Analysis on the epidemic situation of pulmonary tuberculosis in schools in China from 2004 to 2021

doi:10.19982/j.issn.1000-6621.20220200

Abstract

Abstract:

Objective: To investigate the epidemic trend of pulmonary tuberculosis (PTB) of students and staff in China from 2004 to 2021. Methods: The reported data of PTB in students and staff (excluding Taiwan, Hongkong and Macao) from 2004 to 2021 were collected from Infectious diseases surveillance system and China statistical yearbook, and the trend of epidemic situation in schools was analyzed. Results: From 2004 to 2021, a total of 908171 student patients with PTB were reported, with the reported incidence of 19.26/100000, while 112336 staff patients with PTB were reported with the reported incidence of 34.12/100000. From 2008 to 2019, the reported incidence rates of PTB among students and staff both showed the downward trend (average annual percent change=―3.41% and ―8.22%, Z=―2.005 and ―6.626, P=0.045 and <0.001). Eighteen provinces showed significantly decreasing trends in incidence among students, and eleven provinces showed stable trends. However, two provinces (Tibet and Qinghai) showed significantly increasing trends. Conclusion: The PTB reported incidence in schools in China was decreasing, but incidences of Tibet and Qinghai were on the rise. PTB prevention and control in schools has achieved positive effects. It is still necessary to continue to strengthen the prevention and control of PTB in schools, and more attention should be paid to key areas and schools.

Key words: Tuberculosis, pulmonary, Students, Incidence, Regression analysis

CLC Number:

R183
R521

Chen Hui, Zhang Canyou, Zhang Hui, Cheng Jun, Li Tao. Analysis on the epidemic situation of pulmonary tuberculosis in schools in China from 2004 to 2021[J]. Chinese Journal of Antituberculosis, 2022, 44(8): 768-776. doi: 10.19982/j.issn.1000-6621.20220200

Figures/Tables 6

References 24

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年份	全人群报告发病数 (例)	学生
年份	全人群报告发病数 (例)	人口数 (万名)	报告发病数 (例)	报告发病数占全人群比例(%)	报告发病率 (/10万)	报告发病率环比(%)^a	人口数 (万名)	报告发病数 (例)	报告发病率 (/10万)	报告发病率环比 (%)^a
2004	970279	24416	63817	6.58	26.14	―	1497	10396	69.46	―
2005	1259308	25282	78567	6.24	31.08	18.90	1594	11881	74.54	7.31
2006	1127571	25196	72581	6.44	28.81	―7.30	1624	9873	60.79	―18.45
2007	1163959	25810	68647	5.90	26.60	―7.67	1652	9928	60.09	―1.15
2008	1169540	25813	67086	5.74	25.99	―2.29	1678	8928	53.21	―11.44
2009	1076938	25856	60557	5.62	23.42	―9.88	1696	7801	45.99	―13.57
2010	991350	25800	49398	4.98	19.15	―18.25	1717	6341	36.94	―19.68
2011	953275	26076	41916	4.40	16.07	―16.04	1744	5563	31.89	―13.67
2012	951508	26244	39406	4.14	15.02	―6.59	1782	5098	28.61	―10.27
2013	904434	26027	37243	4.12	14.31	―4.70	1810	4350	24.03	―16.02
2014	889381	25473	36080	4.06	14.16	―1.01	1837	4103	22.33	―7.07
2015	864015	25581	34507	3.99	13.49	―4.76	1876	3731	19.89	―10.95
2016	836236	25929	36283	4.34	13.99	3.73	1915	3560	18.59	―6.53
2017	835193	26275	40876	4.89	15.56	11.17	1960	3761	19.19	3.26
2018	823342	26867	48580	5.90	18.08	16.23	2026	4008	19.78	3.08
2019	775764	27449	48039	6.19	17.50	―3.21	2091	4280	20.47	3.47
2020	670538	28223	44721	6.67	15.85	―9.46	2174	4313	19.84	―3.10
2021	639548	29223	39867	6.23	13.64	―13.90	2251	4421	19.64	―1.01