摘要
目的分析2013-2017年鞍山市流行性出血热监测资料,了解近5年鞍山市出血热流行变化趋势。方法采用描述性流行病学方法对鞍山市2013-2017年出血热监测资料进行统计学分析,在全市两个出血热监测点采用夹夜法捕获鼠形动物,分别取鼠肺和鼠血,用免疫荧光法和ELISA法检测汉坦病毒抗原和抗体,分析鞍山市鼠密度及其带病毒情况。结果2013-2017年鞍山市共报告出血热病例214例,发病呈现平稳态势。无暴发疫情,均为散发病例。发病集中在岫岩县和海城市,占发病总数的88.89%;发病有明显的季节性,呈现出春季和秋冬季两个季节高峰,秋冬峰高于春季峰;男性发病多于女性,男女性别比为2.82∶1;以青壮年居多;职业分布以农民、家务待业者为主。居民区、野外优势鼠种分别为褐家鼠和黑线姬鼠,鼠密度及鼠带病毒率相对稳定。结论2013-2017年鞍山市流行性出血热以散发为主,但危害人群仍为家庭主要劳动力。应加强防鼠灭鼠,疫苗接种,宣传教育等。
Objective To analyze the surveillance data of epidemic hemorrhagic fever(EHF)in Anshan City from 2013 to 2017,and to understand the epidemic trend of hemorrhagic fever in Anshan City in recent 5 years.Methods Descriptive epidemiological methods were used to statistically analyze the surveillance data of EHF in Anshan City from 2013 to 2017.Rats were captured at two monitoring points of hemorrhagic fever in Anshan City by night trapping method.Lung and blood of mice were taken respectively,and the Hantavirus antigen and antibody were detected by immunofluorescence and ELISA.The density of the rats in Anshan City and their virus status were analyzed.Results From 2013 to 2017,a total of 214 cases of EHF were reported in Anshan City,and the incidence showed a steady state.No outbreaks were caused,and all the cases were sporadic.The incidence was concentrated in Xiuyan County and Haicheng City,accounting for 88.89%of the total number of cases.The incidence of EHF had obvious seasonality,showing two peak seasons of spring and autumn winter periods.The peak of autumn winter was higher than that in spring.The incidence was higher in males than in females,with a male-female ratio of 2.82∶1,mostly young and middle-aged.The occupational distribution was mainly farmers and unemployed.The dominant species in the residential area and in the wild were Rattus norvegicus and Apodemus agrarius,and the murine density and the murine virus-carrying rate were relatively stable.Conclusion From 2013 to 2017,the epidemic hemorrhagic fever in Anshan City was mainly distributed,but the endangered population was still the main labor force of the family.Rodent control,vaccination,publicity and education should be strengthened.
作者
张慧园
李亚贤
石亚芝
张丰经
乔欣军
安海库
ZHANG Huiyuan;LI Yaxian;SHI Yazhi;ZHANG Fengjing;QIAO Xinjun;AN Haiku(The Second Hospital of Zhangjiakou City,Hebei075000,China)
出处
《医学动物防制》
2020年第2期115-118,共5页
Journal of Medical Pest Control
基金
2017年辽宁省重大公共卫生服务补助资金项目(辽财指[2017]449号).
关键词
流行性出血热
疫情
监测
Epidemic hemorrhagic fever
Epidemic situation
Surveillance
作者简介
通讯作者:张慧园(1986-),女,主管护师,研究方向:骨科护理,E-mail:147444639@qq.com
