The epidemiology of hepatitis and its control strategies in China
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摘要: 病毒性肝炎是发病率较高的传染病,在全国法定传染病报告系统中年报告发病数占总数的1/3,是危害我国人民身体健康的主要传染病,疾病负担沉重。分析各型病毒性肝炎的流行体征,提出防治策略和建议。尽管甲型肝炎发病率逐年下降,但局部暴发依然存在,需要加大疫情监测力度,落实甲型肝炎疫苗的预防接种。乙型肝炎预防接种效果显著,需要进一步实施新生儿以外人群的免疫策略,规范管理慢性感染者。对丙型肝炎的防治需要有规范化的治疗措施,提高治愈率。对丁型肝炎需要提高实验室诊断率。研发戊型肝炎疫苗,提高实验室确诊率是应对戊型肝炎的主要策略。我国病毒性肝炎流行形势仍然严重,造成的疾病负担重,需要引起高度重视,落实好国家控制策略。Abstract: Hepatitis is a highly endemic disease in China, which accounts for 1/3 of the reported cases in the National Notifiable Disease Reporting System annually.Hepatitis has a serious effect on Chinese people and brought heavy disease burden.This review therefore focuses on analyzing the epidemiological characteristics of hepatitis to provide better control strategies.The prevalence of hepatitis A declined year by year, but local outbreaks still exists.So, surveillance was needed to monitor the epidemiological shift and vaccination status.Even though, a better impact of hepatitis B vaccination was observed, there are still some challenges remained.Besides infants and children, high risk adults are expected to be immunized and clear national guideline is needed for HBV carrier's management.Moreover, sensitive laboratory tests are required to diagnose hepatitis C, hepatitis D and hepatitis E.Standard treatment for hepatitis C and development of hepatitis E treatment will be priority towards the control these disease.The disease burden needs more attention to have better result towards hepatitis control.
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