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目的对2009年青神县狂犬病疫情流行病学调查分析,了解狂犬病发展的潜在诱发因素和狂犬病疫情真实动态,为下一步防控决策提供依据。方法采用流行病学个案调查和描述流行病学方法对疫情的资料进行分析。结果 2009年青神县发生2例狂犬病例,符合临床诊断病例,有犬伤暴露史,无疫苗免疫史,狂犬病临床症状典型,潜伏期均在30 d左右,2者无联系,无相关性,呈散在发病。疫点2007-09/2009-09既往2年犬伤暴露1 062人,伤口规范处理522人(49.2%),伤口未处理35人(3.2%);有507人注射了狂犬病疫苗,占犬伤人员的47.7%,555人未注射疫苗,占52.3%。结论青神县狂犬伤暴露者规范处理及疫苗注射率较低,有再次发生狂犬病病例的可能。
Objective To investigate the epidemiological analysis of rabies epidemic in Qingnian County in 2009, understand the potential predisposing factors for the development of rabies and the true dynamics of rabies epidemic, and provide the basis for further prevention and control decision-making. Methods Epidemiological case studies and epidemiological methods were used to analyze the epidemic data. Results Two cases of rabies occurred in Qingxian County in 2009, which were in accordance with clinical diagnosis, history of canine injury exposure, history of vaccine-free immunization, clinical manifestations of rabies, and latent period of 30 days. There was no correlation between them Disease. Outbreaks: 1 062 cases of canine injuries in the previous 2 years, 522 cases (49.2%) of wounds were treated and 35 cases of wounds were untreated (3%); 507 rabies vaccines 47.7% of personnel, 555 were not vaccinated, accounting for 52.3%. Conclusions The treatment of rabies-exposed dogs in Qingxian County is regulated and the vaccine injection rate is low, so there is a possibility of rabies re-occurring.