【摘要】 目的了解广西新生儿破伤风发病情况和特点,为实现2005年消除新生儿破伤风的目标提供科学依据。方法收集广西1990年以来广西法定传染病报告系统和1999年以来广西新生儿破伤风监测系统的新生儿破伤风资料并进行分析。结果在1995年进行突击接种后,广西的新生儿破伤风发病率有明显的下降,从1995年的1.40‰下降到1999年的0.94‰,高危县逐渐减少,但发病率仍较高,发现有明显的夏、秋高峰,报告发病率和死亡率男女性别比差异极大,分别为4.4∶1和4.9∶1,98.90%的病例母亲无破伤风类毒素(TT)接种史。结论TT突击接种能迅速有效地降低新生儿破伤风的发病率。消除新生儿破伤风必须采取在高危地区实施TT突击接种的策略,加强监测、宣传和基础卫生服务等综合措施。更多还原

【Abstract】 OBJECTIVE To understand the occurrence and characteristics of Neonatal Tetanus in Guangxi,so as to provide scientific evident for fulfilling thd elimination of Neonatal Tetanus.METHODS By collecting and descriptively analyzing Neonatal Tetanus data from 1990 to 1999.RESULTS The morbidity and mortality of Neonatal Tetanus have decreased significantly since 1996,morbidity reduced from 1.40‰in 1995 to 0.94‰in 1999.The number of identified high-risk counties reduced gradually.Seasonal distribution showed a peak from July to october and Sexual distribution was huge different between male and female,the ration of morbidity and mortality of male to of female were 4.4∶1 and 4.9∶1 respectively.98.90%of mother of cases has never received TT vaccine.CONCLUSION Mass TT vaccination campaign can reduce the morbidity rate quickly and effectively.In order to eliminate Neonatal Tetanus,it was recommended that the implementation of mass TT vaccination campaign in high-risk counties,enhancement of disease surveillance and health promotion,improvement of primary health service should be carried out integratively.更多还原