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北京建立首个男同高危人群随访队列--亲稳舆论引导监测室
2012-12-03
前天,记者从市科委和市卫生局举行的“第三届重大疾病防治科技创新高峰论坛”上获悉,目前,本市已建立了我国首个男男同性恋高危人群动态随访队列,人数已达6000人。
The day before yesterday,Reporter from city science and technology commission and the municipal health bureau held"The third major disease prevention and control technology innovation peak BBS"about,At present,This city has established the China first male-male gay high-risk groups dynamic follow-up cohort,Is increased to 6000 people.
男同性恋感染率高 Gay men infection rates high
有关专家透露,本市对10万名艾滋病高危人群的调查显示:吸毒、性工作者等人群的艾滋病感染率低于全国水平,而同性恋的发病率却远高于此,特别是男同性恋的感染率。
Experts revealed that,This city of 100000 AIDS high-risk population survey:drugs/Sex workers, such as the crowd infection rates below the national level,The incidence of homosexuality is far higher than this,Especially gay rates.
“随访队列不但可对男男同性恋艾滋病高危人群进行及早随访筛查,还对艾滋病的发病过程、病源基理、诊断治疗研究有着重要意义。”首都艾滋病科技攻关项目首席专家、北京佑安医院教授吴昊介绍。据了解,本市不仅建立了男男同性恋高危人群动态随访队列,还建立了世界上最大最全面的HIV急性期感染者队列,规模达到400人。急性期病源的艾滋病传染率是慢性期的1000倍以上,这400例急性期病源控制将对降低艾滋病感染率发挥重要作用。“如果对急性期病源进行阻断,保护得当,会使本市艾滋病病人数量明显下降。”
"Follow-up cohort not only for male-male gay AIDS high-risk groups for follow-up early screening,Also on the pathogenesis of AIDS process/Pathogenic base bedding/Diagnosis and treatment research has important significance."The capital AIDS science research project chief expert/Beijing youan hospital professor Ann WuHao is introduced.It is understood,This city not only established the male-male gay high-risk groups dynamic follow-up cohort,Has also established the world largest and most comprehensive HIV infected people queue in the acute phase,Scale up to 400 people.The acute phase pathogenic AIDS infection rates ManXingQi is 1000 times more,The 400 cases of acute period pathogenic control to reduce infection rates will play an important role."If the acute phase pathogenic to block,Proper protection,Will make this city AIDS patient number decreased obviously."
本市还研发了用于检测HIV感染的核酸集合检测方法,检测成本从每份1000元降低至20元。同时,采用国产抗病毒药物,优化出适合中国国情的价廉、效优、毒副作用低的艾滋病首选治疗方案,已写入2011年新版《艾滋病诊疗指南》并在全国范围推广,节省相关医疗费用上亿元。据悉,本市艾滋病科技攻关二期目标是使HIV新发感染数和艾滋病病死率比2010年分别降低25%和30%。
The city has developed for testing HIV infection of nucleic acid set detection method,Testing costs from each 1000 yuan reduced to 20 yuan.At the same time,The domestic antiviral drugs,Optimize the suitable for China's national conditions and low price/Effect optimal/Side effects of low AIDS first choice treatment,Has been written into 2011 new edition[AIDS diagnosis and treatment guidelines]And wildly used in the whole country,Save related medical cost hundreds of millions of yuan.It is reported,The second phase of HIV/AIDS in this city science and technology research goal is to make new HIV infections and AIDS case fatality rate than the number 2010 decrease by 25% and 30% respectively.
心梗威胁中青年 Myocardial infarction and threat
在心血管疾病科技攻关中,本市搭建急性心梗信息监测平台,整合了市疾病预防控制中心的全人群死因检测系统,以及已建成的本市出院病人的登记报告系统,以此来收集全人群的急性心肌梗死信息。截至目前,该平台已获得大量北京人群急性心梗的发病率、死亡率等基础数据。
In cardiovascular diseases in the tackling of key scientific and technological problems,The city building information monitoring platform acute myocardial infarction,Integrate the city centers for disease control and prevention of all the crowd death detection system,And built the city discharged patients registered reporting system,In order to collect all the crowd of acute myocardial infarction information.So far,This platform has gained a lot of Beijing people the incidence of acute myocardial infarction/Fundamental data such as mortality.
监测结果显示:近五年,本市急性心肌梗死发病率呈明显上升趋势,且年轻化趋势明显,特别是35岁至44岁的男性。此外,本市远郊区县发病率上升趋势远远超过城区和近郊居民。
Monitoring results show that:Nearly five years,This city acute myocardial infarction incidence was significantly increased trend,And younger trend obvious,Especially between 35 and 44 years old men.In addition,This city outer suburbs area county incidence rate rise far more than urban and suburban residents.
高血压患病知晓率不足一半 Hypertension disease less than half awareness
在首都十大疾病科技攻关中,“六类重大慢性病流行病学综合调查研究”是全国首次大规模同步开展的集六类慢性病一体的流行病学数据调查。
In the capital ten big disease in the tackling of key scientific and technological problems,"Six types of major chronic disease epidemiology comprehensive investigation and study"Is the first large-scale synchronous to set six types of chronic an epidemiological survey data.
研究结果显示:2011年,在京常住人口高血压患病水平是33.8%,与2002年相比上升了约25%,男性发病上升幅度明显高于女性。全市高血压人群知晓率仅为49.5%,不足一半,服药治疗率是42.8%,控制率仅为13.3%。糖尿病患病知晓率是62.6%,治疗率是59.4%,控制率23.9%。
The results showed that:In 2011,,In the permanent population hypertension illness level is 33.8%,Compared with 2002 rose by about 25%,Male disease rises significantly higher than female.The crowd hypertension awareness is only 49.5%,Less than half,Drug therapy is 42.8%,Control is only 13.3%.Diabetes sick awareness is 62.6%,Therapy is 59.4%,Control 23.9%.
23万样本入重大疾病样本库 230000 sample into major disease sample library
市科委相关负责人透露,由13家医科院所参与建设的“十大疾病临床数据库和样本库”是全国率先启动的、遵循国际标准的样本资源平台,目前约保存临床信息2.8万例,拥有血清、细胞、遗传物质等23万例样本资源。二期科技攻关的目标是实现入组病例5万,总样本数40万,单病资源库至少新增病例5000例,至少新增样本50000份。
The relevant person in charge of municipal science and technology commission said,By 13 home medical institutions to participate in the construction"Ten big disease clinical database and sample library"Is the lead in the start/In accordance with international standard sample resources platform,Now about save clinical information of 28000 cases,Have serum/cell/Genetic material and 230000 cases of sample resources.The second phase of scientific research goal is to realize the group 50000 cases,The total number of samples of 400000,Single disease repository at least 5000 cases of new cases,At least 50000 copies of new samples.
据悉,该样本资源库于2009年5月启动,涉及11家医院和12种疾病,重点研究开发心脑血管病、肿瘤等重大疾病早期预警和诊断。
It is reported,The sample database in May, 2009 start,Involved in 11 hospitals and 12 kinds of disease,Key research development cardio-cerebrovascular diseases/Tumor major disease diagnosis and early warning.
样本资源库将进一步推动疾病资源共享与利用。随着城市环境污染、食品安全、人口老龄化加剧,本市还考虑扩大疾病资源库的病种范围,纳入呼吸系统和消化系统疾病及神经变性疾病,新增脑肿瘤、白血病、肺癌、食管癌、胃癌等恶性肿瘤资源库建设。(记者 刘欢)
Sample bank will further promote disease resource sharing and utilization.Along with the urban environment pollution/Food safety/An aging population increased,This city is considering expanding the disease of the resource pool of diseases,Into the respiratory and digestive system disease and neural degenerative disease,New brain tumor/leukemia/Lung cancer/Esophageal cancer/Gastric cancer and malignant tumor resource pool construction.(Reporter liu joyfully)
《北京市遏制与防治艾滋病“十二五”行动计划》日前出台,艾滋病致孤儿童将全部纳入孤儿保障制度,对感染艾滋病病毒的儿童或患儿,将适当补助基本生活费。
[Beijing containment and HIV/AIDS"1025"Action plan]Recently issued,AIDS orphans to will be fully integrated into the orphan security system,To infected with the virus that causes AIDS children or children,Will appropriate allowance basic living expenses.
民政等部门将加强对感染者和病人的救助及晚期病人的友情支持和临终关怀,符合条件的感染者和病人将纳入最低生活保障,保护他们的隐私。
Civil affairs departments will strengthen the infection and the patient's rescue and terminal of the patient friendship support and hospice care,To meet the conditions of the patients and patients will be included in the minimum life guarantee,To protect their privacy.
本市今年报告的艾滋病病毒感染者和病人中,超九成是性途径染病。为此,本市将把艾滋病和性病检测纳入重点公共场所服务人员健康体检,为检出的艾滋病病人、性病患者及时提供治疗服务。
This year's report this city with AIDS patients,Super ninety percent is sex way disease.therefore,The city will put AIDS and venereal disease inspection into the key public service personnel health physical examination,For detection of AIDS patients/Venereal patients to provide treatment timely service.
同时,相关部门要落实宾馆等公共场所摆放安全套的规定,提高安全套的可及性。市防治艾滋病工作委员会要明确设置安全套发售设施的公共场所,医疗机构要主动为就诊者提供艾滋病检测服务,探索使用抗病毒治疗药物预防配偶间和男性同性性行为人群间传播的方法。
At the same time,Relevant departments should implement the hotel and so on public place put the provisions of condoms,Improve condom accessibility.City AIDS working committee must be clear about the condom set on sale of public facilities,A medical institution should take the initiative to provide AIDS testing service issued,This paper explores the possibility of using antiviral treatment drug prevention between spouses and male sex between the transmission of the method.
本市将依托10家社区美沙酮药物维持治疗门诊,建立延伸服务点,提高服务的可及性。探索在社区戒毒和社区康复场所内开展戒毒药物维持治疗,做好强制隔离戒毒人员出所后向戒毒药物维持治疗机构的转介。
The city will rely on 10 community methadone maintenance treatment clinic medicine,Establish extension service point,Improve the service of accessibility.To explore the community rehabilitation and community rehabilitation in place to carry out rehabilitation drug maintenance therapy,Do forced isolation detoxification personnel out after that to pharmaceuticals for drug addiction treatment maintenance treatment mechanism of referral.
依据行动计划目标,到2015年,本市高危行为人群和青少年的艾滋病综合防治知识知晓率达到90%以上。(记者 方芳)
According to the plan of action target,By 2015,This city high-risk behavior the crowd and adolescents comprehensive prevention and control of AIDS knowledge about above 90%.(Reporter FangFang)
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