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目的分析云南省德宏州狂犬病流行特征及防控效果,为防治策略的制定提供科学依据。方法收集德宏州动物和人间狂犬病疫情及防控工作资料,进行描述流行病学分析和防控效果评价。结果 2002～2010年德宏州发生动物狂犬病疫情52起,人狂犬病发病死亡17例,疫情波及3个县15个乡镇17个自然村;人间病例多因被狂犬咬伤后未进行规范处置而发病死亡,常发生由缅甸输入的狂犬病疫情;采取多部门联防联控,犬类“管、免、灭”为主的综合防控措施,疫情得到一定程度控制。结论德宏州存在狂犬病自然疫源地,犬间疫情常有发生,疫情态势仍较严峻;应全面落实宣传教育、规范暴露后预防处置和犬类管理、免疫以及防止境外疫情输入等综合防控措施。
Objective To analyze the epidemic characteristics and control effects of rabies in Dehong Prefecture of Yunnan Province and to provide a scientific basis for the development of prevention and control strategies. Methods The epidemic situation and prevention and control of rabies in animals and humans in Dehong Prefecture were collected, and the descriptive epidemiological analysis and prevention and control evaluation were carried out. Results From 2002 to 2010, there were 52 rabies epidemics in Dehong Prefecture, 17 rabies deaths in humans and 17 natural villages in 15 towns and 15 counties in 3 counties. The human cases were mostly moribund and were killed after being bitten by rabid dogs , And the incidence of rabies imported from Myanmar often occurred. The comprehensive prevention and control measures based on multi-departmental prevention and control, dog’s management, exemption and elimination were used to control the outbreak. Conclusion There is a natural epidemic area of rabies in Dehong Prefecture, and the canine epidemic situation often occurs, the epidemic situation is still grim; comprehensive implementation of publicity and education, normative post-exposure prevention and treatment and canine management, immunization, and prevention of foreign epidemic input should be implemented Measures.