摘要目的 分析湖北省燃煤污染型氟中毒控制和消除考核验收情况.方法 2012-2014年在湖北省6个县(市)501个历史燃煤污染型氟中毒病区村,对改良炉灶及使用情况、玉米辣椒正确干燥情况和8～12岁儿童氟斑牙患病情况进行县级自查和省级抽查复核,根据《地方性氟中毒病区控制标准》(GB 17017-2010)和《燃煤污染型氟中毒病区消除标准》对病区进行判定.结果 县级自查结果:合格改良炉灶率、合格炉灶正确使用率和供人食用玉米辣椒正确干燥率均在98％以上,儿童氟斑牙检出率为7.73％(2 319/30 003).省级复核结果:合格改良炉灶率、合格炉灶正确使用率和供人食用玉米辣椒正确干燥率均在99％以上,儿童氟斑牙检出率为8.25％(353/4277).县级自查与省级复核病区村判定结果一致率为88.89％(48/54).湖北省5个病区县(市)达到病情控制或消除标准,1个病区县未达到控制标准.结论 湖北省燃煤污染型氟中毒病区范围缩小,病情明显减轻.

abstractsObjective To investigate and analyze the examination and acceptance results for coalburning-borne endemic fluorosis control and elimination in Hubei Province.Methods A county-level selfinspection and a provincial-level spot-check were conducted to investigate the status of improved-stove usage,the situation of correctly drying corn and chili,and the dental fluorosis prevalence among children aged 8 to 12 in 501 historic coal-burning-borne endemic fluorosis villages of 6 counties (cities) in Hubei Province from 2012 to 2014.The endemic areas were selected according to the "Control Standards of Endemic Fluorosis in Endemic Areas" (GB 17017-2010) and "Eliminating Standards of Coal-burning Type Endemic Fluorosis".Results The results of county-level inspection showed that the qualified rates of improved stoves,the correct-usage rates of qualified stoves,and the correctly drying rates of corn and chili were all higher than 98％ in targeted villages,and the prevalence rate of dental fluorosis of children was 7.73％ (2 319/30 003).The results of provincial-level recheck were more than 99％ and 8.25％ (353/4 277),respectively.The results of county-level inspection were of good consistency with those of provincial-level recheck (88.89％,48/54).Five counties (cities) but one had met the standard of fluorosis control or elimination.Conclusion Coal-burning-borne endemic fluorosis scope in Hubei Province is narrowed greatly and the prevalence rates are decreased significantly.