Analysis of STD epidemic in Henan Province in 1993 -

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STD epidemic of 1993 in Henan Province

Cases (5.15). 3 Analysis and discussion of the epidemic 3.1J993 than the number of cases reported in 1992, the number of reports of Preventive Medicine Volume 5, 1994 4 231 * significantly reduced, but the order of the disease has not changed. STD gonorrhea accounted for the province is still the first, but with 92 years (fall 5433), lower than 4O%; genital warts comparing the composition of 92 (20.85) increased; syphilis cases increased by 53 than 92 years cases; chancroid than 92 years (2 cases) increased considerably, and solid-primary health care units of limited testing, the diagnosis of chancroid can only make a diagnosis of clinical presentation and medical history + is wrong,[link widoczny dla zalogowanych], but also further confirmed to be in the future. It is worth mentioning the reasons for the increase in syphilis cases in blood donors found to increase in cases, such as in Jiaozuo City in 2489 were detected in 6 blood donors positive for syphilis were down, after investigation by tracking syphilis cases diagnosed. These cases prompted the increase in STD prevention and control in the future we should pay attention to strengthening the management of blood donors, timely screening for syphilis serology helmet. Otherwise, innocent people will lead to the occurrence of syphilis. In addition, because of the indiscriminate use and misuse of antibiotics, some people also carry out preventive medication, the incidence of syphilis in the process and lead to atypical symptoms, so doctors in a timely manner taking into account the disease syphilis, caused difficulties for clinical diagnosis,[link widoczny dla zalogowanych], which will result in misdiagnosis or the occurrence of missed diagnosis. Recommended levels of anti-personnel should pay close attention in the clinical occurrence of atypical cases, containing suspicious persons to conduct the inspection syphilis in order to avoid missing the true venereal syphilis cases were concentrated in the 3.2 age group 2039 , accounting for 67.15 of the total cases, while 21.1�� Age unknown proportion in this age group is not small from the marriage state statistics are 18.59 for the unmarried young people, who declined to give marital status, 31 , 53. Shows a higher incidence of sexually transmitted diseases in these young people, enhance the education of these groups is the key to controlling sexually transmitted diseases epidemic. These people go out more. High sexual desire, some people still remember the lessons repeatedly sick. So these people should strengthen ideological education, and should publicize the dangers of sexually transmitted diseases. Young people's sexual morality is only right and establish a good chastity, so be sure that the education and through the legal system, tackling the problem in order to effectively control the prevalence of sexually transmitted diseases, sexually transmitted diseases reported in the number of 3.31993 compared to 1992 decreased 35. 02, but lower than the sum of the first six years of monitoring up 20.93 reduction in the number of reported sexually transmitted diseases for the following reasons I believe that; First, STD 6 pocket short special funds, to make propaganda, training, monitoring, collection and so the epidemic is limited . Second, the professional organization of prevention is not perfect, of anti-personnel and not less fixed. Some urban land consolidation with the establishment of specialist out-patient contracting sexually transmitted diseases, so that the limited nature of the work of defense, who can only meet the patient can no longer carry out social control; of anti-personnel are not fixed and the report of sexually transmitted diseases and lead to sexually transmitted disease prevention and control the transfer of incomplete data retention. Third, medical units and medical staff at all levels of the legal system indifferent. Some hospitals do not register to see sexually transmitted diseases, some doctors trouble, through the grounds of patient confidentiality, non-registration of confirmed cases not reported, but many small hospitals and individual hospitals this phenomenon is even more serious STD clinics, sexually transmitted diseases, how many patients were leakage summarized,[link widoczny dla zalogowanych], difficult to estimate. Study the above reasons, to control sexually transmitted diseases epidemic, in addition to strengthening their leadership and STD prevention investment, should strengthen the management of STD diagnosis and treatment of any medical units at all levels, and individual hospitals subject to health administrative departments and STD prevention and control of professional licensing bodies, those who meet the conditions of clinic diagnosis and treatment of sexually transmitted diseases, permits issued to health administrative departments to supervision and inspection, of anti-professional organizations should provide technical guidance and timely collection of non-implementation of the epidemic,[link widoczny dla zalogowanych], education, and penalty or ban, the legal system toward prevention and treatment of sexually transmitted diseases, which control the spread of sexually transmitted diseases may play a role (Continued from page 239) education. To ensure the effect of health administrative departments at all levels should have clear objectives and measures, so that plans, funds and personnel to implement the three. 4.4 to strengthen the existing human, material and financial resources, scientific management, to the current basis, tap potentials. With reasonable resources to maximize limited resources to satisfy the people on preventive health care services. 5

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