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目的分析1986-2008年沧州市肾综合征出血热(HFRS)疫情动态,评价预防控制措施效果。方法对资料进行描述,分析HFRS疫情动态、流行特征及相关监测结果。结果沧州市HFRS疫情呈现从低发、波动上升、下降的流行趋势。1986年首次报告该病,1999年和2002年出现2个高峰,发病率分别为14.78/10万和14.51/10万,其中89%的县(市)处在中发县标准以上,发病率在6.93/10万~42.02/10万之间,男女发病之比为2.07∶1,发病年龄向低龄和高龄两端延伸,病例主要分布在15~64岁之间,占91.37%。监测人群抗体平均阳性率为8.69%;平均鼠密度为2.20%;平均鼠带病毒率为8.61%。结论通过贯彻“灭鼠和免疫并重”策略,加强监测预警,结合健康教育等综合性防控措施,HFRS得到有效控制,2006年后发病率保持在1/10万以下。
Objective To analyze the epidemic situation of hemorrhagic fever with renal syndrome (HFRS) in Cangzhou City from 1986 to 2008 and evaluate the effect of prevention and control measures. Methods The data were described and the epidemic situation, epidemic characteristics and related monitoring results of HFRS were analyzed. Results The epidemic situation of HFRS in Cangzhou City showed a trend from low incidence, fluctuation rise and fall. The disease was first reported in 1986 with two peaks in 1999 and 2002, with incidences of 14.78 / lakh and 14.51 / lakh respectively, of which 89% (counties) were above the Zhongfa County standard with a prevalence of Between 6.93 / 100000 and 42.02 / 100000, the ratio of male to female incidence was 2.07:1. The age of onset was extended to the lower and advanced ends. The cases mainly distributed between 15 and 64 years old, accounting for 91.37%. The average positive rate of antibody in surveillance population was 8.69%; the average rat density was 2.20%; the average rate of virus in mice was 8.61%. Conclusion The HFRS is effectively controlled through implementing the strategy of “equal control of both rodent and immunity”, strengthening monitoring and early warning and combining with comprehensive prevention and control measures such as health education. The incidence of HFRS remains below 1/100000 after 2006.