秦彩明, 刘芸, 姚文清, 孙英伟, 吴少慧, 张稷博, 孙广玖, 郭军巧. 辽宁省国家监测点肾综合征出血热监测分析[J]. 疾病监测, 2007, 22(3): 162-164. DOI: 10.3784/j.issn.1003-9961.2007.3.162
引用本文: 秦彩明, 刘芸, 姚文清, 孙英伟, 吴少慧, 张稷博, 孙广玖, 郭军巧. 辽宁省国家监测点肾综合征出血热监测分析[J]. 疾病监测, 2007, 22(3): 162-164. DOI: 10.3784/j.issn.1003-9961.2007.3.162
QIN Cai-Ming, LIU Yun, YAO Wen-Qing, SUN Ying Wei , . Study on the surveillance of hemorrhagic fever with renal syndrome in national surveillance sites in Liaoning[J]. Disease Surveillance, 2007, 22(3): 162-164. DOI: 10.3784/j.issn.1003-9961.2007.3.162
Citation: QIN Cai-Ming, LIU Yun, YAO Wen-Qing, SUN Ying Wei , . Study on the surveillance of hemorrhagic fever with renal syndrome in national surveillance sites in Liaoning[J]. Disease Surveillance, 2007, 22(3): 162-164. DOI: 10.3784/j.issn.1003-9961.2007.3.162

辽宁省国家监测点肾综合征出血热监测分析

Study on the surveillance of hemorrhagic fever with renal syndrome in national surveillance sites in Liaoning

  • 摘要: 目的 了解辽宁省鼠间带毒、鼠密度及鼠种构成与肾综合征出血热(HFRS)人群发病情况间的关系,为今后更有效地控制疫情提供依据.方法 采用夹夜法对辽宁省丹东的凤城市、沈阳市的于洪区和葫芦岛的兴城市三个国家级监测点鼠密度、鼠种构成及鼠带毒率进行逐月监测.用间接免疫荧光方法检测HFRS抗原.结果 12个月间鼠密度在春秋两季各出现一个高峰,5月份鼠密度高达10.83%,1月份仅为0.99%.村内鼠密度高于村外鼠密度,差异有统计学意义(2=181.24,P<0.01).褐家鼠为优势鼠种.1年问共剖取鼠肺555份,阳性32份,汉坦病毒带毒率为5.77%,四季带毒率差异无统计学意义(2=1.576,P>0.05).各鼠种间带毒率差异无统计学意义(2=2.02,P>0.05).3个监测点1年内共发病418例,发病率为28.23/10万,各月发病率在统计学上差异有统计学意义(2=170.42,P<0.01).人群发病高低与鼠密度消长趋势基本一致,统计学上呈正相关关系(r=0.61).结论 HFRS的发生与鼠密度密切相关,应采取以防鼠灭鼠为主的综合性防控措施.

     

    Abstract: Objective The present study was conducted to get an insight into the relationship between HFRS incidence rate in crowd and the density, proportion of species and positive rate of HFRS of mice for further effective control of the disease. Methods By setting mouse clamps, a monthly surveillance of the density and positive rate of HFRS of mice was conducted in the three national monitoring sites, Feng Cheng, Xing Cheng and Yu Hong. Indirect immunofluorescence was used to detect the HFRS antigen. Results Two peak values on mouse density were observed in spring and autumn, respectively. The mouse density was 10.83% in May, albeit 0.99% in January. The mouse density was higher in village than outside with statistical significance(x2=181.24, P0.01).The sewer rats were dominant. A total of 555 rat lungs were dissected and 32 positive lungs found, positive rate 5.77%. No significant difference was observed in positive rate of HFRS in four seasons(x2=1.576, P0.05)or in different species of mouse(x2=2.02, P0.05). 418 HFRS cases were reported the three monitoring sites in the year, incidence rate being 28.23/Lakh. The difference in incidence rate was significant among the twelve months(x2=170.42, P0.01). The rise and falls of incidence rate generally coincided with mouse density, and a statistical correlation was presented between the incidence rate and mouse density(r =0.61). Conclusion Incidence rate of HFRS has strong relationship with mouse density. Integrated controlling and prevention, particularly deratization, should be carried out to control the HFRS prevalence.

     

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