| Tuberculosis commonly known as"consumption", which is an infectious disease of long history. The number of new TB cases and death cases ranks the first of infectious disease in our country. Tuberculosis has become a public health problem of great social concern and a serious social problem. To analyze the epidemiological situation of TB is of great significance for the TB prevention strategy formulating.ObjectivesIn this study, I will summarize the TB epidemiological characteristics and epidemic situation in our province by describing prevalent trends of Jilin province tuberculosis in time, region, occupation, age, gender, etc. It aims to know the situation of the TB prevention and control in Jilin province, to make a reasonable suggestion for our province and to provide the basis information for TB prevention and control work for sustainable development through learning the implementation of the TB project and estimating the therapeutic effect of the TB project.MethodsIn this study, I analyze the data of TB cases by mainly using the descriptive epidemiological method in Jilin province between the years of 2001-2010. I analyze the dynamic trend of tuberculosis in Jilin province between the years of 2001～2010 .I describe the new cases incidence rate in region, age and sex distribution. I also describe tuberculosis occupation distribution.Through observing project coverage and treatment supervisory management in our province during 2001-2010, through the negative conversion rate index of end February ,we get the conclusion to reflect chemotherapy effects of various types of tuberculosis, and through analysis of new smear-positive, recurring smear-positive and new smear-negative pulmonary tuberculosis treatment result. It evaluates therapeutic effect of TB patients and the implementation of the project. Results(1)Between the years of 2001-2010, 178437 patients were detected among which 87657 were the new smear positive patients , 20370 were recurring patients and 72984 were the new smear negative patients. The incidence rate of TB patients in Jilin province showed an increasing trend. The active TB cases, new smear positive and negative TB cases showed an increasing trend, and showed a little peak between the years of 2005-2007.(2)The proportion of the recurring patients was low between 2001-2002 ,the reason of which was the project of Jilin province had not implemented at that time and the incidence rate was low. From 2003, the TB project was implemented step by step and the incidence rate raised, so the recurring patients discover raised. The cure condition of recurring patients improved and the proportion of recurring descended because of the implementation of TB project.(3)From the data of 2001-2010,the number of male cases was remarkably higher than the female one and the incidence rate of male was also higher than the female.The ratio of male and female was about 2:1.The most cases were in 35～44 age-group; 25～35 and 45～54 age-group took the second place. No less than 1% cases were found in～14 age-group. 87.8% new smear positive TB cases were found in 15～54 age-group, as the predominant group.(4)From the data of 2005-2010 the peasants were the main group of new smear positive cases as occupation distribution.52% new smear positive patients were peasants .Housekeeping and other occupation took the second place. The proportion of students was about5%.(5)From 2001-2010,the new smear positive rate trend of 9 cities showed the same trend with our province. Among the cities no distinctiveness appeared .The Siping city showed a higher peak at the years of 2005-2010 but as a whole the trend accorded with the whole trend of our province.(6)From 2001-2010,in 2002 the coverage rate of DOTS was15.8% and 9 counties were covered; in 2003 the coverage rate of DOTS was87.4% and 53 counties were covered; in 2004 the coverage rate of DOTS was100% which was the goal of project. And the coverage rate of disadvantaged groups was 100 %.( including poverty, female, old people above 60)(7)From 2001-2010,the cure rate of new smear positive raised from 92.78 of2001 to 95.66 of 2010,raised about 4 points. The failed rate of new smear positive was less than1%.The recurring cure rate raised greatly from 66.67% of 2001 to 89.13 of 2010, which raised 2.2 points yearly. The completion rate of smear negative raised also greatly from 77.75%of 2001 to 98.21 of 2010, which raised 2.0points yearly.(8)From 2001-2010,the sputum negative conversion rate at the2 months end of new smear positive raised from 86.1% of 2003 to 96.55% of 2010;the the sputum negative conversion rate at the2 months end of recurring raised from 69.95% of 2003 to 92.33% of 2010.(9)From the data of 2001-2010,the death rate of recurring case was obviously higher than the new smear positive one. The death rate of recurring case descended greatly, from 1.47 of 2001 to 0.86 of 2010. Conclusions(1)Between the years of 2001-2010, 178437 patients were detected among which 87657 were the new smear positive patients , 20370 were recurring patients and 72984 were the new smear negative patients.(2)87.8% new smear positive TB cases were found in 15～55 age-group, as the predominant group;The number of male cases was remarkably higher than the female one and the ratio of male and female was 2.27:1. The peasants were the main group of new smear positive cases as occupation distribution.52% new smear positive patients were peasants(3)Between the years of 2001 to 2010, the index of TB incidence rate showed an increasing trend as a whole. Among the index of treatment and management, the cure rate of new smear positive also showed an increasing trend. The death rate showed a decreasing trend. |
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