关键词: 肾综合征出血热, 流行病学, 疫区分型

Abstract:

Objective To determine the epidemiological characteristics, long-term trend and regional typing of hemorrhagic fever with renal syndrome (HFRS) in Huludao city, which would provide the basis for development of specific control strategies. Methods Epidemiological data on HFRS in the city were retrieved from the National Noticeable Infectious Disease Reporting System for the analysis. Indirect immunofluorescence assay (IFA) was performed to identify the Hanta viral antigen in rodent lung samples for the calculation of virus-carrying rates. The hemagglutination inhibition test was adopted to serotype the serum samples collected from patients at the recovery stage. Results Remaining at a high level since 1998, the HFRS incidence sharply declined from 2006. An onset peak in spring was noticeable, while the number of cases from February to June accounted for 61.37% of the overall patients. The young and middle-age male farmers were at a high risk of contracting the disease. The rat density and virus carrying rates were high, and the SEO serotype was identified from the recovering patients’ sera samples. Conclusion Noticeable decrease of the HFRS incidence in Huludao city was attributable to large-scale vaccination. The SEO serotype was prevalent in this region, while transformation into mixed-type was not yet observed. It is essential to intensify the rodent prevention and control measures and strengthen the observation of the long-term effect of vaccination among inoculated populations. Supplementary immunization may be conducted when necessary.

Key words: Hemorrhagic fever with renal syndrome, Epidemiology, Typing of endemic areas