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| Trend in incidence of pulmonary tuberculosis in Wenzhou City from 2010 to 2024 |
| LI Jun1, ZENG Zhen1, WANG Juejin1, WANG yunfeng2
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1. Wenzhou Center for Disease Control and Prevention (Wenzhou Institution of Public Health Supervision), Wenzhou, Zhejiang 325001, China;
2. Mudanjiang Center for Disease Control and Prevention (Mudanjiang Institution of Public Health Supervision), Mudanjiang, Heilongjiang 157000, China |
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Abstract Objective To investigate the epidemic characteristics and trends in incidence of pulmonary tuberculosis (PTB) in Wenzhou City, Zhejiang Province from 2010 to 2024, so as to provide the basis for improving PTB prevention and control strategies. Methods The PTB data in Wenzhou City from 2010 to 2024 were captured from the Surveillance System of China Information System for Disease Control and Prevention. Descriptive epidemiological methods were applied to analyze the characteristics across different genders, age, and regions. The average annual percent change (AAPC) was used to evaluate the trend in PTB incidence. Results A total of 73 706 PTB cases were reported in Wenzhou City from 2010 to 2024, with an average annual reported incidence of 52.92/105. The reported incidence of PTB decreased from 75.33/105 in 2010 to 35.47/105 in 2024, showing a significant overall downward trend (AAPC=-5 .287%, P<0.05). The average annual reported incidence of PTB was higher in males than in females (70.45/105 vs. 33.41/105, P<0.05). The trends in reported incidence for both males and females were generally consistent with the overall population, showing declining trends (AAPC=-4.992% and -6.112%, both P<0.05). The group aged ≥65 years had the highest average annual reported incidence of PTB at 91.73/105. From 2010 to 2024, significant declining trends were observed in the groups aged 15-<25, 25-<35, 35-<45, and 45-<55 years (AAPC=-8.599%, -7.975%, -9.007%, and -5.104%, all P<0.05). The average annual reported incidences of PTB in Taishun County, Longwan District, and Yongjia County were higher, at 81.08/105, 75.31/105, and 64.68/105, respectively. Except for Dongtou District, Pingyang County, and Taishun County, the reported incidences in all other counties (cities, districts) showed declining trends from 2010 to 2024, with AAPC values ranging from -9.056% to -3.791% (all P<0.05). Conclusions The reported incidence of PTB in Wenzhou City from 2010 to 2024 showed an overall declining trend, varying in genders, age, and regions. Males and individuals aged ≥65 years were the key populations for prevention and control. Taishun County, Longwan District, and Yongjia County were high-incidence areas.
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Received: 06 May 2025
Revised: 25 August 2025
Published: 20 November 2025
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[1] World Health Organization.Global tuberculosis report2024[R/OL].[2025-08-25].https://iris.who.int/handle/10665/379339.
[2] 丁哲渊,杨研,傅天颖,等.2024年浙江省法定传染病疫情分析[J].预防医学,2025,37(5):433-437,442.
DING Z Y,YANG Y,FU T Y,et al.Analysis of notifiable infectious diseases in Zhejiang Province in 2024[J].China Prev Med J,2025,37(5):433-437,442.(in Chinese)
[3] 傅天颖,吴昊澄,鲁琴宝,等.2023年浙江省法定传染病疫情分析[J].预防医学,2024,36(5):369-373.
FU T Y,WU H C,LU Q B,et al.Analysis of notifiable infectious diseases in Zhejiang Province in 2023[J].China Prev Med J,2024,36(5):369-373.(in Chinese)
[4] 吴倩,张钰,刘魁,等.2016—2020年浙江省肺结核流行特征分析[J].预防医学,2022,34(5):487-491.
WU Q,ZHANG Y,LIU K,et al.Epidemiological characteristics of pulmonary tuberculosis in Zhejiang Province from 2016 to 2020[J].China Prev Med J,2022,34(5):487-491.(in Chinese)
[5] 中华人民共和国国家卫生和计划生育委员会.肺结核诊断:WS 288—2017[S].北京:中国标准出版社,2018.
National Health and Family Planning Commission of the People's Republic of China.Diagnosis for pulmonary tuberculosis:WS 288—2017[S].Beijing:Standards Press of China,2018.(in Chinese)
[6] 王欢,沈鑫,陈静,等.2008—2019年上海市非户籍人口肺结核流行病学特征分析[J].中国防痨杂志,2021,43(4):370-377.
WANG H,SHEN X,CHEN J,et al.Analysis of the epidemiological characteristics of pulmonary tuberculosis among migrants in Shanghai from 2008 to 2019[J].Chin J Antituberc,2021,43(4):370-377.(in Chinese)
[7] 蔡洁,陈宏达,卢明,等.2005—2015年中国胰腺癌发病与死亡趋势分析[J].中华流行病学杂志,2021,42(5):794-800.
CAI J,CHEN H D,LU M,et al.Analysis of incidence and mortality of pancreatic cancer in China from 2005 to 2015[J].Chin J Epidemiol,2021,42(5):794-800.(in Chinese)
[8] 王斐娴,崔彩岩,蒋骏,等.基于Joinpoint回归模型的2011—2022年苏州市肺结核流行趋势分析[J].东南大学学报(医学版),2023,42(4):566-571.
WANG F X,CUI C Y,JIANG J,et al.Analysis of the trends in the incidence of pulmonary tuberculosis in Suzhou city from 2011 to 2022 based on Joinpoint regression model[J].J Southeast Univ (Med Sci Ed),2023,42(4):566-571.(in Chinese)
[9] DONG Z,YAO H Y,YU S C,et al.Changes in notified incidence of pulmonary tuberculosis in China,2005-2020[J].Biomed Environ Sci,2023,36(2):117-126.
[10] 杨超,王晶,唐桂林,等.2012—2021年北京市通州区流动人口肺结核流行特征及治疗转归分析[J].中国防痨杂志,2023,45(6):594-600.
YANG C,WANG J,TANG G L,et al.Analysis of epidemiological characteristics and treatment outcomes of pulmonary tuberculosis patients in floating population in Tongzhou District of Beijing,2012-2021[J].Chin J Antituberc,2023,45(6):594-600.(in Chinese)
[11] 苗瑞芬,王荣,李晨,等.2005—2020年南京市肺结核流行特征和时间趋势研究[J].南京医科大学学报(自然科学版),2022,42(11):1605-1613,1620.
MIAO R F,WANG R,LI C,et al.Epidemiological characteristics and temporal trends of pulmonary tuberculosis in Nanjing from 2005 to 2020[J].J Nanjing Med Univ Nat Sci,2022,42(11):1605-1613,1620.(in Chinese)
[12] 杨丽娟,段禹,张燕杰,等.动态因子模型在我国人均GDP对肺结核发病率影响研究中的应用[J].中国卫生统计,2019,36(3):351-353,357.
YANG L J,DUAN Y,ZHANG Y J,et al.Application of dynamic factor model in the research of per capita gross domestic production on the incidence of tuberculosis in China[J].Chin J Health Stat,2019,36(3):351-353,357.(in Chinese)
[13] 中华人民共和国民政部,全国老龄办.2023年国家老龄事业发展公报[EB/OL].[2025-08-25].https://www.gov.cn/lianbo/bumen/202410/P020241012307602653540.pdf.
[14] 倪妮,黄飞,王倪,等.2016—2020年全国流动人口肺结核流行特征分析[J].疾病监测,2023,38(7):819-824.
NI N,HUANG F,WANG N,et al.Epidemic characteristics of pulmonary tuberculosis in migrants in China,2016-2020[J].Dis Surveill,2023,38(7):819-824.(in Chinese)
[15] JAMSHIDI P,DANAEI B,ARBABI M,et al.Silicosis and tuberculosis:a systematic review and meta-analysis[J/OL].Pulmonology,2025,31(1)[2025-08-25].https://doi.org/10.1016/j.pulmoe.2023.05.001. |
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