田辉, 张克俭, 杜红中, 寇光平, 郭晓琨. 宝鸡市肾综合征出血热20年监测研究[J]. 疾病监测, 2005, 20(9): 467-471. DOI: 10.3784/j.issn.1003-9961.2005.9.467
引用本文: 田辉, 张克俭, 杜红中, 寇光平, 郭晓琨. 宝鸡市肾综合征出血热20年监测研究[J]. 疾病监测, 2005, 20(9): 467-471. DOI: 10.3784/j.issn.1003-9961.2005.9.467
TIAN Hui, ZHANG Ke-jian, DU Hong-zhong, KOU Guang-ping, GUO Xiao-kun. Study on a 20-Year Monitoring of Hemorrhagic Fever with Renal Syndrome (HFRS) in Baoji City[J]. Disease Surveillance, 2005, 20(9): 467-471. DOI: 10.3784/j.issn.1003-9961.2005.9.467
Citation: TIAN Hui, ZHANG Ke-jian, DU Hong-zhong, KOU Guang-ping, GUO Xiao-kun. Study on a 20-Year Monitoring of Hemorrhagic Fever with Renal Syndrome (HFRS) in Baoji City[J]. Disease Surveillance, 2005, 20(9): 467-471. DOI: 10.3784/j.issn.1003-9961.2005.9.467

宝鸡市肾综合征出血热20年监测研究

Study on a 20-Year Monitoring of Hemorrhagic Fever with Renal Syndrome (HFRS) in Baoji City

  • 摘要: 目的全面掌握宝鸡市开展肾综合征出血热监测以来的流行规律及变化,为进一步制定防制措施提供依据。方法对1984~2004年宝鸡市肾综合征出血热疫情资料和监测资料进行分析。结果发病率呈现阶梯式下降趋势,死亡率和病死率持续下降;渭河谷地是主要疫源地,疫区类型从姬鼠型逐渐向混合型转化,野外优势鼠种为黑线姬鼠,室内有从黄胸鼠向褐家鼠转变趋势,动物带病毒指数与发病率呈高度正相关,渭河谷地人群隐性感染率高。结论肾综合征出血热的流行受自然、经济、社会因素影响较大。多年来,采取疫苗接种、健康教育和防鼠为主的综合防制措施,对预防和控制肾综合征出血热效果显著,系统地开展监测对疫情预测预报有指导意义。

     

    Abstract: Objective This study was performed to fully understand the epidemic rules and changes since the monitoring of HFRS was carried out in Baoji City.and to provide the basis for further formulating measures of prevention and treatment of HFRS.Methods The data for epidemic situation and monitoring of HFRS from 1984 to 2004 in Baoji City were analyzed.Results The incidence tended to drop by stage,and the mortality or fatality rate decreased continuously.The valley of Weihe River was the main focus of infection,and the epidemic area was transformed from a type of Apodemus to a mixed type.The field dominant species was apodemus agrarius,and indoor species tended to transform from rattus flavipectus to sewer rat.The index of animals with virus showed a highly positive correlation with incidence,and the rate of subclinical infection was high among people of the valley of Weihe River.Conclusion The prevalence of HFRS is more related to natural,economic and social factors.In these years,some comprehensive measures for HFRS prevention and control,mainly vaccination,health education,and rat prevention,have been taken,which showed a significant effect on the prevention and control of HFRS.Carrying out monitoring work systematically has an instructive significance for the forecast of epidemic situation.

     

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