季群伟, 雷林海, 张庆梅, 夏晓雷, 翁景清, 龚震宇. 龙游县流行性出血热地理流行病学研究[J]. 疾病监测, 2003, 18(3): 88-94. DOI: 10.3784/j.issn.1003-9961.2003.3.88
引用本文: 季群伟, 雷林海, 张庆梅, 夏晓雷, 翁景清, 龚震宇. 龙游县流行性出血热地理流行病学研究[J]. 疾病监测, 2003, 18(3): 88-94. DOI: 10.3784/j.issn.1003-9961.2003.3.88
JI Qunwei. et al, . Study on the Geographic Epidemiological Charactristics of Epidemic Hemorrhagic fever in Longyou County[J]. Disease Surveillance, 2003, 18(3): 88-94. DOI: 10.3784/j.issn.1003-9961.2003.3.88
Citation: JI Qunwei. et al, . Study on the Geographic Epidemiological Charactristics of Epidemic Hemorrhagic fever in Longyou County[J]. Disease Surveillance, 2003, 18(3): 88-94. DOI: 10.3784/j.issn.1003-9961.2003.3.88

龙游县流行性出血热地理流行病学研究

Study on the Geographic Epidemiological Charactristics of Epidemic Hemorrhagic fever in Longyou County

  • 摘要: 目的 掌握龙游县流行性出血热地理流行病学 ,为预防与控制流行性出血热的流行 ,制定防制对策提供依据。方法 根据流行性出血热的流行史 ,选择南区开展宿主动物调查 ,采集病人血清进行分型鉴定 ,采集健康人群血清进行流行性出血热疫苗免前、免后以及加强免疫后的IFA抗体和中和抗体滴度检测 ,随机将 16- 60岁人群分为接种组和对照组观察疫苗的流行病学防病效果。结果 龙游县自 1968年首次报告流行性出血热至 2 0 0 1年共发病 3 70 3例 ,年均发病率为 3 0 2 5 10万 ,病死 76例 ,病死率为 2 0 5 % ,每年 11月 -次年 1月和 5 -7月为发病高峰季节 ,发病以青壮年男性农民为主 ,多为姬鼠 (Ⅰ )型流行性出血热 ;流行性出血热疫苗推广使用后 ,疫情得到有效控制 ,疫苗 6年平均保护率为 94 .32 % ,免后当年发病数减少为 3 3例。结论 龙游县属于以姬鼠 (Ⅰ )型为主的混合型流行性出血热疫区 ,疫苗是安全有效的 ,有较好的血清学效果和流行病学防病效果。

     

    Abstract: Objective To study the geographic epidemiological charactristics of epidemic hemorrhagic fever in Longyou county.Methods Animal hosts in southern area were investigated. The serum of the patients were collected to be identified. The test group and controlled group were sampled from the people at the age of 16 to 60. To measure the effectiveness of the vaccine, the serum antibody titer of the inoculated was tested by the method of IFA and MCPENT before inoculation and after inoculation and boosted inoculation.Results 3 703 cases were reported from 1968 to 2001 in Longyou county,and the incidence rate was 30.35/100 000 annually.76 patients died and the fatality rate was 2.05%.Epidemic hemorrhagic fever was primarily a diease of the male peasants of the youth adults.Most infections happened in November to next January and May to July,Apodemus mode was the main type.The infection was in control after the vaccine was used,only 33 cases of epidemic hemorrhagic fever occurred in the year after inoculation and the protection rate of 6 years was 94.32%.Conclutions Longyou county belonged to mixed epidemic area of epidemic hemorrhagic fever and the Apodemus mode was primary,the vaccine had a distinct epidemiological effectiveness of prevention.

     

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