2006-2014年江苏省三城市急性农药中毒状况分析
Analysis on Acute Pesticide Poisonings in Three Cities of Jiangsu Province from 2006 to 2014
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摘要:
目的 了解江苏省常州、无锡、苏州三城市的急性农药中毒发生和死亡现状，为防制农药中毒提供科学依据。
方法 根据“中国疾病预防控制信息系统”中提供的2006-2014年间常州、无锡、苏州三城市急性农药中毒上报数据，分析急性农药中毒的发生和死亡规律。
结果 2006-2014年常州、无锡、苏州三城市共报告急性农药中毒4 790例，死亡316例，病死率6.6%。其中，生产性农药中毒报告714例，占14.1%，死亡7例，病死率0.98%，男女性别比1.62：1，年龄（52.55±14.35）岁，主要在35～70岁，第三季度发病率最高，有机磷杀虫剂中毒为主（510例，占71.4%）；非生产性农药中毒报告4 076例，占85.9%，死亡309例，病死率7.9%，男女性别比0.7：1，年龄（43.23±23.75）岁，主要在18～58岁，占68.2%，无明显的季节性，以有机磷杀虫剂为主，占非生产性农药中毒的80.99%。
结论 三城市急性农药中毒以非生产性为主，生产性农药中毒比例较低，有关部门应该加强对农药生产及使用的安全管理和控制。
Abstract:Objective To understand the morbidity and mortality of acute pesticide poisonings in the three cities including Changzhou, Wuxi, and Suzhou of Jiangsu Province and to provide a scientific basis for the prevention and treatment of pesticide poisoning.
Methods According to the acute pesticide poisoning reporting data of the three cities (Changzhou, Wuxi, and Suzhou) retrieved from the China Information System for Disease Control and Prevention from 2006 to 2014, the patterns of morbidity and mortality were analyzed.
Results A total of 4 790 cases of acute pesticide poisoning were reported from 2006 to 2014 in the three cities, including 316 cases of death with a fatality rate of 6.6%. There reported 714 cases (14.1%) of productive pesticide poisoning including 7 cases (0.98%) of death; the sex ratio was 1.62:1, average age was (52.55±14.35) years old, and those at 35-70 years old accounted for the largest proportion; a higher incidence rate appeared in the third quarter; organophosphorus insecticide poisoning (510 cases, 71.4%) was the dominant type of productive pesticide poisoning. There were 4 076 cases (85.9%) of nonproductive pesticide poisoning and 309 cases (7.9%) of death; the sex ratio was 0.7:1, the average age was (43.23±23.75) years old, and those at 18-58 years old accounted for the largest proportion (68.2%); there was no obvious seasonal patterns; organophosphorus in secticide poisoning accounted for 80.99% of non-productive pesticide poisoning cases.
Conclusion More non-productive pesticide poisoning cases are reported than productive pesticide poisoning cases. Related departments should enhance the safety management and the control of pesticide production and usage.
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