周秀珍, 杨卫路, 刘维斯, 鲁恩洁, 李泽荣. 广州市2003年流行性感冒监测分析[J]. 疾病监测, 2004, 19(11): 405-409. DOI: 10.3784/j.issn.1003-9961.2004.11.405
引用本文: 周秀珍, 杨卫路, 刘维斯, 鲁恩洁, 李泽荣. 广州市2003年流行性感冒监测分析[J]. 疾病监测, 2004, 19(11): 405-409. DOI: 10.3784/j.issn.1003-9961.2004.11.405
ZHOU Xiuzhen. et al, . Analysis on Surveillance of Influenza in Guangzhou City in 2003[J]. Disease Surveillance, 2004, 19(11): 405-409. DOI: 10.3784/j.issn.1003-9961.2004.11.405
Citation: ZHOU Xiuzhen. et al, . Analysis on Surveillance of Influenza in Guangzhou City in 2003[J]. Disease Surveillance, 2004, 19(11): 405-409. DOI: 10.3784/j.issn.1003-9961.2004.11.405

广州市2003年流行性感冒监测分析

Analysis on Surveillance of Influenza in Guangzhou City in 2003

  • 摘要: 目的 通过对本市建立的流感监测网络所取得的 2003年流感监测结果对流感的流行趋势、病原学变化特点进行分析、总结。方法 流行病学监测 ,哨点医院每周填写流感样病例报表并上报 ;各区、县级疾控中心 (防疫站 )的流行病学医师对流感样暴发疫点进行个案调查并上报 ;病原学监测 ,监测点医院每周采集流感样病人漱口液 5 - 10份进行流感病毒分离 ;血清学监测 ,在 3、9月对一般人群血清作抗体水平监测 ,9月份对职业暴露人群进行人禽流感血清监测。结果 流行病学监测 ,全年报告暴发疫情 91起 ,罹患率在 0.35% -40.14 %之间。病原学监测 ,全年以H3N2 为优势流行株 ,B型流感病毒只引起散发病例或小暴发。血清学监测 ,3月和 9月两次监测结果表明在流感高峰前后 ,H1N1、H3N2 、B(维多利亚系 )亚型阳性率均较一致 (χ2 分别为0.82、2.01、1.34,P值均 >0.05 ) ,但B(巴拿马系 )抗体 9月高于3月 (χ2 =0.022 ,P 1N1、H3N2 、B(维多利亚系 )阳性率分别为 42.97%、88.21%和59.09%.禽H5H1检测为均为阴性,H9H2检出5份阳性,阳性率为1.89%.结论 本市2003年流感高发于春夏之交,全年以H3N2为优势流行株。

     

    Abstract: Objective To analysis and summarize the influenza epidemic tendency and the etiological characteristics on the basis of results made by the influenza-monitoring network in Guangzhou city in 2003. Methods Epidemiological surveillance, forms of influenza-like cases should be filled and filed weekly in monitoring point hospitals; individual cases of influenza-like disease should be surveyed and reported by CDC doctors at district and county level. Etiological surveillance, 5-10 portions of mouth rinsing liquid should be col-lected weekly from patients with influenza-like disease in monitoring point hospitals to do influenza virus sepa-ration. Serological monitoring,to monitor the antibody level of sera of common peoplie in March and Septem-ber;and to monitor the influenza sera of people vocationally exposed in poultry.Results 91 outbreak of in-fluenza epidemic were reported all the year,and the morbility rate was from 0.35% to 40%. For etiological monitoring,influenza A (H3N2)was found to be the predominant strain throughout year,and the influenza B only caused sporadic cases or small-scale outbreak.For serological surveillance,two results in March and September showed that,bef\ore and after the peak of influenza,positive rates of H1N1、H3N2、B (Victorian se-ries) sub types were identical (X2=0.82,2.01,1.34,P>0.05),but B (Panama series) antibody in Septent-ber was higher than that in March (X2=0.022,P1N1、H3N2、B were 42.97%、 88.21%、59.09%,respectively. The H5N1 test results of poultry were all negative. There were 5 positive H3N2 cases,and the positive rate was 1.89%.Conclusion High incidence of influenza occurred between spring and summer in 2003,and the H3N2 was the predominant epidemic strains in the whole year.

     

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