2021年波兰的C型肝炎
Karolina Zakrzewska1, Małgorzata M Stępień1, Magdalena Rosińska1
1National Institute of Public Health NIH - National Research Institute, Department of Epidemiology of Infectious Diseases and Surveillance.
Przeglad epidemiologiczny
|October 20, 2023
概括
波兰的C型肝炎 (HCV) 检测量在2021年增加了30%,但仍低于大流行前的水平. 在诊断HCV感染的差距需要改进的长期消除策略.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- COVID-19大流行影响了医疗保健诊断,包括C型肝炎病毒 (HCV) 测试.
- 2021年欧盟/欧洲经济区的HCV诊断 (4.1/100,000) 没有恢复到大流行前的水平 (2019年:8.8/100,000).
研究的目的:
- 分析2021年波兰C型肝炎病毒 (HCV) 情况.
- 将2021年HCV数据与2015-2020年流行病监测数据进行比较.
主要方法:
- 使用了个人流行病学监测数据.
- 从公告 (2015-2021) 中分析了诊断率.
- 纳入波兰统计局的死亡率数据.
主要成果:
- 观察到2021年新增HCV感染率增加了30% (3.26/100,000),超过2500例病例缺少达到大流行前的水平.
- 人口统计数据显示,女性与男性的比例接近1:1,25岁以下的个人诊断的比例为2.4%,这表明潜在的测试访问差异.
- 医疗程序占诊断的75%以上;初级医疗保健的作用增加到38.6%,尽管测试的保险覆盖范围有限.
- 2020-2021年,与2018-2019年相比,急性型肝炎C死亡人数有所增加.
结论:
- 确定了波兰在HCV感染诊断方面的重大差距.
- 强调需要制定政策,解决这些诊断缺口,以消除HCV.
- 强调波兰的目标人群缺乏长期,易于获得的解决方案.
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