龚震宇, 傅桂明, 王臻, 翁景清, 赵芝雅, 陈恩富, 紫程良, 曾光. 2001~2003年浙江省肾综合征出血热监测分析[J]. 疾病监测, 2005, 20(2): 82-85. DOI: 10.3784/j.issn.1003-9961.2005.2.82
引用本文: 龚震宇, 傅桂明, 王臻, 翁景清, 赵芝雅, 陈恩富, 紫程良, 曾光. 2001~2003年浙江省肾综合征出血热监测分析[J]. 疾病监测, 2005, 20(2): 82-85. DOI: 10.3784/j.issn.1003-9961.2005.2.82
GONG Zhen-yu, FU Gui-ming, WANG Zhen, WENG Jing-qing, ZHAO Zhi-ya, CHEN En-fu, ZI Cheng-liang, ZENG Guang. Monitoring and Analysis on Hemorrhagic Fever with Renal Syndrome from 2001 through 2003 in Zhejing Province[J]. Disease Surveillance, 2005, 20(2): 82-85. DOI: 10.3784/j.issn.1003-9961.2005.2.82
Citation: GONG Zhen-yu, FU Gui-ming, WANG Zhen, WENG Jing-qing, ZHAO Zhi-ya, CHEN En-fu, ZI Cheng-liang, ZENG Guang. Monitoring and Analysis on Hemorrhagic Fever with Renal Syndrome from 2001 through 2003 in Zhejing Province[J]. Disease Surveillance, 2005, 20(2): 82-85. DOI: 10.3784/j.issn.1003-9961.2005.2.82

2001~2003年浙江省肾综合征出血热监测分析

Monitoring and Analysis on Hemorrhagic Fever with Renal Syndrome from 2001 through 2003 in Zhejing Province

  • 摘要: 目的 分析浙江省肾综合征出血热 (HFRS)监测数据 ,提出预防策略。方法 描述流行病学方法分析HFRS疫情 ,调查宿主动物 ,用直接免疫荧光法 (FA)检测HFRS抗原 ,用间接免疫荧光法 (IFA)测特异性IgG抗体。 结果 近 3年来全省HFRS病例总数为 4 2 4 0例 ,死亡 19例 ,发病率为 3 12 / 10万 ,病死率为 0 4 5 %。其中 2 0 0 3年发病数和死亡数与 2 0 0 2年相比分别下降36 76 %和 5 0 0 0 %。 2 0 0 2年比 2 0 0 1年发病下降 2 4 0 0 %。全省HFRS发病仍具有相对集中和稳定的特点 ,主要分布在钱塘江沿岸的浙东、浙西丘陵地带和浙南山区。绍兴、宁波和台州发病最多 ,占全省发病总数的 5 6 30 %。全年均有发病 ,其中 5~ 7月份 (12 76例 )和 11至翌年 1月份(1341例 )发病较多 ,分别占总数的 30 0 9%和 31. 6 3%。发病以 2 0~ 5 0岁人群为主 ,占发病总数的 6 8. 35 %。职业以农民为主 ,占 79 .34%。男女性别比 2 5 :1。病例的临床诊断符合率为8…

     

    Abstract: Objective Monitoring data of hemorrhagic fever with renal syndrome from 2001 to 2003 in Zhejiang Province were analyzed so as to provide scientific basis for the implementation of preventive measures against renal syndrome. Methods Descriptive epidemiological approaches were used to ana lyze the epidemic and investigate host animals:Direct immunofluorescence assay(FA)was adopted to determine HFRS antigen and indirect immunofluorescence assay(IFA)was used to determine specific IgG antibody. Results Within these 3 years,there were totally 4 240 eases of HFRS in the whole province with 19 cases of death and an incidence of 3.12/lakh and mortality of 0.45%,of which com-pared with 2002,the onsets and death cases of 2003 declined by 36.76%and 50.00%:the onsets of 2002 decreased by 24% compared with 2001. Throughout the whole province,the onset of HFRS still displayed a relatively convergent and stabilized trait,primarily distributed among eastern and western bighlands of Zhejiang along Qiantangjiang coast and southern mountainous area,Shaoxing,Ningbo and Taizhou were cities that HFRS occurred most frequently,accounting for 56.3% of the total.This dis ease occurred around the year with May to July(1 276 cases)and November to January of the next year (1 341 cases)as predominating periods,accounting for 30.1%and 31.6%,respectively. People aged between 20 and 50 years old were most easily affected,accounting for 68.3% of the total cases.As for occupation,farmers were the majority with a rate of 79.3%. The ratio of male to female was 2.5:1 The coincidence rate of clinical diagnosis in cases was 82.51%:the recessive infection rate of healthy population was 2.04%. The serological positive rate of mice was 11.76%:that of ducks was 23.26% Apodemus agrarius was the predominating species in the wild followed by brown rattus:Indoors,brown rattus was predominating. The virulence carriage rate of rat lungs was 15.55%.Conclusion The vir-ulence carriage rate of host animals ls relatively high and surveillance should be further strengthened.

     

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