[Epidemiological characteristics of pesticide poisoning in Xuzhou city from 2005 to 2017].

Objective: To understand the characteristics and causes of pesticide poisoning in Xuzhou city, and provide basis for formulating prevention and control measures. Methods: The cases of pesticide poisoning in Xuzhou City from 2005 to 2017 were collected from "Pesticide Poisoning Report Card" . The data were analyzed and assessed by EpiData. The SPSS 22.0 software was used for statistical analysis. Results: During the thirteen years, there were a total of 8092 cases of pesticide poisoning, among which, the number of occupational pesticide poisoning was 1 408, accounting for 17.4% of the total number of cases, 14 patients died, the case fatality rate was 0.1%. There were 2, 992 cases of male poisoning, accounting for 36.97% of the total number of cases, and 5, 100 cases of female poisoning, accounting for 63.03%. There were 6684 non-productive pesticide poisonings, accounting for 82.6% of the total number of cases; 387 deaths occurred, and the mortality rate was 5.8%. Among non-productive poisonings, the incidence of oral pesticide poisoning was 84.3%, and the incidence of accidental poisoning by pesticides was 15.7%. Organophosphorus pesticides poisoning cases accounted for the majority of oral pesticide poisoning cases. The overall incidence of pesticide poisoning showed a downward trend. The age of non-productive pesticide poisoning cases was mainly 15-44 years old, and the number of cases of poisoning were 4 029 cases (60.28%) . With the increase of age, the mortality rate of poisoning cases was higher, especially for those over 60 years old who died of oral pesticide poisoning (40.1%) . The peak of pesticide poisoning began to increase in the second quarter and reached its peak in the third quarter. Conclusion: Although the cases of pesticide poisoning reported in Xuzhou City have been declining in recent years, the situation is still severe. The proportion of oral pesticide suicide accounts for a large proportion, and the mortality rate of elderly and female is relatively high, and the government should pay more attention. Workers should conduct safety education and psychological counseling to improve the knowledge and consciousness of safe use of pesticides.目的： 了解徐州市农药中毒发生的特点和原因，为制定预防控制措施提供依据。 方法： 于2018年3月，通过国家职业病直报系统导出徐州市2005至2017年报告农药中毒病例，用Epi Data数据库对数据进行汇总分析和质量评估，用SPSS 22.0软件进行统计分析，两组或多组资料率的比较采用χ(2)检验。 结果： 2005年至2017年徐州市共上报8 092例农药中毒病例，其中，生产性农药中毒1408例（占17.4%），死亡14例，病死率为0.1%。非生产性农药中毒6 684例（占82.6%），死亡387例，病死率为5.8%。农药中毒病例总体呈现下降趋势，农药中毒流行高峰在每年第2季度开始增加，于第3季度达到高峰。非生产性农药中毒病例的年龄以15~44岁为主，随着年龄的增长，中毒病例的病死率升高，60岁以上人群因口服农药中毒死亡的例数最多（40.1%）。在非生产性农药中毒中，口服农药中毒的报告率为84.3%，误服农药中毒的报告率为15.7%。 结论： 徐州市近年来报告农药中毒病例呈现下降趋势，但形势依然严峻。口服农药自杀人数所占比重较大，其中老年人与女性的病死率较高，政府应高度关注。.