朱碧柳, 麦炜, 邓鸿, 申文豪, 谭翰清, 陈惠欢, 陈志鹏, 周跃华. 广东省肇庆市怀集县人感染H7N9禽流感流行特征分析[J]. 疾病监测, 2014, 29(9): 696-699. DOI: 10.3784/j.issn.1003-9961.2014.09.007
引用本文: 朱碧柳, 麦炜, 邓鸿, 申文豪, 谭翰清, 陈惠欢, 陈志鹏, 周跃华. 广东省肇庆市怀集县人感染H7N9禽流感流行特征分析[J]. 疾病监测, 2014, 29(9): 696-699. DOI: 10.3784/j.issn.1003-9961.2014.09.007
ZHU Bi-liu, MAI Wei, DENG Hong, SHEN Wen-hao, TAN Han-qing, CHEN Hui-huan, CHEN Zhi-peng, ZHOU Yue-hua. Epidemiology of human infection with avian influenza A (H7N9) virus in Huaiji, Guangdong[J]. Disease Surveillance, 2014, 29(9): 696-699. DOI: 10.3784/j.issn.1003-9961.2014.09.007
Citation: ZHU Bi-liu, MAI Wei, DENG Hong, SHEN Wen-hao, TAN Han-qing, CHEN Hui-huan, CHEN Zhi-peng, ZHOU Yue-hua. Epidemiology of human infection with avian influenza A (H7N9) virus in Huaiji, Guangdong[J]. Disease Surveillance, 2014, 29(9): 696-699. DOI: 10.3784/j.issn.1003-9961.2014.09.007

广东省肇庆市怀集县人感染H7N9禽流感流行特征分析

Epidemiology of human infection with avian influenza A (H7N9) virus in Huaiji, Guangdong

  • 摘要: 目的 分析人感染H7N9禽流感病例的流行病学特征,评估活禽交易市场休市措施对疫情的影响。 方法 对广东省肇庆市怀集县人感染H7N9禽流感确诊病例临床表现和流行病学特征进行描述性分析,同时采用实时荧光定量反转录-聚合酶链反应(real time RT-PCR)对病例家庭禽类养殖环境、全县活禽交易市场休市前、休市后市场环境标本进行检测。 结果 怀集县共确诊人感染H7N9禽流感病例9例,无死亡病例。重症病例主要表现为重症肺炎,轻症病例以咳嗽、咽痛为主;分布在全县5个镇,年龄中位数为11岁(4~62岁)。全部病例均有明确的禽类接触史,4/9的病例有慢性基础性疾病;病例的164名密切接触者共有6人出现流感样症状,其中1人经确诊为人感染H7N9禽流感病例,考虑为同源暴露。休市前主城区H镇市场环境标本H7型阳性率为65.00%(52/80),休市后为3.49%(3/86);乡镇市场休市前为14.81%(12/81),休市后为0(0/111)。休市后全县人感染H7N9禽流感新发病例大幅度下降。 结论 9例人感染H7N9禽流感病例以轻症病例为主,4~11岁年龄组人群多发,病例均有明确的禽类接触史。采取暂停市场活禽交易等综合防控措施能有效控制疫情。

     

    Abstract: Objective To understand the epidemiology characteristics of human infection with avian influenza A (H7N9) virus in Huaiji county, Guangdong province and evaluate the influence of suspension of live poultry trade on the epidemic. Methods Descriptive epidemiological analysis was conducted on the incidence data of human infection with avian influenza A (H7N9) virus in Huaiji. Environmental samples were taken from the domestic poultry raising sites of the 9 cases and live poultry markets before and after closure to detect the nucleic acid of H7N9 virus with real-time PCR. Results A total of 9 cases of human infection with H7N9 virus were confirmed in Huaiji, no death case was reported. Severe pneumonia developed in severe cases and mild cases usually had cough and sore throat. The cases were distributed in five townships and the median age of the cases was 11 years (4-62 years).All the cases had exposures to poultry and 4 had chronic disease. Six of 164 close contacts of the 9 cases had influenza like symptoms, and 1 was confirmed to be infected with H7N9 virus, given the same source exposure. The H7 antibody positive rate of environment samples was 65.00% (52/80) in H townships and 14.81% (12/81) in other townships before the exposure of live poultry markets, but the H7 antibody positive rate of environmental samples was 3.49% (3/86) in H township and 0 (0/111) in other townships after the closure of live poultry markets. The case number of human infection with H7N9 virus declined obviously after the closure of live poultry markets in Huaiji. Conclusion All the 9 cases confirmed had mild infections with H7N9 virus, and children aged 4-11 years were mainly affected. All the cases had live poultry exposure histories. Comprehensive prevention and control measures, including the suspension of live poultry markets, could effective control the epidemic.

     

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