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在成年人中新报告的慢性C型肝炎 - 阿拉斯加,2016-2023年
MMWR. Morbidity and mortality weekly report
|March 27, 2025
概括
阿拉斯加成年人中C型肝炎 (HCV) 病例从2016-2019年到2020-2023年减少了30%. 持续监测对于到2030年消除HCV的有针对性的干预措施至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 公共卫生监督 公共卫生监督
背景情况:
- 肝炎C病毒 (HCV) 是慢性肝病和肝细胞癌的主要原因.
- 全球努力的目标是到2030年消除HCV作为公共卫生威胁.
- 全面和基于风险的查,然后进行抗病毒治疗,是消除HCV的关键策略.
研究的目的:
- 评估从2016年到2023年,阿拉斯加成年居民中新报告的慢性型肝炎病例的流行病学趋势.
- 监测阿拉斯加州实现型肝炎消除目标的进展情况.
- 确定具有持续高HCV病例率的人口和地理群体.
主要方法:
- 对阿拉斯加18岁或以上的成年人中新报告的确诊慢性型肝炎病例的分析.
- 平均年发病率的计算 (每10万人口的病例).
- 两个时期的发病率比较:2016-2019年和2020-2023年.
主要成果:
- 在年龄≥18岁的成年人中,共报告了5352例慢性C型肝炎病例.
- 平均每年发病率下降了30%,从每10万人口中的142例 (2016-2019) 下降到每10万人口中的99例 (2020-2023).
- 在男性,18-39岁的成年人,农村居民和美国印第安人或阿拉斯加土著人中,发病率较高.
结论:
- 在阿拉斯加成年人中,C型肝炎的发病率显著下降,这表明消除目标的进展.
- 针对性的监测和干预仍然对于解决特定人群中持续存在的差异至关重要.
- 持续监测至关重要,以指导定制的测试和治疗策略,以实现C型肝炎的消除.
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