管从2019年到2022年两性的病例数都有显著下降。丙型肝炎发病率最高出现在45岁及以上的人群中。然而,该年龄组的病例数有所下降,从2019年的2195例降至2022年的946例。在地区差异方面,利雅得、麦加、吉达、东部地区和塔伊夫的丙型肝炎病例发病率最高。一些地区在2021年至2022年期间病例数有所增加,特别是吉达、塔伊夫和阿哈萨。

结论 本研究表明,2019年至2022年沙特阿拉伯报告的丙型肝炎病例显著减少。然而,性别差异仍然存在,男性报告的病例数更多。儿童和青少年中的丙型肝炎病例也有显著下降,这可归因于预防措施。研究结果强调了针对特定地区的策略的重要性,因为利雅得、麦加、吉达、东部地区和塔伊夫等某些地区报告的病例数仍然很高。积极措施、监测和公众意识运动对于应对丙型肝炎这一沙特王国重大的公共卫生挑战仍然至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1867/10800009/843ffc2a9272/cureus-0016-00000052646-i01.jpg

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