钟民荣, 钟马兴, 郭昌禄, 钟晓芳, 严娟. 一起甲型肝炎局部流行的流行病学调查分析[J]. 疾病监测, 2008, 23(3): 191-192. DOI: 10.3784/j.issn.1003-9961.2008.3.191
引用本文: 钟民荣, 钟马兴, 郭昌禄, 钟晓芳, 严娟. 一起甲型肝炎局部流行的流行病学调查分析[J]. 疾病监测, 2008, 23(3): 191-192. DOI: 10.3784/j.issn.1003-9961.2008.3.191
ZHONG Min-rong, ZHONG Ma-xing, GUO Chang-lu, ZHONG Xiao-fang, YAN Juan . Epidemiological survey and analysis of a locally prevalent epidemic of hepatitis A[J]. Disease Surveillance, 2008, 23(3): 191-192. DOI: 10.3784/j.issn.1003-9961.2008.3.191
Citation: ZHONG Min-rong, ZHONG Ma-xing, GUO Chang-lu, ZHONG Xiao-fang, YAN Juan . Epidemiological survey and analysis of a locally prevalent epidemic of hepatitis A[J]. Disease Surveillance, 2008, 23(3): 191-192. DOI: 10.3784/j.issn.1003-9961.2008.3.191

一起甲型肝炎局部流行的流行病学调查分析

Epidemiological survey and analysis of a locally prevalent epidemic of hepatitis A

  • 摘要: 采用现场流行病学调查方法,分析万田乡一起甲型肝炎局部流行的流行特征和影响因素.整个甲肝疫情历时89d,发病35例,发病率274.36/10万,与前8年平均发病率相比增长2864.94%,以5~10岁小学生和幼托儿童为主,并在病例密切接触者中检出HAV-IgM阳性54人,阳性率28.57%.认为整个疫情系通过日常生活接触传播,甲肝患者和无症状感染者均是重要的传染源,开展丙种球蛋白应急接种对控制甲肝流行起着关键性作用.

     

    Abstract: The epidemiologic field investigation was conducted to analyze the epidemiological characteristics and influencing factors of an epidemic of hepatitis A that was locally prevalent in Wantian township of Ruijin city. The incidence rate of this 89-day epidemic was 274.36/lakh, with 35 hepatitis A cases reported, showing an increase of 2864.94% compared with the average incidence of the past 8 years. The 5-to-10-year-old primary students and pre-school children were mostly affected in the epidemic. In close contact with the patients, 54 people were found HAV-IgM positive, the positive rate being 28.57%. It was believed that the epidemic was transmitted through casual contact. Hepatitis A and asymptomatic infected patients were the key sources of infection. The emergent inoculation of gamma globulin was critical in the control of hepatitis A.

     

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