王跃兵, 杨向东, 杨发莲, 杨慧, 张青, 于彬彬, 李志强, 彭海燕, 杨秋菊. 2010-2013年云南省炭疽监测分析[J]. 疾病监测, 2014, 29(9): 741-743. DOI: 10.3784/j.issn.1003-9961.2014.09.018
引用本文: 王跃兵, 杨向东, 杨发莲, 杨慧, 张青, 于彬彬, 李志强, 彭海燕, 杨秋菊. 2010-2013年云南省炭疽监测分析[J]. 疾病监测, 2014, 29(9): 741-743. DOI: 10.3784/j.issn.1003-9961.2014.09.018
WANG Yue-bing, YANG Xiang-dong, YANG Fa-lian, YANG Hui, ZHANG Qing, YU Bin-bin, LI Zhi-qiang, PENG Hai-yan, YANG Qiu-ju. Surveillance for anthrax in Yunnan, 2010-2013[J]. Disease Surveillance, 2014, 29(9): 741-743. DOI: 10.3784/j.issn.1003-9961.2014.09.018
Citation: WANG Yue-bing, YANG Xiang-dong, YANG Fa-lian, YANG Hui, ZHANG Qing, YU Bin-bin, LI Zhi-qiang, PENG Hai-yan, YANG Qiu-ju. Surveillance for anthrax in Yunnan, 2010-2013[J]. Disease Surveillance, 2014, 29(9): 741-743. DOI: 10.3784/j.issn.1003-9961.2014.09.018

2010-2013年云南省炭疽监测分析

Surveillance for anthrax in Yunnan, 2010-2013

  • 摘要: 目的 掌握云南省炭疽流行现状,评估疫情风险,为制定防治措施提供依据。 方法 搜集全省炭疽疫情信息,建立病例个案数据库,重点分析疾病分布规律和危险因素,评估疫情发生风险,进而提出防控措施。 结果 近几年全省炭疽疫情总体平稳,无暴发疫情发生。57例病例分布于13个历史疫区县,高温、潮湿多雨的夏秋季多发,以青壮年农民为主,男性多于女性。病例均为皮肤炭疽,实验室诊断病例占14.03%。疫区群众健康知晓率为35.09%,及时就医率为45.61%,96.49%的病例为在接触病、死牲畜的过程中通过破损皮肤感染。 结论 云南省炭疽疫源地长期持续存在,较为活跃,疫区群众健康意识差,疫情风险评估为高风险级别,有发生其他类型炭疽流行和疫情点状暴发的可能。加强疫情监测和健康教育,提高实验室检测能力,建立联防联控机制是今后防控工作的重点。

     

    Abstract: Objective To understand the incidence pattern of anthrax, evaluate the risk of epidemic in Yunnan province and provide evidence for the prevention and control of anthrax. Methods The incidence data of anthrax in Yunnan were collected to establish case database for analysis. Results The incidence of anthrax was stable and no outbreak occurred in recent years. A total of 57 cases occurred in 13 previous endemic areas. The disease mainly occurred in summer and autumn which are hot, wet and rainy. Most cases were adult farmers, more males were affected than females. All the cases were cutaneous anthrax. The laboratory confirmed cases accounted for 14.03%, the awareness rate of anthrax related knowledge was 35.09% among the people in endemic areas and the rate of timely medical care seeking was 45.61%. Up to 96.49% of the cases were infected through contact of sick or dead livestock when they had cuts on skin. Conclusion Anthrax endemic areas have existed for long time in Yunnan, and the awareness of anthrax related knowledge was poor among the people in these areas. The risk of outbreak was high. There is possibility of outbreak or local outbreak of other type anthrax. It is necessary to strengthen anthrax surveillance and related health education, improve laboratory detection capacity and conduct comprehensive prevention and control.

     

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