李铁钢, 刘维斯, 杨智聪, 刘于飞, 王玉林, 秦鹏哲, 鲁恩杰, 何丽娟. 2006年广州市流行性感冒监测分析[J]. 疾病监测, 2008, 23(8): 478-480. DOI: 10.3784/j.issn.1003-9961.2008.8.478
引用本文: 李铁钢, 刘维斯, 杨智聪, 刘于飞, 王玉林, 秦鹏哲, 鲁恩杰, 何丽娟. 2006年广州市流行性感冒监测分析[J]. 疾病监测, 2008, 23(8): 478-480. DOI: 10.3784/j.issn.1003-9961.2008.8.478
LI Tie gang, LIU Wei si, YANG Zhi cong, LIU Yu fei, WANG Yu lin, QIN Peng zhe, LU En jie, HE Li juan. Surveillance analysis of influenza in Guangzhou, 2006[J]. Disease Surveillance, 2008, 23(8): 478-480. DOI: 10.3784/j.issn.1003-9961.2008.8.478
Citation: LI Tie gang, LIU Wei si, YANG Zhi cong, LIU Yu fei, WANG Yu lin, QIN Peng zhe, LU En jie, HE Li juan. Surveillance analysis of influenza in Guangzhou, 2006[J]. Disease Surveillance, 2008, 23(8): 478-480. DOI: 10.3784/j.issn.1003-9961.2008.8.478

2006年广州市流行性感冒监测分析

Surveillance analysis of influenza in Guangzhou, 2006

  • 摘要: 目的 对2006年广州市流行性感冒(流感)监测结果进行分析。方法 病例标本来自广州市4家哨点医院的流感样病例和暴发疫点现患病例的漱口液或咽拭子,采用犬肾传代细胞进行病毒分离;人群血清标本于3月和10月在其中一家哨点医院按年龄组分层随机抽取健康体检人群进行采集,采用微量半加敏红细胞抑制试验检测各型流感抗体。 结果 1143份哨点医院采集的标本中有95份(8.31%)分离出流感病毒(H1N1型80株,B型15株);接到暴发疫情146起,罹患率0.40%~16.97%。疫情主要发生在3-4月,全市12个区(市)均有报告且全部来自学校。人群血清抗体H3N2、B(维多利亚系)、 B(巴拿马系)型阳性率两次监测结果无统计学差异,但H1N1抗体10月高于3月(sup2/sup=41.94,IP/I0.05)。 结论 广州市2006年流感流行优势毒株为H1N1;暴发疫情的流行高峰出现在3-4月,以局部暴发为主要特征;学校等集体单位应加强流感监测; B型流感病毒在广州地区仍有继续引起局部暴发流行的潜在危险。

     

    Abstract: Objective The study was conducted to analyze the results of the surveillance for influenza in Guangzhou, 2006, in order to provide evidence for the development of influenza prevention and control strategies. Methods The virus was isolated using MDCK cells from the mouthwash or throat swab collected from influenza patients in the epidemic focus or suspected influenza-like ones from four sentinel hospitals in Guangzhou. Serum specimens were collected from an age-stratified random sample of people considered healthy through the examination in a particular sentinel hospital in March and October, respectively, with various types of antibodies detected using a micro hemagglutination inhibition test. Results A total of 95 (8.31%) strains of influenza virus were isolated from 1143 samples collected from sentinel hospitals (80 strains of H1N1 type and 15 of B type). In the year of 2006, 146 outbreaks were reported, the attack rate being between 0.40% and 16.97%. The epidemic occurred mostly in March and April. Reports of influenza epidemic were found in all of the twelve districts in Guangzhou, which came wholly from the schools. Results of the two serological surveillances revealed no statistical difference between the serum levels of antibody H3N2, B (Victorian) and B (Panama), whereas the H1N1 antibody levels were higher in October than in March(sup2/sup=41.94,IP/I0.05). Conclusion Influenza virus type A / H1N1 was the predominant pathogen in Guangzhou, 2006, leading to the epidemic outbreaks that peaked in March and April and was characterized by local endemics. Therefore, surveillance for influenza should be enhanced in schools and other gathering places. On the other hand, Influenza virus type B was considered as a potential source of endemic outbreaks.

     

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