浙江省2013年肾综合征出血热流行特征及监测分析

doi:10.11853/j.issn.1003.4692.2015.01.009

中国媒介生物学及控制杂志 ›› 2015, Vol. 26 ›› Issue (1): 37-40.DOI: 10.11853/j.issn.1003.4692.2015.01.009

浙江省2013年肾综合征出血热流行特征及监测分析

张蓉, 姚苹苹, 徐芳, 孙继民, 吕华坤, 卢苗贵, 施旭光, 任江萍, 龚震宇

浙江省疾病预防控制中心, 杭州310051

收稿日期:2014-07-28 出版日期:2015-02-20 发布日期:2015-02-20
通讯作者: 龚震宇,Email: zhygong@cdc.zj.cn
作者简介:张蓉,女,医师,从事自然疫源性疾病研究,Emailrzhang@cdc.zj.cn
基金资助:
国家自然科学基金(81171609)

Analysis of epidemiological characteristics and surveillance of hemorrhagic fever with renal syndrome in Zhejiang province, China, 2013

ZHANG Rong, YAO Ping-ping, XU Fang, SUN Ji-min, LYU Hua-kun, LU Miao-gui, SHI Xu-guang, REN Jiang-ping, GONG Zhen-yu

Zhejiang Center for Disease Control and Prevention, Hangzhou 310051, Zhejiang Province, China

Received:2014-07-28 Online:2015-02-20 Published:2015-02-20
Supported by:
Supported by the National Natural Science Foundation of China(No. 81171609)

摘要/Abstract

摘要：

目的分析浙江省2013年肾综合征出血热(HFRS)疫情及宿主种群分布和带病毒情况,为制定下一步防控措施提供科学依据。方法采用描述性流行病学方法分析HFRS疫情三间分布特征,在全省5个HFRS监测点采用夹夜法捕获鼠形动物,分别取其肺和血清,用免疫荧光法检测汉坦病毒抗原和抗体,分析浙江省鼠形动物种群分布及其带病毒情况。结果 2013年浙江省共报告HFRS病例527例,发病率为0.9622/10万,比2012年升高了3.89%,无死亡病例。病例主要集中在宁波、台州、绍兴、衢州、丽水等地区,全省除舟山市外各地级市均有病例报告;发病高峰时间主要集中在5-6月和12月前后;浙江省HFRS的高发人群为20～65岁年龄组,占发病总数的93.17%(491/527);全省5个监测点鼠密度监测中共布放有效鼠夹13 785夹次,捕鼠546只,平均鼠密度为3.96%;共检测鼠血清678份,阳性80份,阳性率为11.80%;共检测鼠肺669份,阳性44份,带病毒率为6.58%,5个监测点HFRS抗体阳性率差异有统计学意义(χ²=30.962,P<0.05);HFRS病原携带率差异亦有统计学意义(χ²=9.83,P<0.05)。结论 2013年浙江省HFRS疫情较2012年有上升趋势,宿主动物密度和带病毒率较高,需采取措施进行预防控制。

关键词: 肾综合征出血热, 监测, 数据分析, 流行特征

Abstract:

Objective To analyze the epidemic situation of hemorrhagic fever with renal syndrome (HFRS) and the population distribution and virus-carrying status of the hosts in Zhejiang province, China, in 2013, and to provide scientific evidences for establishing further prevention and control measures. Methods The descriptive epidemiological method was used to analyze the three-dimensional (time, region, and population) distribution of HFRS. Rodents were captured by night trapping in five HFRS monitoring points in Zhejiang province. Lung and serum samples were collected followed by detection of hantavirus antigen and antibody using an immunofluorescence assay, and the rodent population distribution and virus-carrying status in Zhejiang province were analyzed. Results A total of 527 HFRS cases were reported in 2013 in Zhejiang province. The incidence rate was 0.9622/100 000, resulting in a 3.89% increase compared with 2012, and no death was reported. The cases were mostly seen in five cities (Ningbo, Taizhou, Shaoxing, Quzhou and Lishui), and all the prefectural level cities had cases reported except Zhoushan. There were two peaks of incidence, one in spring (May-June) and the other in winter (around December). The high-risk age group of HFRS was between 20 and 65 years, accounting for 93.17% of the overall incidence rate (491/527). A total of 13 785 effective traps were set in the five monitoring points, and 546 rodents were captured, so the average density of rodents was 3.96%. A total of 678 rodent serum samples were collected and 80 were positive (positive rate: 11.80%). A total of 669 lung samples were collected and 44 were positive (positive rate: 6.58%). There were significant differences in the positive rate of HFRS antibody and the virus-carrying rate between the five HFRS monitoring points (χ²=30.962, P<0.05 and χ²=9.83, P<0.05, respectively). Conclusion The incidence of HFRS in Zhejiang province in 2013 is on a rising trend compared with that in 2012, and the density of host animals and virus-carrying rate are both higher. Preventive measures should be taken into consideration to control the epidemic situation.

Key words: Hemorrhagic fever with renal syndrome, Surveillance, Data analysis, Epidemiological characteristics

中图分类号:

R373.3⁺2

张蓉, 姚苹苹, 徐芳, 孙继民, 吕华坤, 卢苗贵, 施旭光, 任江萍, 龚震宇. 浙江省2013年肾综合征出血热流行特征及监测分析[J]. 中国媒介生物学及控制杂志, 2015, 26(1): 37-40.

ZHANG Rong, YAO Ping-ping, XU Fang, SUN Ji-min, LYU Hua-kun, LU Miao-gui, SHI Xu-guang, REN Jiang-ping, GONG Zhen-yu. Analysis of epidemiological characteristics and surveillance of hemorrhagic fever with renal syndrome in Zhejiang province, China, 2013[J]. Chines Journal of Vector Biology and Control, 2015, 26(1): 37-40.

[1]	刘起勇. 2005－2020年我国媒介生物传染病报告病例：流行趋势、防控挑战及应对策略[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 1-7.
[2]	刘小波, 岳玉娟, 贾清臣, 赵宁, 郭玉红, 赵春春, 梁莹, 王君, 吴海霞, 刘起勇. 2020－2021年我国12省份媒介伊蚊生态学调查[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 8-15.
[3]	魏超, 马海芳, 廖宁, 熊绮梦. 广西壮族自治区2020－2021年登革热媒介伊蚊密度专项调查结果分析[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 25-29.
[4]	赵春春, 周欣欣, 李文玉, 伦辛畅, 刘小波, 吴海霞, 王君, 刘起勇, 孟凤霞. 2020年中国13省份登革热媒介白纹伊蚊抗药性监测及分析研究[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 30-37.
[5]	郑宇婷, 杨春梅, 杨明东, 姜进勇. 云南边境地区登革热媒介伊蚊生态学及抗药性监测[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 38-43.
[6]	赵鑫, 刘建华, 张皓. 三峡库区宜昌段1997－2020年鼠形动物监测报告[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 67-71.
[7]	王纯玉, 张家勇, 白玉银, 丁俊. 辽宁省2020年主要病媒生物监测结果分析[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 76-82.
[8]	闫青芳, 赵洪林, 姜健康, 杜桂英, 刘淑霞, 宁吉沪, 陈立勇, 王光伟. 山东省聊城市国家级监测点2018－2020年鼠类监测结果分析[J]. 中国媒介生物学及控制杂志, 2022, 33(1): 100-103.
[9]	曹阳, 韦凌娅, 邵汉文, 王慧敏, 孔庆鑫. 2019年杭州市蚊虫监测及生态学特征[J]. 中国媒介生物学及控制杂志, 2021, 32(6): 691-695.
[10]	樊金星, 张叶, 岳思宁, 赵奇, 刘吉起. 河南省2020年蝇类监测结果分析[J]. 中国媒介生物学及控制杂志, 2021, 32(6): 696-699.
[11]	罗兴, 刘艳春, 贾永朝. 四川省广元市2018－2020年登革热媒介伊蚊生态学特征分析[J]. 中国媒介生物学及控制杂志, 2021, 32(6): 705-709.
[12]	李希尚, 蔡文斌, 杨雁鸣, 董祖平, 王兴娟, 杨东海, 王加志, 尹授钦, 李胜国. 云南省腾冲市2015－2020年鼠疫监测结果分析[J]. 中国媒介生物学及控制杂志, 2021, 32(6): 710-714.
[13]	周济华, 张云智, 章域震, 杨卫红, 冯云. 云南省2012－2020年肾综合征出血热流行特征分析[J]. 中国媒介生物学及控制杂志, 2021, 32(6): 715-719.
[14]	孙钦同, 韩英男, 刘言, 赖世宏, 王学军, 康殿民. 应用自回归移动平均（ARIMA）模型预测山东省鼠密度趋势[J]. 中国媒介生物学及控制杂志, 2021, 32(6): 744-748.
[15]	张家林, 黄发源. 安徽省2015－2019年登革热媒介伊蚊监测结果分析[J]. 中国媒介生物学及控制杂志, 2021, 32(5): 582-585.

浙江省2013年肾综合征出血热流行特征及监测分析

Analysis of epidemiological characteristics and surveillance of hemorrhagic fever with renal syndrome in Zhejiang province, China, 2013

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价