广东年增20%性病患者 无症状隐性梅毒占多数
2009年07月01日 09:39 来源:广州日报
“防治性病对预防艾滋病的作用研究”课题为期两年,将对暗娼、男男性行为人群、性病门诊患者的性病感染情况进行调查。广东项目干预对象将达到两万人以上。
广东干预点还将尝试建立性病免费门诊,并测算相关费用。此举将对今后国家性病防治模式改变提供决策依据。
广东性病病例数平均每年增长20%,部分农村地区妇女发病率竟然和高危人群相差无几。记者昨天从广东省皮肤性病防治中心获悉,国家级课题“防治性病对预防艾滋病的作用研究”近日在粤启动,试图通过降低性病感染率来遏制艾滋病的扩散。
传染病前五位性病占两席
据广东省皮肤性病防治中心主任杨斌指出,近年来国内存在重艾滋病轻性病的防控倾向。
根据广东省卫生厅通报,5月份全省有3142人感染梅毒,其中一人死亡,淋病患者有1715人。在全省传染病报病数前五位的病种中,两种是性病,梅毒居第二。目前,广东报告的性病病例数高居全国第二。
“良家妇女”被老公传染性病
杨斌指出,广东农村地区性病发病率不容乐观。江门部分地区村妇的性病发病率为1%左右,而暗娼等高危人群发病率为1%至2%。
农村地区对疾病知晓率低。省皮防工作人员在江门农村地区进行梅毒快速筛查。有个四十多岁的村妇,被查出患梅毒。她没有到城镇打过工,是传统意义上的“良家妇女”。医生还意外发现其丈夫是个聋子。“这是神经梅毒造成的。原来他六七年前曾经找过‘小姐’,在不知情的情况下又把梅毒传给了妻子。”
无症状的隐性梅毒占多数
以报告病例数最多的梅毒而言,近年来,广东性病门诊发现的重症患者、孕妇患者人数,比以前明显增加。长期从事性病防治的陈永锋主任医师表示,“一些人不孕不育、死胎、不明原因反复流产,其实和梅毒有关。”他说,广东某市一名七次流产的女性,最后被证实是梅毒。令人担忧的是,全省孕产妇梅毒发病率已达0.6%至1%。“如果不进行医学干预,100%会生下先天梅毒宝宝。”陈永锋说。
杨斌指出,广东报告的病例大部分是无症状的隐性梅毒,“被动发现者”占一半以上。也就是说,大部分患者是在婚检、手术前、孕前或者献血时意外被检测出来的。这些隐性梅毒患者同样可以传染给他人。
据了解,国家还将加大对性病患者家属等外围人群以及流动人口、孕产妇等重点人群加强健康教育和干预力度。(任珊珊)
Guangdong by 20% in asymptomatic patients with sexually transmitted diseases, syphilis accounted for the majority of recessive
At 9:39 on July 1, 2009 Source: Guangzhou Daily
"AIDS prevention and treatment of sexually transmitted diseases, the role of prevention research," a two-year issues will be sex workers, MSM groups, sexually transmitted diseases, sexually transmitted infection in outpatients for investigation. Guangdong targets of project interventions will reach more than 20,000.
Intervention points in Guangdong will also attempt to create a free STD clinic, and estimated related costs. This will be the future pattern of change in the national prevention and treatment of sexually transmitted diseases to provide basis for decision making.
Guangdong, the number of cases of sexually transmitted diseases 20% average annual growth rate, and some women in rural areas and the incidence of high-risk population has the same amount of money. Yesterday's skin from the Guangdong Provincial Center for STD prevention and control was informed that the national issue, "the prevention of sexually transmitted diseases, AIDS prevention and treatment of the role of research" in recent days to start in Guangdong, trying to reduce sexually transmitted infection rates to curb the spread of AIDS.
Five sexually transmitted diseases, infectious diseases accounted for two seats
According to the Guangdong Provincial Director of the Center for the skin to combat sexually transmitted diseases Yang pointed out that in recent years, there are severe AIDS prevention and control of sexually transmitted diseases tend to light.
According to the Guangdong Provincial Health Department informed the province in May have 3142 people infected with syphilis, in which one person was killed and 1715 were patients with gonorrhea. Reported infectious disease in the province the number of the top five of the disease, the two are sexually transmitted diseases, syphilis second. At present, Guangdong, the report of sexually transmitted diseases, the country's second highest number of cases.
"Honest woman" by her husband of infectious disease
Yang pointed out that the incidence of sexually transmitted diseases in rural areas of Guangdong is not optimistic. Jiangmen female incidence of sexually transmitted diseases in some areas of 1%, while high-risk groups such as sex workers the incidence rate of 1-2%.
In rural areas with low awareness of the disease. Paper Province Jiangmen prevention work in rural areas in rapid screening for syphilis. There is a more than 40-year-old female, was found suffering from syphilis. She has not played to the cities and towns work in the traditional sense is "honest woman." Doctors also found her husband is deaf. "This is caused by neurosyphilis. That he had been approached before the 2067 'Miss', in the knowledge of syphilis to his wife again."
Asymptomatic syphilis accounted for the majority of recessive
To the largest number of reported cases of syphilis, in recent years, Guangdong STD clinic found that patients with severe, pregnant women, the number of such patients increased significantly than before. Has long been engaged in CHEN Yong-feng, director of STD prevention and treatment of a doctor said, "some people of infertility, stillbirth, unexplained recurrent miscarriage, in fact, relevant and syphilis." He said that the Guangdong city of seven abortions a woman, in the end proved to be syphilis . What is worrisome is that the province's maternal syphilis rate has reached 0.6 to 1 percent. "If you do not carry out medical intervention, 100% of congenital syphilis will give birth to babies." CHEN Yong-feng said.
Yang pointed out that the majority of reported cases in Guangdong is hidden asymptomatic syphilis, "passive discoverer" more than half. In other words, the majority of patients in the antemarital examination, pre-operative, pre-pregnancy, or when blood was detected by accident. These recessive syphilis can also be transmitted to others.
It is understood that the state will also increase in patients with sexually transmitted diseases and other external groups, as well as the families of the floating population, maternal and other key people to enhance health education and intervention efforts. (任珊珊)
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