薛维军. 公安县洪涝灾害对钩端螺旋体病流行因素的影响及其防治对策研究[J]. 疾病监测, 2005, 20(6): 285-288. DOI: 10.3784/j.issn.1003-9961.2005.6.285
引用本文: 薛维军. 公安县洪涝灾害对钩端螺旋体病流行因素的影响及其防治对策研究[J]. 疾病监测, 2005, 20(6): 285-288. DOI: 10.3784/j.issn.1003-9961.2005.6.285
XUE Wei-jun. Study on the Influence of Flood and Waterlogging Disasters on the Epidemiological Factors of Leptospirosis and Its Prevention and Treatment Strategies in Gongan County[J]. Disease Surveillance, 2005, 20(6): 285-288. DOI: 10.3784/j.issn.1003-9961.2005.6.285
Citation: XUE Wei-jun. Study on the Influence of Flood and Waterlogging Disasters on the Epidemiological Factors of Leptospirosis and Its Prevention and Treatment Strategies in Gongan County[J]. Disease Surveillance, 2005, 20(6): 285-288. DOI: 10.3784/j.issn.1003-9961.2005.6.285

公安县洪涝灾害对钩端螺旋体病流行因素的影响及其防治对策研究

Study on the Influence of Flood and Waterlogging Disasters on the Epidemiological Factors of Leptospirosis and Its Prevention and Treatment Strategies in Gongan County

  • 摘要: 目的研究洪涝灾害对钩体病流行因素的影响及有效防治策略。方法运用流行病学调查方法,研究洪涝对公安县人间钩体病流行因素的影响。结果1990~2000年公安县钩体病年均发病率7.99/10万,发病时间以7~8月份为主。采集鼠肾53只、猪肾168只培养为阴性,用PCR法检测,鼠肾有6只阳性,阳性率为11.32%,猪肾有1只阳性,阳性率为0.59%,鼠带菌率比猪带菌率要高。健康人群血清黄疸出血群平均抗体与波摩那群一致,均为0.048μg/μl,流感伤寒群平均抗体为0.056μg/μl。开展钩体疫苗接种能有效预防钩体病的发生与流行。通过对1999~2000年公安县降雨量、气温、长江水位与钩体病发病率作单因素分析,相关性不显著。结论洪涝灾害可以影响钩体病的流行,但不是决定因素。钩体病防治策略应采取以加强传染源控制与管理、健康教育、接种钩体疫苗为主导的综合性防治措施。

     

    Abstract: Objective This study was done to get an insight into the influence of flood and waterlog ging disasters on the epidemiological faclors of leptospirosis and its effective prevention and treatment strategies Methods Techniques of epidemiological investigation were applied to study the influence of flood and waterlogging disasters on the epidemiological factors of haman leptospirosis in Gongan county Results Statistics sDowed that the mean annual incidence of leptospirosis from 1990 to 2000 in Gongan county was 7.99/100,000,with the epidemic mainly occurring in July and August Bacterial culture of 53 mouSe arid 168 swine kidneys was negative,bot PCR detection revealed positive findings for bacteria in 6 mouse kidneys(positive rate,11.32%) and in 1 swine kidney (positive rate,0.59%),with a higher carrier rate in mice than in pigs. The mean antibody against L interohaemorrhagiae for health people was 0.048μg/μl,showing no difference with that of L.pomona,while the mean antibody against L.grippolyphsa was 0.056μg/μl it was showed that inoculation of bacterial vaccine of leptospirosis was able to effectively prevent lepltospirosis No significant correlation was fomld from the single faclor analy sls of the incidence of leptospirosis and the rainfalls,the air temperatures and the water levels of Yangtze River from 1999 to 2000 in Gongan county Conclusion Flood and waterlogging disasters have some in fluence on the prevalence of leplospirosis but are not determinant factors Comprehensive strategies for the prevention and control of leptospirosis include the control of source of infection,health education and irinocullation of leptospirosis vaccine

     

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