中国艾滋病死亡数大幅增加 居传染病死亡榜首
2011年05月16日 21:07来源:中广网
新社北京5月16日电(记者曾利明)中国内地每年艾滋病死亡人数正大幅度增加,已成传染病死亡“第一凶手”。国家卫生部疫情报告显示:去年全国报告艾滋病发病15982例,死亡7743例,在法定报告传染病中名列第一,从2008年开始,艾滋病死亡病例已连续3年居于传染病死亡榜首。
艾滋病专家、中国CDC性病艾滋病预防控制中心主任吴尊友教授今天接受本社记者独家采访时称,造成这一现象的主要原因是:以前积累的艾滋病病毒感染者陆续进入发病期;相当一部分感染者因担心招致社会歧视,一直不敢检测而处于隐蔽状态。由于病情发现过迟,确诊时已到晚期,患者已来不及进行抗病毒药物治疗。近5年报告的艾滋病死亡病例中,高达80%的人未接受过抗病毒治疗。
全国艾滋病专报系统提供的数据显示,2006至2010年全国艾滋病患者因各种原因死亡的病例总数分别为1809例、5544例、9748例、12287例和18987例。其中,当年死亡病例分别为1723例、5445例、8603例、11253例和13981例。2010年死亡病例数是2006年的10倍多。
吴教授指出,艾滋病死亡病例主要分布在艾滋病病人与感染者报告例数较多的地区,分布与疫情严重程度基本相一致。过去5年艾滋病死亡病例报告增多的省共有16个。
他透露,一项对中国数万名艾滋病病人进行的为期5年临床研究发现,治疗过晚是患者最大的死亡风险因素。他强调,2002年实施免费抗病毒治疗前,中国内地艾滋病病人病死率为30/100人年至40/100人年,而目前总病死率已经降至18/100人年。其中接受抗病毒治疗的艾滋病病人的病死率已降至5/100人年,为发展中国家病死率最低水平。据初步估算,全国因抗病毒治疗减少或延缓而死亡的艾滋病患者总计约3万多人。
吴教授表示,未来5年,中国将在分析患者具体死因基础上,力推早发现、早治疗措施,展开更有针对性的防治工作,减少新发感染,进一步降低艾滋病病死率,以确保到2015年如期实现控制艾滋病疫情的千年发展目标。






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图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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Significant increase in the number of AIDS deaths in China ranks top infectious disease deaths
At 21:07 on May 16th, 2011 Source: Zhongguang Wang
News Agency Beijing May 16 (Xinhua has Liming) number of AIDS deaths each year in Mainland China is a substantial increase in deaths from infectious diseases has become "the first murderer." Ministry of Health outbreak report: Last year, 15,982 cases of reported AIDS cases, 7743 cases of death in the notifiable infectious diseases ranked first, starting in 2008, AIDS deaths have been living for 3 years, deaths from infectious diseases top.
AIDS experts, STD and AIDS Control and Prevention, China CDC Director of the Centre Professor Wu Zunyou today accepted an exclusive interview with our reporter, said the main reason for this phenomenon is: before the accumulation of HIV-infected persons have moved into the incidence of; a considerable part of the fear of infection lead to social discrimination, has not detected and remains hidden state. As the disease found late, when to late diagnosis, the patient was too late for antiviral therapy. 5 years of reported AIDS deaths, up to 80% of people had not received antiretroviral treatment.
National AIDS reporting system designed to provide the data, from 2006 to 2010 the National AIDS cases for various reasons, the total number of deaths were 1809 cases, 5544 cases, 9748 cases, 12,287 cases and 18,987 cases. Which, when the deaths were 1,723 cases, 5,445 cases, 8,603 cases, 11,253 cases and 13,981 cases. The number of deaths in 2010 was more than 10 times in 2006.
Professor Wu pointed out that the main distribution of AIDS deaths in HIV infected patients and the number of reported cases of large areas, distribution and severity of the epidemic is essentially the same. AIDS deaths over the past 5 years, the province reported a total of 16 more.
He disclosed that a study of tens of thousands of AIDS patients in China for a period of 5 years of clinical study found that patients treated late is the biggest risk factor for death. He stressed that in 2002, before the introduction of free antiretroviral treatment, AIDS patients in Mainland China to 40/100 person-year mortality rate was 30/100 person-years, while the current total mortality has been reduced to 18/100 person-years. Receiving antiretroviral treatment in which the mortality of AIDS patients has been reduced to 5 / 100 person-years, the lowest level of mortality in developing countries. According to preliminary estimates, the country due to anti-viral treatment to reduce or delay the AIDS death total of about 30,000 people.
Professor Wu said that the next 5 years, China will be the specific cause of death in patients in the analysis, based on pushing early detection, early treatment, expand more targeted prevention work to reduce new infections, to further reduce AIDS mortality in order to ensure that 2015 schedule to achieve the control of the AIDS epidemic in the Millennium Development Goals.
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