邱波, 苏航. 青岛市1979~2004年肾综合征出血热流行动态分析[J]. 疾病监测, 2005, 20(12): 635-639. DOI: 10.3784/j.issn.1003-9961.2005.12.635
引用本文: 邱波, 苏航. 青岛市1979~2004年肾综合征出血热流行动态分析[J]. 疾病监测, 2005, 20(12): 635-639. DOI: 10.3784/j.issn.1003-9961.2005.12.635
QIU Bo, SU Hang. Dynamic Analysis on Epidemic of Hemorrhagic Fever with Renal Syndrome from 1979 to 2004 in Qingdao[J]. Disease Surveillance, 2005, 20(12): 635-639. DOI: 10.3784/j.issn.1003-9961.2005.12.635
Citation: QIU Bo, SU Hang. Dynamic Analysis on Epidemic of Hemorrhagic Fever with Renal Syndrome from 1979 to 2004 in Qingdao[J]. Disease Surveillance, 2005, 20(12): 635-639. DOI: 10.3784/j.issn.1003-9961.2005.12.635

青岛市1979~2004年肾综合征出血热流行动态分析

Dynamic Analysis on Epidemic of Hemorrhagic Fever with Renal Syndrome from 1979 to 2004 in Qingdao

  • 摘要: 目的掌握青岛市肾综合征出血热流行特征和发病趋势,指导防治工作。方法对1979~2004年的监测资料进行分析。结果1979~2004年,青岛市出血热疫区由小到大,由南向北不断扩散蔓延,年发病率波动在0.20/10万~33.34/10万之间,平均为7.39/10万,病死率为5.16%。1983~1987年、1998~2000年出现流行高峰,高峰年份分别为1986和1999年。1986年发病率和病死率分别为33.34/10万和4.74%,1999年分别为14.28/10万和1.80%。郊区五市和黄岛区发病、死亡分别占发病和死亡总数的98.57%和95.67%。黄岛、胶南、胶州、平度和即墨年均发病率分别为35.24/10万、18.90/10万、13.58/10万、9.87/10万和6.62/10万。冬季高峰一般从10月份开始,11或12月份达最高,次年1月下降;春季高峰不明显。各年龄组均有发病,最小2岁,最大85岁,20~60岁年龄组占78.41%,农民占83.06%,男性为女性的2.53倍。黑线姬鼠、褐家鼠分别是野外和居民区的优势种,荧光抗体检测发现黑线姬鼠、大仓鼠、黑线仓鼠、褐家鼠和小家鼠带毒,居民区和野外均以褐家习带毒率最高。结论 青岛市部分地区肾综合征出血热发病率仍然较高,应采取综合性措施,加强防治。

     

    Abstract: Objective The present stody was conduced to know about the epidemic charactedstics and prevalence trend of hemorrhagic fever with renal syndrome in order to guide the prevendon and control of the disease Mnthods Data obtained through monitoring from 1979 to 2004 were analyzed.Results The affected area in Qingdao constantly expanded from south to north between 1979 and 2004.The incidence rate fluctuating between 0.20/lakh and 33.34/lakh with an average of 7.39/lakh.And the mortality rate being 5.16%.Epidemic peaks occurred m 1986 and 1999.With the incidence rate and mortality rate being 33.34/lakh and 4.74% in 1986 and 14.28/lakh and 1.80% respectively in 1999.The number of caseg and deaths in the five suburb towns plus Huangdao District accounted for 98.57% and 95.67% of the total respectively The annual average incidence rates of the epidemic in Huangdao,Jiaonan,Jiaozhou,Pingdu and Jimo were 35.24/lakh,18.90/lakh,13.58/lakh.9.87/lakh and 6.62/lakh.Mspacdvcly.The winter peak of the disease started from October and reached the highest point in November or December and declined in January of the next year,no obvious peak seen in spring.The epidemic was seen in various age groups from 2 years,the youngest,to 85 years,the oldest.Among the affected,those agedfrom 20 to 60 accountedfor 78.41% and farmers 83.06% of the total.With the disease 2.53 times more comnlon in males than in females Apodemus agrarius and Rattus norvegicus were the predominant species in the wild and residential areas respectively It was found by fluorescent antibody assays that Apodemus agrarins,Cricetulus triton,Crlcetuhis barabeusis,Rattus norvegicus and Mus museulus carried viruses with the virus—carrying rate highest in Rattus norvegicus both in residential areas and in the wild Conclusion The prevalence rate of HFRS was still high in some areas of Qiugdao and comprehensive strategies should be taken to reinforce the prevention and control of the epidemic.

     

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