刘义威, 李文, 卢耀娟, 胡昱, 杨成志, 詹晓瑜. 广西玉林市505例狂犬病流行病学调查[J]. 疾病监测, 2009, 24(10): 757-760. DOI: 10.3784/j.issn.1003-9961.2009.10.010
引用本文: 刘义威, 李文, 卢耀娟, 胡昱, 杨成志, 詹晓瑜. 广西玉林市505例狂犬病流行病学调查[J]. 疾病监测, 2009, 24(10): 757-760. DOI: 10.3784/j.issn.1003-9961.2009.10.010
LIU Yi -wei, LI Wen, LU Yao-juan, HU Yu, YANG Cheng-zhi, ZHAN Xiao-yu. Epidemiological survey of 505 rabies cases in Yulin city, Guangxi Autonomous Region[J]. Disease Surveillance, 2009, 24(10): 757-760. DOI: 10.3784/j.issn.1003-9961.2009.10.010
Citation: LIU Yi -wei, LI Wen, LU Yao-juan, HU Yu, YANG Cheng-zhi, ZHAN Xiao-yu. Epidemiological survey of 505 rabies cases in Yulin city, Guangxi Autonomous Region[J]. Disease Surveillance, 2009, 24(10): 757-760. DOI: 10.3784/j.issn.1003-9961.2009.10.010

广西玉林市505例狂犬病流行病学调查

Epidemiological survey of 505 rabies cases in Yulin city, Guangxi Autonomous Region

  • 摘要: 目的探讨玉林市近年狂犬病高发原因。方法采用描述流行病学方法对505例病例发病情况和流行特征进行分析,同时采取随机抽样方法,对各地进行犬密度调查。 结果1999-2008年狂犬病发病例数分别10、20、41、72、78、68、59、64、54、39例,均为死亡病例,其发病率分别为0.18/10万、0.35/10万、0.71/10万、1.13/10万、1.32/10万、1.11/10万、1.00/10万、1.05/10万、0.98/10万、0.70/10万,年平均发病率为0.85/10万,病死率100%。全年各月均有病例发生,但以夏秋季较多。发病以农民最多,其次为中小学生,再次为散居儿童。66.14%的患者未对伤口做任何处理,有 79.60%的患者未注射狂犬病疫苗,20.40%的患者不同程度注射狂犬病疫苗仍发病。调查2065户共7962人,共养犬1178只,免疫犬87只,平均犬密度为14.80只/100人,犬免疫率为7.39%。对出售的犬脑标本410份,用免疫荧光法检测,狂犬病毒抗原阳性率为16.34%,主动伤人的犬只,狂犬病毒抗原阳性率达87.5%,对主动攻击人的犬都进行打死深埋处理。结论犬密度较大,犬未经免疫,犬伤者不按要求进行及时对伤口彻底处理,不及时联合注射抗狂犬病血清和狂犬病疫苗,注射疫苗后保护抗体未产生前患者已发病,是近几年来玉林市狂犬病发病率较高的原因。防控措施主要是对犬类落实 管、圈、灭、免综合性防控措施,同时加强健康教育,被犬伤后及时正确处理伤口和注射狂犬病疫苗及抗狂犬病血清。

     

    Abstract: ObjectiveTo explore the reasons of high incidence of rabies in Yulin in recent years and provide scientific basis for the development of effective control strategies. MethodsDescriptive analysis was conducted on the incidence and epidemiological features of 505 rabies cases and survey on dog density was carried out by random sampling in all areas. ResultsFrom 1999 to 2008, the number of rabies cases was 10, 20, 41, 72, 78, 68, 59, 64, 54 and 39 respectively (all fatal) with the incidence rate of 0.18/lakh, 0.35/lakh, 0.71/lakh, 1.13/lakh, 1.32/lakh, 1.11/lakh, 1.00/lakh, 1.05/lakh, 0.98/lakh and 0.70/lakh. The average annual incidence rate was 0.85/lakh.The case fatality rate was 100%. Rabies cases occurred every month in a year, but more cases occurred in summer and autumn. More cases occurred in farmers, followed by students and scattered children. A total of 66.14% of cases didnt treat the wounds properly, 79.60% of the cases didnt receive rabies vaccine and 20.40%of the cases were not fully vaccinated. Survey in 2065 households with 7962 people was conducted. Among 1178 dogs raised, only 87 were immunized (7.39%). The average dog density was 14.80/100 people. A total of 410 dog brain specimens were detected by immunofluorescence assay with rabies virus antigen positive rate of 16.34%. For dogs attacking humans, rabies virus antigen positive rate was 87.5%. Most dogs attacking humans were killed and buried deeply. ConclusionThe reasons of high incidence of rabies in Yulin included high density of dogs, low immunization of digs, untimely and improper treatment of wounds, untimely vaccination of antirabies serum and rabies vaccine and occurrence of cases before antibody developed after vaccination. The comprehensive control measures for dogs of management, pening, killing and immunization should be implemented. It is important to conduct health education for people to treat wounds timely and properly and receive rabies vaccine and antirabies serum.

     

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