谢淑云, 王臻, 张垒, 凌锋, 龚震宇, 翁景清 . 1996-2005年浙江省肾综合征出血热监测结果分析[J]. 疾病监测, 2007, 22(3): 159-161. DOI: 10.3784/j.issn.1003-9961.2007.3.159
引用本文: 谢淑云, 王臻, 张垒, 凌锋, 龚震宇, 翁景清 . 1996-2005年浙江省肾综合征出血热监测结果分析[J]. 疾病监测, 2007, 22(3): 159-161. DOI: 10.3784/j.issn.1003-9961.2007.3.159
XIE Shu-yun, WANG Zhen, ZHANGLei, LING Feng , . Analysis on the surveillance results of hemorrhagic fever with renal syndrome in Zhejiang Province from 1996 to 2005[J]. Disease Surveillance, 2007, 22(3): 159-161. DOI: 10.3784/j.issn.1003-9961.2007.3.159
Citation: XIE Shu-yun, WANG Zhen, ZHANGLei, LING Feng , . Analysis on the surveillance results of hemorrhagic fever with renal syndrome in Zhejiang Province from 1996 to 2005[J]. Disease Surveillance, 2007, 22(3): 159-161. DOI: 10.3784/j.issn.1003-9961.2007.3.159

1996-2005年浙江省肾综合征出血热监测结果分析

Analysis on the surveillance results of hemorrhagic fever with renal syndrome in Zhejiang Province from 1996 to 2005

  • 摘要: 目的 探索浙江省近10年肾综合征出血热(HFRS)的流行规律,为制定防制策略提供科学依据.方法 采用描述流行病学方法分析出血热疫情,开展宿主动物监测,检测鼠密度和带病毒率.结果 1996-2005年浙江省累计报告出血热17 640例,年均发病率为3.85/10万,死亡81例,病死率为0.46%.病例主要分布在沿钱塘江两岸的浙东和浙西丘陵区,其中杭州、宁波、绍兴、衢州、台州发病较多,占全省发病总数的76.57%.每年5~7月和11月至翌年1月为流行高峰,分别占全年发病总数的31.88%和30.66%.年龄以20~59岁人群为主,占发病总数的69.48%,职业以农民为主,占78.95%,男女性别比为2.61:1.室外以黑线姬鼠为优势鼠种,带病毒率为2.98%,血清抗体阳性率为2.85%;室内以褐家鼠为优势鼠种,带病毒率为4.08%,血清抗体阳性率为5.61%.结论 浙江省出血热疫情总体呈逐年下降趋势,但一些县(市、区)发病率居高不下,仍需进行重点防控.

     

    Abstract: Objective The study was conducted to gain insight into the epidemiological characteristics of hemorrhagic fever with renal syndrome(HFRS)in Zhejiang Province in the last ten years so as to provide scientific basis for preventive measures. Methods Descriptive epidemiological approaches were used to analyze the disease, host surveillance was used to investigate the density and virus carried rate of the host animals. Results 17 640 cases of HFRS with 81 deaths was reported from 1996 to 2005 in Zhejiang Province, with the incidence of 3.85/lakh and mortality of 0.46%. The cases were primarily distributed among eastern and western highlands of Zhejiang along Qiantangjiang coast. Hangzhou, Ningbo, Shaoxing, Quzhou and Taizhou were cities that HFRS occurred most frequently, accounting for 76.57% of all cases. Predominating periods were May to July and November to January of the next year, cases accounting for 31.88% and 30.66%, respectively. People aged between 20 and 59 years old were the most easily affected, accounting for 69.48% of the total cases. Farmers were the majority with the rate of 78.95%. The ratio of male to female was 2.61∶1. Apodemus agrarius was the predominating species in the wild and the virus carried rate was 2.98%, serum antibody positive rate being 2.85%. Rattus norvegicus was the indoor predominating species, the virus carried rate being 4.08% and serum antibody positive rate 5.61%. Conclusion HFRS showed an annual declining trend in Zhejiang, while the incidence in some counties still stayed high. Specific control and prevention should be further conducted.

     

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