调查研究

山东省淄博市2015年肾综合征出血热监测分析

展开
  • 1 淄博市疾病预防控制中心传染病防制所, 山东 淄博 255026;
    2 山东省疾病预防控制中心, 济南 250014
王玲,女,副主任医师,从事重点传染病防控工作,Email:lucywl120@sina.com

收稿日期: 2017-04-28

  网络出版日期: 2017-08-20

Surveillance and analysis of hemorrhagic fever with renal syndrome in Zibo,China,2015

Expand
  • 1 Zibo Center for Disease Control and Prevention, Zibo 255026, Shandong Province, China;
    2 Shandong Center for Disease Control and Prevention

Received date: 2017-04-28

  Online published: 2017-08-20

摘要

目的 分析山东省淄博市2015年肾综合征出血热(HFRS)流行特征、宿主分布及其携带病毒情况,为制定防控措施提供依据。方法 采用描述性流行病学方法分析2015年全市疫情资料,利用Excel 2007和SPSS 16.0软件对宿主动物监测数据进行统计学分析。结果 淄博市2015年报告HFRS病例84例,较2014年下降了35.88%,发病率为1.82/10万,死亡1例,病死率为1.19%。病例主要集中在沂源县和淄川区,占全市总病例数的72.62%,以中老年农民为主,45~69岁年龄组占总病例数的70.24%;发病高峰在3-5月和10-12月。小兽平均密度为5.99%,带病毒率为8.80%,室内以褐家鼠为优势种,室外以黑线姬鼠为优势种。共检出阳性鼠肺11份,均为秋季捕获的褐家鼠,均携带汉城型汉坦病毒。结论 淄博市HFRS发病呈下降趋势,疫情高发区(县)的小兽密度和带病毒率维持在较高水平,依然存在HFRS暴发流行风险,应继续加强重点地区的疫苗接种,落实防鼠灭鼠及健康教育等综合措施。

本文引用格式

王玲, 王涛, 张玲, 姜晓林, 王志强 . 山东省淄博市2015年肾综合征出血热监测分析[J]. 中国媒介生物学及控制杂志, 2017 , 28(4) : 392 -395 . DOI: 10.11853/j.issn.1003.8280.2017.04.024

Abstract

Objective To analyze the epidemic characteristics of hemorrhagic fever with renal syndrome(HFRS), the distribution and virus-carrying status of host animals in Zibo, China in 2015, so as to provide evidences for establishing prevention and control measures. Methods Descriptive epidemiological analysis was conducted on the incidence data of HFRS, Excel 2007 and SPSS 16.0 software were used to analyze the surveillance data of HFRS host animals. Results A total of 84 cases including one death were reported in the entire city in 2015, a decline of 35.88% compared with that in 2014, and the case fatality rate was 1.19%. The cases were distributed mainly in Yiyuan county and Zichuan district,which accounted for 72.62%. Middle and old-aged male farmers were the main victims in these cases. The age group of 45-69 accounted for 70.24% of the cases. Two peak seasons were observed in spring (March-May) and autumn-winter (October-December). The average rodent density was 5.99%, the virus-carrying rate was 8.80%. Rattus norvegicus was the predominant species of rodents in the residential areas. In the farm land, the predominant species was Apodemus agrarius. All the 11 lung samples isolated from R. norvegicus in autumn were positive as Soul virus. Conclusion The incidence rate of HFRS declined in Zibo city, but the rodent density and the virus-carrying rate were still high in some areas, the risk of HFRS outbreaks in these areas remains. It is necessary to strengthen immunization, rodent control and health education in high-endemic areas.

参考文献

[1] 王玲,崔峰,杨淑霞,等. 淄博市2006-2012年肾综合征出血热监测结果分析[J]. 现代预防医学,2014,41(12):2269-2271.
[2] 王涛,王玲,崔峰,等. 2013-2014年淄博市肾综合征出血热监测分析[J]. 现代预防医学,2016,43(3):552-554.
[3] 周健,郭雪艳,孙琳,等. 潍坊市肾综合征出血热流行规律及发病特征分析[J]. 现代预防医学,2015,42(21):3999-4001, 4021.
[4] 李涛,金长云,张华林,等. 1965-2014年江西省丰城市肾综合征出血热流行特征分析[J]. 现代预防医学,2016,43(3):397-399,407.
[5] 田丽丽,黎新宇,张秀春,等. 2005-2011年北京市肾综合征出血热病例的流行特征[J]. 中华疾病控制杂志,2013,17(5):407-409.
[6] 李意兰,景钦隆,曹庆,等. 2008-2014年广州市肾综合征出血热流行特征分析[J]. 疾病监测,2015,30(7):595-598.
[7] 王笑辰,胡建利,周伟忠,等. 江苏省2014年肾综合征出血热流行病学分析[J]. 江苏预防医学,2015,26(5):58-60.
[8] Wang L, Wang T, Cui F, et al. Hemorrhagic fever with renal syndrome, Zibo city, China, 2006-2014[J]. Emerg Infect Dis, 2016,22(2):274-276.
[9] 周航,牟笛,李昱,等. 2011-2013年中国肾综合征出血热流行特征分析[J]. 中国地方病防治杂志,2015,30(3):166-167.
[10] 李兰娟,任红,高志良,等. 传染病学[M]. 8版. 北京:人民卫生出版社,2013:77-86.
[11] 王芹,曲靖,张全福,等. 2013年全国肾综合征出血热疫情及监测分析[J]. 疾病监测,2015,30(6):440-447.
[12] 关鹏,吴伟,黄德生,等. 2004-2013年全国肾综合征出血热时空分布特点研究[J]. 中国媒介生物学及控制杂志,2016,27(2):124-127.
文章导航

/