杨卫红, 蒋晗, 冯云, 王娟, 潘虹. 2015-2019年云南省人间狂犬病流行特征及个案调查分析[J]. 疾病监测, 2022, 37(2): 220-223. DOI: 10.3784/jbjc.202103190137
引用本文: 杨卫红, 蒋晗, 冯云, 王娟, 潘虹. 2015-2019年云南省人间狂犬病流行特征及个案调查分析[J]. 疾病监测, 2022, 37(2): 220-223. DOI: 10.3784/jbjc.202103190137
Yang Weihong, Jiang Han, Feng Yun, Wang Juan, Pan Hong. Epidemiological characteristics and case investigation of rabies in Yunnan, 2015–2019[J]. Disease Surveillance, 2022, 37(2): 220-223. DOI: 10.3784/jbjc.202103190137
Citation: Yang Weihong, Jiang Han, Feng Yun, Wang Juan, Pan Hong. Epidemiological characteristics and case investigation of rabies in Yunnan, 2015–2019[J]. Disease Surveillance, 2022, 37(2): 220-223. DOI: 10.3784/jbjc.202103190137

2015-2019年云南省人间狂犬病流行特征及个案调查分析

Epidemiological characteristics and case investigation of rabies in Yunnan, 2015–2019

  • 摘要:
      目的  分析云南省人间狂犬病的流行特征及发病死亡情况,为云南省狂犬病防控提供科学依据。
      方法  收集2015 — 2019年云南省狂犬病相关疫情资料及个案调查表,建立数据库并绘制相关图表,运用描述性流行病学的方法进行分析。
      结果  2015 — 2019年云南省共报告狂犬病发病死亡167例,年均发病率为0.07/10万。 6 — 8月报告病例相对较多,各年发病高峰时间基本一致;男女性别比为2.21∶1,各年龄段均有发病,以农村中老年居民和儿童为主。 多数病例仍以犬咬伤为主,Ⅱ级以上暴露病例中仅有10例接种了狂犬病疫苗,其中148例病例的暴露时间较为明确,潜伏期中位数73 d,所有病例发病后病程中位数为3 d;有6例病例经实验室确诊。 无害化处理带病毒或疑似带病毒动物尸体31只。
      结论  云南省狂犬病发病呈逐年下降趋势,但疫区范围呈现扩大趋势,犬伤暴露后处置不规范,农村犬只管理不到位,因此狂犬病仍是云南省重要的公共卫生问题。

     

    Abstract:
      Objective  To analyze the epidemiological characteristics and morbidity and mortality of rabies in Yunnan province in recent five years, and provide scientific basis for the prevention and control of rabies in Yunnan.
      Methods  The incidence data of rabies in Yunnan from 2015 to 2019 were collected, a database was established and a chart was drawn. Descriptive epidemiological methods were used to analyze these data.
      Results  A total of 167 cases of rabies deaths were reported in Yunnan from 2015 to 2019, with an average annual incidence of 0.07/100 000. The cases were mainly reported from June to August, the annual incidence peak of the disease usually occurred in same period. The male to female ratio of the cases was 2.21∶1, and the cases occurred in all age groups, mainly in middle-aged and elderly residents and children in rural area. Most cases were still mainly caused by dog bite. Among the cases, 148 had clear exposure time, the median incubation period was 73 days, and the median course of disease after onset was 3 days. Six cases were laboratory confirmed. Only 10 of the cases with exposure Ⅱ or above were vaccinated with rabies vaccine. Thirty one dead animals with rabies virus or being suspected to carry virus were treated innocuously.
      Conclusion  The incidence of rabies in Yunnan decreased year by year, but the area affected expanded, the treatment after dog bite was not standardized, and the management of dogs in rural areas is not fully implemented. Therefore, rabies is still an important public health problem in Yunnan.

     

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