The prevalence of skeletal fluorosis and the management and treatment of patients in endemic fluorosis areas of Shaanxi Province in 2023
10.3760/cma.j.cn231583-20240319-00066
- VernacularTitle:2023年陕西省地方性氟中毒病区氟骨症流行及患者管理、治疗情况分析
- Author:
Min YANG
1
;
Xiaoqian LI
1
;
Qiongjie DING
1
;
Binbin CHEN
1
;
Panhong ZHANG
1
;
Ping CHEN
1
;
Chengbao CUI
1
;
Zhongxue FAN
1
;
Rong ZHOU
1
Author Information
1. 陕西省地方病防治研究所地方性氟砷中毒防研室，西安 710003
- Publication Type:Journal Article
- Keywords:
Skeletal fluorosis;
Epidemic characteristics;
Management;
Treatment
- From:
Chinese Journal of Endemiology
2025;44(8):684-688
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of skeletal fluorosis and the management and treatment of patients in endemic fluorosis areas of Shaanxi Province.Methods:From March to November 2023, in accordance with the requirements of the "2023 Monitoring Plan for Endemic Fluorosis in Shaanxi Province", the implementation of prevention and control measures of endemic fluorosis in Shaanxi Province was investigated. The data of patients with skeletal fluorosis from January to December 2023 were downloaded from Shaanxi Province Endemic Disease Control Information Management Platform, and the epidemiological characteristics were analyzed. At the same time, the management and treatment of patients with skeletal fluorosis in endemic fluorosis areas of Shaanxi Province were carried out in accordance with the requirements of the "Shaanxi Province Endemic Disease Patient Management Service Specification".Results:In 2023, there were 10 drinking water-borne endemic fluorosis cities in Shaanxi Province, involving 3 715 endemic villages, including 3 650 water improvement villages with a water-improving rate of 98.25%. There were 2 coal-burning-borne endemic fluorosis cities in Shaanxi Province, involving 641 746 households in 1 414 endemic villages. Among them, 641 617 households had changed their furnaces and stoves, with a furnace and stove change rate of 99.98%. There were 37 462 patients with skeletal fluorosis in the province, with 35 792 from drinking water-borne endemic fluorosis areas and 1 670 from coal-burning-borne endemic fluorosis areas. The condition was mainly mild and moderate (94.12%, 35 258/37 462), with females accounting for 55.13% (20 654/37 462). The education level was mainly primary school and illiteracy (83.64%, 31 333/37 462), and the occupation was mainly farmers (99.29%, 37 196/37 462). A total of 37 116 patients with skeletal fluorosis were followed up and managed, with a management rate of 99.08% (37 116/37 462). A total of 35 756 patients were managed in a standardized manner, and the standardized management rate was 96.34% (35 756/37 116). A total of 30 649 patients with skeletal fluorosis were actually treated, with a treatment rate of 84.27% (30 649/36 370) and a total effective rate of 98.08% (30 062/30 649).Conclusion:In 2023, the prevalence of skeletal fluorosis in endemic fluorosis areas of Shaanxi Province is mainly mild and moderate, with a wide coverage of community management and a high level of treatment efficiency.
