中国媒介生物学及控制杂志 ›› 2009, Vol. 20 ›› Issue (1): 59-61.

• 疾病控制 • 上一篇    下一篇

1980-2006年平邑县肾综合征出血热流行病学调查

李建华1, 杨冰一2, 何伟3   

  1. 1 济南钢铁集团总公司卫生防疫站(济南 250101); 2 四川大学华西公共卫生学院; 3 济南钢铁集团职工总医院
  • 收稿日期:2008-09-07 出版日期:2009-02-20 发布日期:2009-02-20
  • 作者简介:李建华(1969-),男,山东临沂人,硕士,主管医师,主要从事传染病防治工作。

Epidemiological investigation on hemorrhagic fever with renal syndrime in Pingyi county from 1980 to 2006

 LI Jian-Hua, YANG Bing-Yi, HE Wei   

  1. Sanitation and Anti-epidemic Station of Jinan Iron and Steel Group, Jinan, Shandong 250101, China
  • Received:2008-09-07 Online:2009-02-20 Published:2009-02-20

摘要:

  【摘要】 目的 了解山东省平邑县肾综合征出血热(HFRS)的流行趋势, 为制订综合防治措施提供科学依据。 方法利用平邑县1980-2006年HFRS发病资料、宿主动物监测资料等,应用描述流行病学分析方法进行流行趋势分析。结果 1980-2006年共报告HFRS病例9519例,年均发病率26.28/10万,死亡277例,病死率2.91%,发病率高峰期出现在1992-1998年;HFRS发病呈周期性变化,流行周期3~5年,主要集中于春季和秋冬季,高发区域多位于河网平原地带,病例以男性青壮年农民为主;病死率呈下降趋势,秋冬季病死率大于春季。鼠密度高峰在第3季度,鼠带病毒率第4季度最高。结论 平邑县HFRS的流行呈现出周期性、季节性和人群聚集性的特点。近年来,HFRS发病率和病死率虽有较大下降,但人群发病率、鼠密度和鼠带病毒率仍维持在较高水平。为控制HFRS的流行,必须实施以“灶点灭鼠”、重点人群接种HFRS疫苗为主的综合性防制措施。

关键词: 肾综合征出血热, 流行病学调查

Abstract:

  【Abstract】 Objective Analyze the prevalent trend of hemorrhagic fever with renal syndrome(HFRS) in Pingyi county, and provide scientific basis for prevention and control of the disease. Methods Epidemiological trends of HFRS in Pingyi county was analyzed with the method of descriptive epidemiology based on the HFRS case data and the surveillance information of host from 1980 to 2006. Results From 1980-2006, there were 9519 cases of HFRS were reported, the average annual incidence rate of this disease was 26.28/100 000, and 277 cases were died with the morbidity of 2.91%. The peak of incidence rate was from 1992 to 1998. The prevalence of HFRS varied periodically and the prevalence period was about 3-5 years, which mostly focused on the spring, fall and winter. It often occurred in low plains with rivers, and the patients were mostly the males who were young and strong. The prevalence trend gradually decreases, and its mortality in autumn and winter was higher than in spring. The rodent density was in the peak in the third quarter and the rate of rodent carrying virus was the highest in the fourth quarter. Conclusion The prevalence of HFRS in Pingyi county had the characteristic of periodicity, seasonal and multitudinous. In recent years, though the HFRS morbidity and incidence rate gradually decreased, the crowd morbidity, mice density and the rate of mouse carrying virus still maintained at the high level. In order to control HFRS, the integrated control measure must be taken including deratization  in the spot and the inoculation of HFRS vaccine in the key crowd.

Key words: Hemorrhagic fever with renal syndrome, Epidemiological investigation

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