高贵华, 邢卫东, 马树波. 北京市昌平区肾综合征出血热监测分析[J]. 疾病监测, 2003, 18(5): 171-174. DOI: 10.3784/j.issn.1003-9961.2003.5.171
引用本文: 高贵华, 邢卫东, 马树波. 北京市昌平区肾综合征出血热监测分析[J]. 疾病监测, 2003, 18(5): 171-174. DOI: 10.3784/j.issn.1003-9961.2003.5.171
GAO Guihua. et al, . Analysis on Surveillance of Hemorrhagic Fever with Renal Syndrome in The Changping District of Beijing City[J]. Disease Surveillance, 2003, 18(5): 171-174. DOI: 10.3784/j.issn.1003-9961.2003.5.171
Citation: GAO Guihua. et al, . Analysis on Surveillance of Hemorrhagic Fever with Renal Syndrome in The Changping District of Beijing City[J]. Disease Surveillance, 2003, 18(5): 171-174. DOI: 10.3784/j.issn.1003-9961.2003.5.171

北京市昌平区肾综合征出血热监测分析

Analysis on Surveillance of Hemorrhagic Fever with Renal Syndrome in The Changping District of Beijing City

  • 摘要: 目的了解掌握肾综合征出血热 (HFRS)的流行规律 ,评价防治效果 ,制定合理的防治措施。方法HFRS病例诊断依据为“《中华人民共和国传染病防治法》规定管理的传染病诊断标准” ,经流行病学调查个案核实而确定。用夹夜法测定鼠密度 ,鉴定鼠种 ,采用直接免疫荧光法 (FAT)检测HV抗原抗体 :无菌采集疫区内完成基础免疫两周健康者 2毫升的静脉血 ,用间接免疫荧光法 (IFAT)检测荧光抗体。结果 1998- 2002年发病率波动在 0.49- 7.4010万 ,本地居民与流动人口HFRS发病差异显著 ( χ2 =31.69,P <0.0 1) ,出现春季高峰 ,15 - 50岁青壮年高峰 ,男女性别比为 1∶0.26,轻中型病例占 87.10 % ,预防接种抗体阳转率 96.61% ,褐家鼠占捕获总数的87.06% ,鼠密度为 5.07% ,2001年的病毒携带率最高为 6.98%。结论昌平区HFRS发病率呈迅速增长趋势 ,褐家鼠为优势鼠种 ,应开展以流动人口为主要对象的预防接种工作。

     

    Abstract: Objective To understand and master the prevailing law of Hemorrhagic Fever with Renal Syndrome (HFRS). Methods The basis of Diagnosis of Hemorrhagic Fever with Renal Syndrome was the diagnostic standard of 《the People's Republic of China Infectious Disease Prevent and Cure Law》. The antibody of HV was determined with direct Immunofluorescent Antibody (IFAT): gather 2ml the vein blood of health person who completed the basic immunity 2 weeks, and adopt the Indirect Immunofluorescent Antibody (IFAT). Results The fluctuation range of the incidence rate was 0.49-7.40/100 000 during 1998-2002.There was a remarkable difference quality between the HFRS of local and floating population (x2=31.69,P<0.01),and appeared the spring peak and the youth(15-50)peak.The sex ratio between men and women was 1:0.26, and the rotating rate of antibody was 96.61%,Ratus norvegicus was 87.06% of the total amount and the density of it was 5.07%.The proporting of rats with virus in 2001 was the highest(6.98%).Conclusion The incidence of HFRS in Changping district showed a tendency to increase rapidly.Rattus norvegicus was the advantage species of rats.The focal point in the future should be the work of the immunity inoculating of regarding floating population as the main target.

     

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